肺奴卡菌感染性脓肿患儿1例临床治疗的药学监护

Pharmaceutical care for a child with infection abscess of Nocardia pneumophila

目的探讨临床药师参与肺奴卡菌感染性脓肿的抗感染治疗和药学监护方法。方法跟踪1例住院患儿药物治疗的全过程,运用药学专业知识针对奴卡菌感染的药物治疗方案提出合理性建议。结果患儿病情逐渐好转,治疗期间因联用利奈唑胺、伏立康唑和复方磺胺甲噁唑引起的全血细胞减少,经临床药师建议调整治疗方案后逐渐恢复。结论临床药师参与药物治疗方案的制定,有助于减少患儿用药风险,促进临床合理用药。

Objective To explore the clinical pharmacist in the anti-infection treatment of infection abscess of Nocardia pneumophila.Methods Pharmacist followed up the whole process of treatment in a hospitalized child,and gave the reasonable and professional pharmaceutical suggestions for the treatment of Nocardia infection.Results The patient's condition gradually improved,and the pancytopenia caused by the combination of linezolid,voriconazole and compound sulfamethoxazole gradually recovered after the clinical pharmacist'suggestions.Conclusion Clinical pharmacists can help reducing the risk of medication for patients and promote rational clinical medication.