1例复杂性泌尿道多重耐药肺炎克雷伯菌感染患儿的药学监护

Analysis of Drug Use in the Treatment of a Child with Complex Urinary Tract Infection Caused by Klebsiella Pneumoniae

目的:总结并分享临床药师参与治疗儿童复杂性泌尿道多重耐药肺炎克雷伯菌感染的经验。方法:临床药师积极参与1例泌尿道多重耐药(产超广谱β-内酰胺酶、丝氨酸碳青霉烯酶)肺炎克雷伯菌感染患儿的抗感染治疗过程,提供抗菌药物选择、调整建议以及药学监护服务。结果:临床药师协助临床医师控制了患儿感染,患儿病情好转出院。结论:临床药师在临床工作中应主动配合治疗团队,利用自身专业优势,促进临床合理用药以取得更好疗效,缩短患儿住院时间。

Objective: To summarize the anti-infective drug use process of clinical pharmacists participating in the clinical treatment of complex urinary tract infection with Klebsiella pneumoniae. Methods: A child with urinary tract infection caused by Klebsiella pneumoniae(extended spectrum beta-lactamases, serine carbapenemase) was treated by clinical pharmacists, who actively participated in the selection of antibiotics, the adjustment of antibiotics and pharmaceutical care. Results: The clinical pharmacist assisted the clinician to control the infection of the child, and the child was discharged after improvement. Conclusion: Clinical pharmacists should actively cooperate with the treatment team in clinical work, and make use of their own professional advantages to promote clinical rational drug use, obtain better therapeutic effects and shorten the hospitalization time of the patient.