对一例急性弥漫性腹膜炎病人初始抗感染治疗的分析与评价

Analysis and evaluation of the initial anti-infective treatment of a patient with acute diffuse peritonitis

目的:通过对1例急性弥漫性腹膜炎病人的初始抗感染治疗方案进行分析与评价,探讨临床药师在药物治疗中发挥的作用。方法:对该病人的初始抗感染治疗方案,从抗菌药物的选择、用法用量、用药时机及疗程、药品费用等多角度分析其合理性。结果:不必要的抗菌药物联用、用法用量不适宜、用药疗程过长、选药不经济是抗感染用药常见的问题。结论:临床药师融入临床开展药学服务,及时发现并协助解决用药问题,对于保障病人安全、有效、经济用药有很好的作用。

Objective： To analyze and evaluate the initial anti-infective treatment regimen of a patient with acute diffuse peritonitis,and discuss the role of clinical pharmacists in drug therapy. Methods： Rationality of the initial anti-infective treat- ment regimen was analyzed from multiple perspectives, the choice of antimicrohials, usage and dosage, time and course of medi- cation, drug cost,etc. Results： Unnecessary combination of antimicrobials,inappropriate usage and dosage,excessive course of treatment, and uneconomical drug choice were common problems in anti-infective drug treatment. Conclusion： Clinical pharma- cists＇ involvement in clinical pharmaceutical care could timely find out and help to solve the problems encountered in clinical medication, which would ultimately ensure patient safety, treatment efficacy and reduction of drug cost.