CAJ | 학술논문

目的：：探讨临床药师参与抗感染治疗的药学监护切入点。方法：以临床药师对感染患者的药学监护为例，分析抗感染治疗中的药学监护切入点。结果：临床药师可结合临床具体情况，以判断是否有使用抗菌药的指征、协助制定抗感染治疗方案(包括抗菌药物品种、剂量与溶媒的选择、PK/PD参数的优化、输液速度)、重视病原学检查、关注药物相互作用、药物不良反应与疗效的监测、加强患者用药教育等为切入点开展药学监护。结论：临床药师参与抗感染治疗，制订个体化的用药监护，可保证患者用药安全、有效。
목적：：탐토림상약사삼여항감염치료적약학감호절입점。방법：이림상약사대감염환자적약학감호위례，분석항감염치료중적약학감호절입점。결과：림상약사가결합림상구체정황，이판단시부유사용항균약적지정、협조제정항감염치료방안(포괄항균약물품충、제량여용매적선택、PK/PD삼수적우화、수액속도)、중시병원학검사、관주약물상호작용、약물불량반응여료효적감측、가강환자용약교육등위절입점개전약학감호。결론：림상약사삼여항감염치료，제정개체화적용약감호，가보증환자용약안전、유효。
Objective:To explore the breakthrough points of pharmaceutical care in the anti-infection treatment by clinical phar-macists. Methods:Using the pharmaceutical care carried out by clinical pharmacists in the treatment of infected patients as the exam-ple, the breakthrough points of pharmaceutical care in the anti-infection treatment by clinical pharmacists were discussed. Results:Clinical pharmacists should be in accordance with the specific clinical conditions to find out such breakthrough points of pharmaceutical care as judging the indications of antibacterial drugs use, assisting in the development of drug therapeutic regimens ( including the choice of species, dosage and solvent, the optimization of PK/PD parameters and the infusion speed) , paying close attention to bacteri-al culture, concerning on drug interactions, monitoring adverse drug reactions and efficacy, providing patient medication education and so on. Conclusion:Clinical pharmacists can participate in anti-infection treatment and carry out individual pharmaceutical care to en-sure the safety and efficacy of drugs.