一例社区获得性肺炎患者抗菌药物的选择及使用阿奇霉素致药源性耳聋的药学监护

Pharmaceutical care for a CAP patient in the choice of antibiotics and the drug-induced deafness by azithromycin

目的探讨临床药师在社区获得性肺炎(CAP)患者抗菌药物治疗方案的调整及阿奇霉素致药源性耳聋中药学监护的作用。方法临床药师参与1例CAP患者抗菌药物用药方案的调整与药学监护。结果确定符合患者特点的抗菌药物治疗方案,并通过临床药师的药学监护确定是阿奇霉素导致该患者出现耳聋。结论个体化用药方案的设计、分析及药学监护是临床药师开展药学服务工作的切入点。

Objective To discuss the role of clinical pharmacists who participated in the adjustment of antibiotics use of patients w ith community-acquired pneumonia（ CAP） and the pharmaceutical care for azithromycin-induced deafness. Methods Clinical pharmacists participated in the adjustment of antibiotics and pharmaceutical care for a CAP patient. Results The antibiotics treatment strategy w as determined according to the characteristics of the patient,the adverse reactions of deafness induced by azithromycin w ere identified through the pharmaceutical care of clinical pharmacists. Conclusion The analysis and design of personalized medication strategy and pharmaceutical care could be the starting point in pharmaceutical service of clinical pharmacists.