临床药师参与神经外科术后颅内感染患者抗感染治疗的药学监护

Clinical Pharmacists Participate in the Pharmaceutical Care of Anti-infective Treatment of Patients with Intracranial Infection after Neurosurgery

目的探究临床药师参与神经外科术后颅内感染患者抗感染治疗的药学监护切入点。方法回顾性分析该院2019年1—12月临床药师全程参与的5例神经外科术后颅内感染患者药学监护病例资料,总结在患者抗感染治疗中临床药师的药学监护切入点。结果临床药师根据患者实际病情、病原学检查结果等临床情况,以判断患者是否有应用抗生素指征,协助临床医师制定抗感染治疗方案(抗生素种类、用药途径),观察药物不良反应、评估疗效等为药学监护切入点,做到个体化给药,患者术后颅内感染得到治愈。结论临床药师全程参与神经外科术后颅内感染患者抗感染治疗,制定个体化的用药监护方案,能够有效保障患者治疗的有效性及安全性,有利于提高医疗服务质量。

Objective To explore the entry point for clinical pharmacists to participate in the anti-infective treatment of patients with intracranial infection after neurosurgery.Methods A retrospective analysis of the clinical pharmacist's medical care data of 5 patients with intracranial infection after neurosurgery from January to December 2019 in the hospital was retrospectively analyzed,and the entry point of the clinical pharmacist's pharmaceutical care in the anti-infective treatment of patients was summarized.Results The clinical pharmacist judges whether the patient has indications for antibiotics based on the patient’s actual condition,etiological examination results,etc.,assists the clinician to formulate anti-infective treatment plans(types of antibiotics,route of administration),observes adverse drug reactions,evaluates the efficacy,etc.It was the entry point for pharmaceutical care and individualized administration,and the patient's intracranial infection was cured after surgery.Conclusion Clinical pharmacists participate in the whole course of anti-infective treatment of patients with intracranial infection after neurosurgery,and formulate individualized medication monitoring programs,which can effectively guarantee the effectiveness and safety of patient treatment and help improve the quality of medical services.