1例肾移植术后肺部感染患者的药学监护

Pharmaceutical Care on a Renal Transplant Recipient with Pulmonary Infection

目的:通过对1例肾移植术后肺部感染患者的药学监护探讨,为临床药师参与该类患者的临床实践提供思路。方法:采用文献查阅结合典型病例个案的方法,依据肾移植术后患者肺部感染的临床诊疗特别是药物治疗特点,探讨临床药师在该类患者中实施药学监护的要素。结果:肾移植术后肺部感染患者的药学监护应重点从抗感染药物用药的合理性与安全性、免疫抑制药浓度监测与个体化用药调整、潜在药物相互作用、患者用药教育等方面实施。结论:对该类患者临床药师应重点关注并实施常规的药学监护服务,保证患者用药安全、有效。

Objective： To explore the pharmaceutical care on a renal transplant patient with pulmonary infection to provide some information for clinical pharmacists. Method： With the method of literature review and a typical case, the elements of pharmaceutical care based on clinical treatment characteristics, especially drug treatment, on a renal transplant patient with pulmonary infection were in- vestigated. Result： Pharmaceutical care on pulmonary infection patients after renal transplantation should focus on the reasonableness and safety of infected medicines, monitoring and individual adjustment of immunosuppressants concentration ,.potential drug interactions, patient medication education and other aspects of the implementation. Conclusion： Clinical Pharmacists should provide conventional pharmaceutical care on pulmonary infection patients after renal transplantation to ensure the safety and effectiveness of the patients＇ treatments.