Porcine and bovine surgical products: Jewish, Muslim, and Hindu perspectives.

Porcine and bovine surgical products: Jewish, Muslim, and Hindu perspectives.
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DOI:
10.1001/archsurg.143.4.366
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发表时间:
2008-04-01
期刊:
Archives of surgery (Chicago, Ill. : 1960)
影响因子:
--
通讯作者:
Maddern, Guy
Maddern, Guy
中科院分区:
其他
文献类型:
--
作者:
Easterbrook, Catherine;Maddern, Guy

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目的:确定犹太、穆斯林和印度教信仰禁止他们食用猪和牛产品的人对猪和牛外科植入物的接受度。数据来源:对犹太、穆斯林和印度教信仰的人中有关宗教信仰的现有文献进行评估,以确定动物来源的外科植入物是否被允许在这些宗教中使用。研究选择:由于关于这一主题的出版文献有限,澳大利亚宗教领袖的意见受到质疑。数据摘录:宗教和文化信仰可能与治疗选择冲突并限制治疗选择,特别是在外科手术中。澳大利亚经常使用大约81个猪和牛外科植入物。数据综合:犹太信仰的成员使用猪产品进行手术被认为是可以接受的。在可怕的情况下,只有在用尽所有其他选择之后,穆斯林信仰的追随者才被允许使用猪外科产品。印度教宗教领袖不接受使用牛外科植入物。结论:澳大利亚是一个多元文化的社会,因此,有必要考虑所有患者的宗教信仰。作为外科医生注意义务的一部分,知情同意程序应该包括关于动物来源的外科植入物的讨论,以避免宗教痛苦和可能的诉讼。更好地理解宗教观点将加强对犹太、穆斯林和印度教信仰者的医疗保健。
OBJECTIVE: To determine the acceptability of porcine and bovine surgical implants among persons of Jewish, Muslim, and Hindu faiths whose beliefs prohibit them from consuming porcine and bovine products.DATA SOURCES: An evaluation of current literature concerning religious beliefs among persons of Jewish, Muslim, and Hindu faiths was undertaken to determine if animal-derived surgical implants are permitted for use in these religions.STUDY SELECTION: Because of the limited published literature about this topic, the opinions of religious leaders in Australia were sought.DATA EXTRACTION: Religious and cultural beliefs can conflict with and limit treatment options, especially in surgery. Approximately 81 porcine and bovine surgical implants are regularly used in Australia.DATA SYNTHESIS: It is deemed acceptable for members of the Jewish faith to undergo surgery using porcine products. In dire situations and only after all other options have been exhausted, followers of the Muslim faith are permitted to use porcine surgical products. Hindu religious leaders did not accept the use of bovine surgical implants.CONCLUSIONS: Australia comprises a multicultural society; therefore, it is necessary to consider religious beliefs of all patients. As part of a surgeon's duty of care, the informed consent process should include a discussion about animal-derived surgical implants to avoid religious distress and possible litigation. A greater understanding of religious views would enhance the medical care of persons of Jewish, Muslim, and Hindu faiths.