1例糖尿病合并肺部感染患者的药学监护

Pharmaceutical Care for 1 Patient with Diabetes Complicated with Pulmonary Infection

目的探讨糖尿病合并肺部感染患者的药学监护及个体化治疗措施。方法针对1例糖尿病合并肺部感染的患者,临床药师根据其病例特点、辅助检查及该院的细菌耐药情况等,结合相关指南推荐,对该患者进行全面的药学监护,为临床提供合理的药学建议,评价治疗效果。结果患者肺部感染治疗有效,血糖和血压得到了有效控制。结论糖尿病患者由于自身免疫力低下,往往伴发肺部感染,还常合并高血压等,内分泌临床药师应全面监护,并为其提供个体化药物治疗,药师不仅要熟悉糖尿病合并肺部感染的病原学知识及抗感染治疗策略,还应掌握降糖、降压的药物治疗方案,促进临床合理用药。

Objectlve To explore how to provide pharmaceutical care and individual treatment for diabetic patients with pulmonary infection. Methods For the diabetic patient with pulmonary infection, clinical pharmacist provided comprehensive pharmaceutical care and evaluated the therapeutic effect based on the characteristic of the patient,auxiliary examination,bacterial drug resistance monitoring in the hospital and related guidelines. Results The treatment was effective for the diabetic patient with pulmonary infection,with the blood sugar and blood pressure all under control. Conclusion Due to the low immunity, diabetic patients are often associated with pulmonary infection, hypertension and so on, Therefore, in order to provide pharmaceutical care and individual drug treatment for diabetic patients with pulmonary infection, endocrine clinical pharmacists should be not only familiar with the pathogen of diabetes with pulmonary infection and antiinfective treatment strategies,but also master the anti- hyperglycemic and anti- hypertensive drugs treatment programs.