免疫正常患儿李斯特菌脑膜炎的药学监护

Pharmaceutical Care of Listeria Meningitis in a Child with Normal Immunity

目的探讨临床药师在产单核李斯特菌脑膜炎患儿的药物治疗过程中的作用。方法临床药师参与1例产单核李斯特菌脑膜炎患儿的药物治疗过程,从抗菌药物的选择、药物剂量、药品不良反应、治疗效果、疗程等方面进行药学监护。结果初始方案为青霉素联合美罗培南抗感染效果不佳,调整给药剂量后患儿仍发热,最后美罗培南联合氨苄西林抗感染患儿体温正常。结论临床药师参与临床治疗,为患者提供个体化的治疗方案,有利于提高临床治疗水平,促进合理用药。

Objective To explore the role of clinical pharmacists in the treatment of children with Listeria monocytogenes meningitis.Methods Clinical pharmacists participated in the medication of a child with Listeria monocytogenes meningitis.Pharmaceutical care involved the selection of antibiotics,drug dosage,adverse drug reactions,therapeutic effect and course of treatment.Results The patient got better and was discharged from the hospital Eventually.Conclusion Participation of clinical pharmacists in clinical treatment can provide individualized treatment for patients,which can help improve clinical treatment and promote rational drug use.