期刊文献+

临床药师参与1例创伤性骨髓炎患者治疗的药学监护 被引量:4

Pharmaceutical care for a case of traumatic osteomyelitis by clinical pharmacist
下载PDF
导出
摘要 混合真菌感染的创伤性骨髓炎在临床中较为少见,这类感染治疗通常较为困难。本文详细叙述了笔者对1例外伤后近平滑念珠菌合并微球菌、纹带/无枝菌酸棒杆菌感染患者的临床药学监护全过程:在手术清创治疗的基础上,根据该患者情况及药敏结果,甄别真正的感染菌,及时调整抗感染治疗方案,配合中医中药治疗,并监测药物的不良反应,使得临床药学服务在提高医疗治疗水平和促进合理用药中发挥重要的作用。 Mixed fungal infections of clinical traumatic osteomyelitis are rare. These infections are usually difficult to treat. This paper details one case of traumatic osteomyelitis coinfection with Candida parapsilosis, Micrococcus and Striatum/Corynebacterium amycolatum in the whole process in clinical pharmaceutical care. Based on surgical debridement, according to the condition of the patient and the analysis of drug susceptibility, the real pathogens was distinguished, the treatment programs was adjusted timely, the patient was treated with traditional Chinese medicine, and adverse reactions of drugs were monitored, the clinical pharmaceutical care plays an important role in improving medical treatment and promoting rational drug use.
出处 《中国医药导报》 CAS 2014年第34期101-104,共4页 China Medical Herald
关键词 药学监护 创伤性骨髓炎 混合感染 抗菌药物 Pharmaceutical care Traumatic osteomyelitis Coinfection Anti-infective agents
  • 相关文献

参考文献14

  • 1Ikpeme IA, Ngim NE,Ikpeme AA. Diagnosis and treatment of pyogenic bone infections [J]. Afr Health Sci, 2010,10 (1) :82-88.
  • 2王化芬,王晓军,于茜,李娜.骨科感染病原菌谱与抗菌谱3年报告[J].中国矫形外科杂志,2007,15(4):313-315. 被引量:32
  • 3卢秋映.骨折术后医院感染的调查探讨[J].中国卫生产业,2013,10(19):40-41. 被引量:1
  • 4Jason TB,Gregory RW,Matthew MD,et al. Fungal os- teomyelitis and septic arthritis [J]. J Am Acad Orthop Surg, 2014,22 : 390-401.
  • 5Chan JF,Wong SS,Leung SS,et al. First report of chronic implant-related septic arthritis and osteomyelitis due to Kytococcus schroeteri and a review of human K.schroeteri infections [J]. Infection ,2012,40(5) :567-573.
  • 6Lazzarini L, Mader JT, Calhoun JH. Osteomyelitis in long bones [J]. J Bone Joint Surg Am,2004,86(10):2305.
  • 7Amy KS,Scott WK,David'LH. Two hundred and eleven cas- es of Candida osteomyelitis:17 case reports and a review of the literature [J]. Diagnostic Microbiology and Infectious Disease, 2012,73 (1) : 89-93.
  • 8李光辉.骨关节念珠菌感染的治疗[J].中国感染与化疗杂志,2011,11(2):110-110. 被引量:2
  • 9Jacquier H,Allard A,Richette P,et al. Postoperative spondy- lodiscitis due to Kytococcus schroeteri in a diabetic wom- an [J]. Journal of Medical Microbiology,2010,59 (Pt 1): 127-129.
  • 10张婴元,汪复.念珠菌病诊断与治疗:专家共识[J].中国感染与化疗杂志,2011,11(2):81-95. 被引量:104

二级参考文献30

共引文献141

同被引文献28

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部