药师参与1例重症肺炎患者的治疗实践

Participation of Clinical Pharmacists in Treatment of One Patient with Severe Pneumonia

目的:探讨药师参与重症肺炎患者的治疗实践。方法:药师参与1例重症肺炎患者的药物治疗过程,分析患者病情变化,总结不同抗菌药物治疗方案及其疗效,并提供药学服务。结果:首诊用头霉素类抗菌药物头孢西丁对呼吸道感染的疗效较差,而大剂量的青霉素等基本药物却发挥了很好的疗效。结论:有必要对头霉素类抗菌药物等进行药效学评价,并采取有效管理措施与用药教育,以提高医疗质量。临床药师深入临床,提供药学服务,可协助临床医师制订安全、有效的药物治疗方案,促进合理用药。

OBJECTIVE：To probe into the participation of clinical pharmacists in treatment of one patient with severe pneumonia.METHODS：The clinical pharmacists participated in the medication treatment process of one patient with severe pneumonia,analyzed the change of disease,summarized the program with different kinds of antibiotics and the efficacy,and provided pharmaceutical services for the patient.RESULTS：The efficacy of cefoxitin,as one of cephamycin,in primary treatment of respiratory tract infection was poorer than the basic drugs——high dose of penicillin.CONCLUSIONS：It is necessary to conduct the pharmacodynamics evaluation on the antibiotics of cephamycin,and take effective management measures and medication education,so as to improve the medical quality.The clinical pharmacists go into the clinic and provide pharmaceutical services can assist the clinicians to formulate the safe and effective medication treatment program and promote ration drug use.