会诊一例变应性支气管肺曲霉病病人的体会

Personal experience in the consultation of one case of allergic bronchopulmonary aspergillosis

目的:探讨临床药师参与临床会诊是否可使病人真正受益。方法:通过参与一例使用伏立康唑后出现严重药品不良反应(ADRs)的变应性支气管肺曲霉病病人的会诊,给医师提供个体化的药物治疗方案建议,为病人提供药学监护和用药教育服务等。结果:会诊意见优化了药物治疗方案,临床医师采纳了药师的建议,病人症状好转出院。结论:临床药师参与临床会诊,能提高药物治疗水平,保障病人用药的安全、有效、经济,使病人从个体化的药物治疗方案中获益。

Objective：To explore whether clinical pharmacists＇ involvement in medical consultation could really benefit patients.Methods：Through direct involvement in the medical consultation of one case of allergic bronchopulmonary aspergillosis with severe adverse drug reactions（ADRs）,following medication of voriconazole,the clinical pharmacist recommended individualized treatment regimen to the clinical physician,provided the patient with pharmaceutical care and medication education,etc.Results：The consultation optimized the drug treatment regimen,and with the adaptation of the pharmacist＇s advice by the clinical physician,the patient＇s symptoms improved and was soon discharged from the hospital.Conclusion：Clinical pharmacists＇ direct involvement in medical consultation could improve drug treatment,ensure medication safety,enhance efficacy and save medical costs.As a consequence,the patient could benefit a great deal from individualized drug treatment regimen.