临床药师参与泌尿系统念珠菌病继发念珠菌血症治疗的药学实践

Pharmaceutical practice of clinical pharmacists participating in the treatment of candidemia secondary to urinary candidiasis

目的:探讨泌尿系统念珠菌病继发念珠菌血症的药物治疗方案及监护重点。方法:临床药师参与3例泌尿系统念珠菌病继发念珠菌血症患者的会诊,制订抗感染方案,调整给药剂量,并实施药学监护。结果:3例念珠菌血症患者中,2例血培养检出白色假丝酵母,1例检出近平滑假丝酵母,经临床药师调整给药方案后患者感染得到控制。结论:临床药师参与临床药物治疗,可充分发挥其专业特长,为患者提供个体化用药方案,确保了用药的安全性、有效性。

Objective:To explore the pharmacological regimen and monitoring priorities of candidaemia secondary to urinary candidiasis.Methods:Clinical pharmacists participated in the consultation of 3 patients with urinary candidiasis secondary to candidaemia,formulated anti-infective regimens,adjusted the dosage of drug use and implemented pharmacological monitoring.Results:Candida albicans and Candida proximalis were detected by blood culture in two cases and one case of candidaemia,and the patients’infections were controlled after the clinical pharmacist adjusted the dosing regimen.Conclusion:Clinical pharmacists can give full play to their professional expertise when participating in clinical drug therapy,provide patients with individualized medication regimens and ensure the safety and effectiveness of medication.