临床药师参与一例曲霉菌合并金黄色葡萄球菌感染的治疗分析

Clinical pharmacist participated in the practice and analysis of the treatment of a patient with pulmonary infection caused by and aspergillus and staphylococcus aureus

目的分析1例曲霉菌合并金黄色葡萄球菌感染患者的治疗方案,为临床提供参考。方法临床药师参与1例支气管扩张患者治疗实践,发挥药学专业特长,分析、评估患者感染可能的致病菌等,当有药物不良反应时,积极查阅文献,分析原因,参与抗感染方案调整。结果临床药师建议调整万古霉素的滴注速率和伏立康唑剂量,继续抗感染治疗,医师采纳临床药师建议,患者病情与不良反应转归良好。结论临床药师参与临床治疗实践,能促进临床合理用药,提高患者用药安全性与有效性。

Objective To analyze the treatment plan for a patient with pulmonary infection caused by aspergillus and staphylococcus aureus to provide reference for clinical treatment.Methods Clinical pharmacist participated in the treatment practice of a patient with multiple microbial pulmonary infections,gave full play to the expertise of pharmacy,and analyzed and evaluated the possible pathogenic bacteria of the patient's infection,etc.When there were adverse drug reactions,actively consulted the literature,analyzed the causes,and participated in the adjustment of the anti-infection program.Results Clinical pharmacist recommended adjusting the drip rate of vancomycin and the dose of voriconazole,and continuing anti-infective treatment.The doctor adopted the clinical pharmacist’s advice.Finally,the patient's condition and adverse reactions taked a favourable turn.Conclusion The participation of clinical pharmacist in clinical treatment practice can promote rational clinical use of drugs and improve the safety and effectiveness of patients'medication.