CAJ | 학술논문

目的通过临床药师参与外科术后感染会诊的实例分析,为临床药师探索外科抗感染治疗方法提供参考. 方法临床药师通过指南及掌握的抗感染药物抗菌谱及药代动力学特点,协助临床医师参与3例患者术后抗感染方案的制定,有效地达到抗感染治疗的目的,3例感染分别为万古霉素耐药屎肠球菌引起的神经外科术后颅内感染、白色念珠菌引起的颅内感染和奴卡菌引起的普外科切口感染. 结果与结论通过临床药师参与抗感染会诊后,3 例术后感染患者均痊愈. 这说明临床药师在外科治疗团队中的作用是不可忽视,我国应该加强对外科临床药师的培养.
목적 통과림상약사삼여외과술후감염회진적실례분석,위림상약사탐색외과항감염치료방법제공삼고. 방법 림상약사통과지남급장악적항감염약물항균보급약대동역학특점,협조림상의사삼여3례환자술후항감염방안적제정,유효지체도항감염치료적목적,3례감염분별위만고매소내약시장구균인기적신경외과술후로내감염、백색념주균인기적로내감염화노잡균인기적보외과절구감염. 결과여결론 통과림상약사삼여항감염회진후,3 례술후감염환자균전유. 저설명림상약사재외과치료단대중적작용시불가홀시,아국응해가강대외과림상약사적배양.
Objective To provide reference for clinical pharmacists to explore anti-infection treatment protocol in surgical department through cases analysis of postoperative infection consultation with clinical pharma-cists′participation.Methods Clinical pharmacists help doctors to make medication protocol of 3 cases of postoperative infection through the guideline and the grasped knowledge of antibacterial spectrum and phar-macokinetics of antibiotic.In the 2 postoperative neurosurgical cases , one case was intracranial infection induced by multi -drug resistance acinetobacter baumannii, another was intracranial infection induced by candida.The remained case was incision infection induced by nocardiosis after resection of teratoma of ovary .Results and Conclusion Three ca-ses of postoperative infection were all recovered through clinical pharma-cists′participation in antimicrobial treatment .Clinical pharmacists play an indispensable role in medication therapy team . The training and education of clinical pharmacists should be strengthened in China .