返回 
加入收藏
临床药师参与1例溺水后肺部感染合并脑脓肿患儿的抗感染治疗实践
x
请在关注微信后，向客服人员索取文件
| 篇名： | 临床药师参与1例溺水后肺部感染合并脑脓肿患儿的抗感染治疗实践 |
| TITLE： | |
| 摘要： | 目的：探讨临床药师在复杂感染患儿抗感染治疗中的作用。方法：临床药师参与1例因溺水致肺部感染及脑脓肿患儿的治疗过程，协助医师调整抗菌药物治疗方案，并根据病原菌特点、治疗效果及药品不良反应，先后提出抗革兰氏阳性和阴性菌药物调整、万古霉素剂量调整、万古霉素不良反应及其处理、抗侵肺巴斯德菌药物的选择、加强抗真菌感染治疗等建议。结果：医师部分采纳临床药师建议，经过5次抗感染治疗方案的调整，患儿肺部及脑部的感染得到了有效控制，不良反应症状消失。结论：临床药师参与复杂感染患儿的治疗过程，结合患儿病原学检查结果，协助医师制订安全、有效的抗感染方案，及时处理药品不良反应，并积极开展抗菌药物疗效评估及药学监护，对患儿的治疗起到了积极的作用。 |
| ABSTRACT： | OBJECTIVE： To explore the role of clinical pharmacists participating in anti-infective treatment for a child with complex infection. METHODS： Clinical pharmacists participated in treatment process of one child with pulmonary infection and brain abscess after a near-drowning incident， assisted physicians to adjust antibiotics therapy plan， and put several suggestions as the adjustment of anti-gram-positive and anti-gram-negtive bacterium drugs， the dosage adjustment of vancomycin， vancomycin-induced ADR and disposal， the selection of anti-Pasteurella pneumotropica drugs， the enhancement of anti-fungal infection therapy， according to pathogen characteristics， treatment effect and ADR. RESULTS： Physicians partly adopted the advice of clinical pharmacists， the child’s pulmonary and brain infection were controlled effectively and ADR disappeared after 5 times of adjusting anti-infective the rapy plan. CONCLUSIONS： Clinical pharmacists participate in the treatment process of one child with complex infection， and assist physicians to formulate safe and effective anti-infective plan according to the results of etiological examination； dispose ADR timely and carry out efficacy evaluation of antibiotics and pharmaceutical care， that can give positive effects on patient treatment. |
| 期刊： | 2016年第27卷第26期 |
| 作者： | 何翠瑶，王刚，樊继山，吴青，贾运涛，张艳 |
| AUTHORS： | HE Cuiyao，WANG Gang，FAN Jishan，WU Qing，JIA Yuntao，ZHANG Yan |
| 关键字： | 临床药师；肺部感染；脑脓肿；溺水；药学监护 |
| KEYWORDS： | Clinical pharmacist； Pulmonary infection； Brain abscess； Near-drowning； Pharmaceutical care |
| 阅读数： | 406 次 |
| 本月下载数： | 6 次 |
* 注：未经本站明确许可，任何网站不得非法盗链资源下载连接及抄袭本站原创内容资源!在此感谢您的支持与合作！
