1例支气管扩张伴铜绿假单胞菌感染的抗菌药治疗分析

Analysis of Anti-infection Treatment of Bronchiectasis Complicated with Pulmonary Infection by Pseudomonas aeruginosa

目的:对1例支气管扩张伴铜绿假单胞菌感染使用抗菌药物进行分析,为临床合理用药提供建议。方法:对支气管扩张伴肺部感染常见的抗感染治疗方案进行分析,特别是针对铜绿假单胞菌的抗菌药物治疗。结果:患者入院第5天痰细菌培养出铜绿假单胞菌,根据药敏试验结果选择头孢哌酮-舒巴坦联合阿米卡星抗感染6天后,患者好转出院。结论:临床药师可根据指南,为抗感染治疗方案提供合理的建议。

Objective： To analyze the use of antibacterial drugs in a patient with bronchiectasis complicated with pseudomonas aeruginosa infection so as to provide a reference for rational drug use in clinical practice.Methods： To make an analysis of the common anti-infection treatment scheme for bronchiectasis complicated with pulmonary infection,particularly pseudomonas aeruginosa infection. Results： On the fifth day after the patient ＇s admission in hospital,pseudomonas aeruginosa was detected by the bacterial culture of sputum,cefoperazone sulbactam and amikacin were used for anti-infection treatment according to the drug sensitivity test,and the patient recovered and discharged from hospital after the drug therapy for six days. Conclusion： Clinical pharmacists can provide a reasonable suggestion for anti-infection treatment according to clinical treatment guidelines.