1例腹膜透析相关性腹膜炎患者实施万古霉素血药浓度监测的药学实践

Blood Concentration Monitoring of Vancomycin in One Patient with Peritoneal Dialysis-related Peritonitis

目的为临床药师参与腹膜透析相关性腹膜炎患者的抗感染治疗和个体化药学服务提供参考。方法临床药师通过查阅腹膜炎诊疗相关资料和实施血药浓度监测,参与本院1例腹膜炎患者的药学治疗实践,并对万古霉素的给药方案提出建议,协助临床医师制定个体化给药方案。结果经过抗感染治疗,患者的腹膜炎得到了有效地控制,且未发生药品不良反应。结论临床药师可以运用血药浓度监测技术和相关专业知识,协助临床医师调整和制定给药方案,为患者提供个体化药学服务,在腹膜炎患者治疗中发挥重要作用。

Objective To provide reference for clinical pharmacists when participating in anti-infection therapy and individualized pharmaceutical care for patients with peritoneal dialysis-related peritonitis.Methods Clinical pharmacists participated in the pharmaceutical treatment of a patient with peritonitis in our hospital by consulting relevant information on diagnosis and treatment of peritonitis and monitoring blood drug concentration,and gave recommendations on the vancomycin medication regimen to assist clinicians in formulating an individualized regimen.Results After anti-infection therapy,the peritonitis of the patient was effectively controlled and no adverse drug reactions occurred.Conclusion Using blood concentration monitoring technology and relevant professional knowledge,clinical pharmacists can play an important role in the treatment of peritonitis patients by assisting clinicians in the preparation and modification of medication regimens,and by providing individualized pharmaceutical care for patients.