临床药师对1例重症急性胰腺炎患者抗感染治疗的药学监护

Pharmaceutical Care for Anti-infective Treatment of a Case of Severe Acute Pancreatitis by Clinical Pharmacist

目的:对重症急性胰腺炎患者合理选择抗菌药物进行药学监护。方法:通过临床药师的参与,结合重症急性胰腺炎治疗原则及并发症处理原则,分析治疗方案,为1例重症急性胰腺炎患者制订个体化的药学监护计划并实施全程抗感染治疗药学监护。结果:患者在重症医学科(ICU)治疗2周后,体温下降为37.6℃,查血象较前明显下降,各项生命体征平稳,转出ICU,入普外科继续巩固治疗。结论:对重症急性胰腺炎患者实施抗菌药物药学监护,可及时发现并规范患者的抗菌药物治疗问题,避免了严重后果的出现,提高了药物治疗安全性和有效性。

OBJECTIVE： To provide pharmaceutical care for reasonable selection of antibiotics in patients with severe acute pan creatitis. METHODS ： Through the participation of clinical pharmacists, combined with treatment principles and complications process ing principle for severe acute pancreatitis, then by analyzing treantment regimen, a individual pharmaceutical care plan for a patient with severe acute pancreatitis was established and the whole course of antiinfective therapy pharmaceutical care was implemented. RE SULTS： After 2 weeks of treatment in ICU, the patient＇s body temperature dropped to 37.6 ℃, and hemogram decreased significant ly than before; the vital signs were stable, then the patient was transfered out of the ICU and continued to be treated in the general sur gery department. CONCLUSIONS： By providing pharmaceutical care of antinfection drugs for patients with severe acute pancreatitis, the problems about the antibiotics treatment of patients can be identified and standarized in time, then the serious consequences would be avoided, safety and effectiveness would be improved also.