临床药师参与重症肺炎患者抗感染治疗的药学实践

Pharmaceutical Practice for the Severe Pneumonia Patient with Anti-infection Treatment by Clinical Pharmacists

目的:探讨临床药师在重症肺炎患者救治过程中的作用。方法:临床药师参与1例重症肺炎患者的查房、会诊,结合患者的临床症状和药物敏感性试验结果,对抗感染方案的制订和调整提出具体意见,先后使用亚安培南西司他丁钠联合利奈唑胺、哌拉西林钠他唑巴坦钠联合伏立康唑抗感染治疗,同时重点监测患者的血常规、肝肾功能、肺部病灶吸收情况。结果:临床药师提供的用药方案取得了良好的治疗效果,患者咳嗽、咳痰、气促、低氧血症等肺部感染症状得到了控制,相继出现的真菌感染也逐步好转。结论:临床药师立足临床,以患者为中心,协助医师优化治疗方案,实施药学监护,可使患者获得最佳的治疗。

To probe into the role of clinical pharmacists in the treatment of patient with severe pneumonia. METHODS： The clinical pharmacists participated in to the ward round and consultation of one patient with severe pneumonia; combined with patient＇s clinical symptoms and drug susceptibility test result, the clinical pharmacists presented concrete suggestions about the formulation and adjustment of anti-infection treatment scheme ： imipenem and cilastatin sodium combined with linezolid, and piperacillin sodium and tazobactam sodium combined with voriconazole. Meanwhile, the clinical pharmacists emphatically monitored the blood routine, liver and kidney function, and pulmonary lesions absorption of the patient. RESULTS： The therapeutic scheme provided by clinical pharmacists obtained a good therapeutic effect. The patient＇s pulmonary infected symptoms （cough, expectoration, shortness of breath and hypoxemia, etc. ） were controlled. The fungal infection was also gradually improved and discharged. CONCLUSIONS： The clinical pharmacists based on clinical, focus on the patient, assist clinicians to optimize therapeutic scheme and implement pharmaceutical care for patient, which can make the patient get the best therapeutic services.