临床药师参与1例全身多处皮肤感染致感染性休克患者的治疗分析

Analysis of Anti-infection Therapy for a Case of Septic Shock Induced by Systemic Multiple Skin Infection by Clinical Pharmacists

目的:为感染性休克患者的抗感染治疗提供参考。方法:临床药师对1例全身皮肤感染致感染性休克患者抗感染治疗过程进行回顾,在抗感染治疗过程中存在对患者入院后的感染评估不足、对患者可能的致病菌预计不足、药物剂量不足等问题。临床药师针对情况及时纠正,为患者提供更好的抗感染治疗方案及药学监护。结果:患者抗感染治疗有效,感染得到有效控制。结论:临床药师为主导的药学服务使得全身多处皮肤感染致感染性休克患者的治疗取得了显著疗效。提倡临床药师参与多学科联合会诊,可以保障患者用药更加安全、有效、合理。

OBJECTIVE： To provide reference for anti-infection therapy for septic shock patient. METHODS： Clinical pharmacist retrospectively analyzed a case of septic shock induced by systemic multiple skin infection. The deficiency of anti-infection therapy was found： the severe infection wasn＇t evaluated completely; the potential pathogenic bacteria were not estimated; the drug dosage was not enough. Clinical pharmacist corrected the problems timely and provided better therapeutic scheme and pharmaceutical care. RESULTS： The anti-infection treatment was effective, and infection was effectively controlled. CONCLUSIONS： The participation of clinical pharmacist obtains obvious efficacy in the treatment of septic shock induced by systemic multiple skin infection. Clinical pharmacist involving in the work of multidisciplinary consultation can guarantee safe, effective and reasonable medication.