中国药师
中國藥師
중국약사
China Pharmacist
2015年
11期
1932-1934
,共3页
颅内感染%肺部感染%耐药菌%临床药师
顱內感染%肺部感染%耐藥菌%臨床藥師
로내감염%폐부감염%내약균%림상약사
Intracranial infection%Pulmonary infection%Drug-resistant bacteria%Clinical pharmacist
目的::评价外科术后多部位感染患者的抗感染治疗方案,探讨临床药师的作用。方法:临床药师参与诊治1例脑外科术后肺部感染基础上合并颅内感染患者的治疗。结合抗菌药物的PK/PD特点以及耐药菌的应对策略,采用万古霉素联合磷霉素的方案治疗万古霉素MIC为2 mg·L-1的耐甲氧西林表皮葡萄球菌引起的颅内感染,采用按疗程动态调整抗菌药物的方案治疗包含多重耐药菌在内的2种病原菌引起的肺部感染。结果:患者颅内感染成功治愈,肺部感染也得到控制,整体病情明显好转。结论:临床药师在整个治疗过程中充分运用药学知识,协助临床制定与完善治疗方案,在治疗中发挥了重要作用。
目的::評價外科術後多部位感染患者的抗感染治療方案,探討臨床藥師的作用。方法:臨床藥師參與診治1例腦外科術後肺部感染基礎上閤併顱內感染患者的治療。結閤抗菌藥物的PK/PD特點以及耐藥菌的應對策略,採用萬古黴素聯閤燐黴素的方案治療萬古黴素MIC為2 mg·L-1的耐甲氧西林錶皮葡萄毬菌引起的顱內感染,採用按療程動態調整抗菌藥物的方案治療包含多重耐藥菌在內的2種病原菌引起的肺部感染。結果:患者顱內感染成功治愈,肺部感染也得到控製,整體病情明顯好轉。結論:臨床藥師在整箇治療過程中充分運用藥學知識,協助臨床製定與完善治療方案,在治療中髮揮瞭重要作用。
목적::평개외과술후다부위감염환자적항감염치료방안,탐토림상약사적작용。방법:림상약사삼여진치1례뇌외과술후폐부감염기출상합병로내감염환자적치료。결합항균약물적PK/PD특점이급내약균적응대책략,채용만고매소연합린매소적방안치료만고매소MIC위2 mg·L-1적내갑양서림표피포도구균인기적로내감염,채용안료정동태조정항균약물적방안치료포함다중내약균재내적2충병원균인기적폐부감염。결과:환자로내감염성공치유,폐부감염야득도공제,정체병정명현호전。결론:림상약사재정개치료과정중충분운용약학지식,협조림상제정여완선치료방안,재치료중발휘료중요작용。
Objective:To evaluate the anti-infective therapy in a patient with multi-site infections after brain surgery and explore the role of clinical pharmacist in the treatment. Methods:With the applications of PK/PD characteristics of drugs and the coping strategies of resistant , vancomycin combined with fosfomycin were used to treat the intracranial infection caused by methicillin-resistant Staphylococcus epidermidis with vancomycin MIC of 2 mg·L-1 , and the dynamic adjustment of antibiotics was applied to treat the pulmonary infection caused by two kinds of pathogens including MDR bacteria. Results:The intracranial infection was successfully controlled, the pulmonary infection was also under control, and the overall condition of the patient was significantly improved. Conclusion: In the medical team, clinical pharmacists should make full use of their advantages in drug characteristics to carry out clinical pharmaceutical care.