临床药师对1例艰难梭菌感染患儿诊治思路的分析

Analysis and Thoughts of Clinical Pharmacists on Diagnosis and Treatments of a Child with Clostridium Difficile Infection

目的:探讨艰难梭菌感染的危险因素和处理方法,分析其诊治思路。方法:对1例艰难梭菌感染患儿的病例概况和治疗效果进行分析。结果:通过对患儿病情的评估及既往入院治疗结果,临床药师与临床医师讨论给予艰难梭菌感染复发的患儿进行粪菌移植,并建议加用益生菌,临床医师予以采用。经过治疗,患儿症状好转。结论:评估患儿病情,不能忽视任何一种可能。临床药师通过参与临床实践,锻炼临床思维,配合临床医师工作,保障患儿用药安全。

Objective:To probe into the risk factors and countermeasures of Clostridium difficile infection and the diagnosis and treatments.Methods:To analyze the case profile and treatment effect of 1 case with CDI.Results:Through evaluating the children’s condition and the treatment outcome of previous hospitalization,the clinical pharmacist discussed with the clinician to carry out fecal microbiota transplantation for the child and suggested adding probiotics to the child.The clinician adopted the method.After treatment,the child’s symptoms improved.Conclusion:We should not ignore any possibility in evaluating the illness state of children.Clinical pharmacists should participate in clinical practice,exercise clinical thinking and cooperate with clinicians to ensure medication safety for children.