临床药师参与1例难治性凝固酶阴性葡萄球菌患者会诊的探讨

Clinical pharmacists involved in one case consultation of a patient with refractory staphylococcal infection

目的:为临床药师参与院内会诊提供参考。方法:临床药师参与1例冠状动脉造影术后并发败血症的会诊,血培养显示溶血性葡萄球菌及腐生葡萄球菌生长,两者均属于凝固酶阴性葡萄球菌,药敏试验提示对万古霉素敏感。临床药师根据病情分析用药后给出用药建议,医生采纳,使用万古霉素治疗但疗效不佳,经外院专家会诊后使用达托霉素抗感染治疗成功。结果与结论:临床药师要注重知识的积累,关注专业领域的治疗指南更新,参与院内会诊是临床药师价值的体现的途径,也是促进临床药师尽快成长的必经之路。

Objective： To provide references for clinical pharmacists who attend case consultation.Methods： Clinical pharmacists participated in a case consultation of a patient after coronary angiography complicated with sepsis.The blood culture showed the growing of hemolytic staphylococci and saprophytic staphylococci,and drug sensitive test hinted vancomycin-sensitive.According to the analysis of clinical pharmacists,the doctor applied vancomycin but the drug was not effective.The outer-court consultant advised using daptomycin and the anti-infection treatment was successful.Results and Conclusion： Clinical pharmacists should pay attention to the accumulation of knowledge,and concern the updating of therapy guidelines.Hospital consultation is not only the valuable embodied way of clinical pharmacists,but also is necessary practice for clinical pharmacists to grow up quickly.