Abstract：
Navigating antibiotics at the end of life is a challenge for infectious disease (ID) physicians who remain deeply committed to providing patient-centered care and engaging in shared decision making. ID physicians, who often see patients in both inpatient and outpatient settings and maintain continuity of care for patients with refractory or recurrent infections, are ideally situated to provide guidance that aligns with patients\' goals and values. Complex communication skills, including navigating difficult emotions around end-of-life care, can be used to better direct shared decision making and assist with antibiotic stewardship.
摘要：
在生命结束时使用抗生素对于传染病（ID）医生来说是一个挑战，他们仍然致力于提供以患者为中心的护理并参与共同决策。身份证医生，他们经常在住院和门诊就诊，并保持对难治性或复发性感染患者的护理连续性，处于理想的位置，以提供与患者目标和价值观相一致的指导。复杂的沟通技巧，包括导航围绕临终护理的困难情绪，可用于更好地指导共享决策并协助抗生素管理。
