临床药师对1例耐万古霉素肠球菌感染患者的药学监护

Pharmaceutical Care for a Patient with Vancomycin-resistant Enterococcus Infection by Clinical Pharmacists

目的:探讨临床药学监护方法,促进药物合理应用。方法:以1例耐万古霉素肠球菌感染患者的诊治过程为例,药师针对药物品种选择、剂量调整、服用方法、针对特殊人群制订个体化给药方案等实行全程药学监护,包括疗效观察、不良反应监测和患者用药教育等,并进行效果评价。结果:临床药师与临床医师共同制订治疗方案,并对患者实施全程的药学监护,效果良好,患者治愈后出院。结论:临床药师对耐万古霉素肠球菌感染患者实行全程药学监护,有效地减少了药物的滥用,对合理、安全地使用药物起到了良好作用。

OBJECTIVE： To investigate the methods of clinical pharmaceutical care and promote rational use of drug. METH- ODS： Taking diagnosis and treatment for a case of vancomycin-resistant enterococcus infection as example, pharmacists provided whole pharmaceutical care in respects of selection of drug type, dosage adjustment, route of administration, individualized dosing regimen for special population, including observation of curative effect, ADR monitoring and patient education. Therapeutic effica- cy was evaluted. RESULTS： Clinical pharmacists and clinicians developed treatment regimens for patient, and provide whole phar- maceutical care for patient to achieve good effect. The patient was cured and discharged. CONCLUSIONS： Clinical pharmacists pro- vide the entire course of pharmaceutical care for patient with vancomycin-resistant Enterococcus infection to reduce drug abuse ef- fectively and play a good role in safe and rational use of drugs.