1例溶血葡萄球菌脑膜炎伴肺部感染患者临床抗感染治疗的药学监护

Pharmaceutical Care for Anti-infective medication in a Patient with Meningitis of Staphylococcus Haemolyticus and Pulmonary Infection

目的:分析临床药师参与溶血葡萄球菌脑膜炎伴肺部感染患者临床抗感染治疗的药学监护过程及其思路。方法:临床药师参与1例溶血葡萄球菌脑膜炎伴肺部感染患者抗感染治疗方案的制定和治疗过程,从抗感染药物的选择、方案调整、治疗药物监测等方面开展药学实践。结果:临床药师在治疗中通过分析患者病情,并结合抗菌药物的PK/PD,协助医师制订个体化的抗感染治疗方案,使得患者且肺部感染得到了有效控制。结论:临床药师以自身药学专业知识协助临床医生优化治疗方案,实施药学监护,促进了临床抗菌药物的合理使用。

Objective:To analyze the process of pharmaceutical care and thoughts of clinical pharmacists involved in the clinical anti-infection medication of patients with hemolytic Staphylococcal meningitis and pulmonary infection.Methods:The clinical pharmacist participated in the formulation and treatment process of anti-infective medication for a patient with hemolytic Staphylococcal meningitis and pulmonary infection,and carried out pharmaceutical practice from the aspects of selection of anti-infective drugs,program adjustment and therapeutic drug monitoring(TDM).Results:During the treatment process,clinical pharmacists assisted physicians in formulating individualized anti-infection medication plan by analyzing the patient’s condition and combining PK/PD of antibacterial drugs,so that the patient’s pulmonary infection was effectively controlled.Conclusion:The clinical pharmacists helped the clinician in their professional knowledge of pharmacy to optimize the treatment plan and carry out pharmaceutical care,which promoted the rational use of antibacterial drugs clinically.