1例泛耐药鲍曼不动杆菌肺部感染患者的药学监护.pdfVIP

·药学监护· 1例泛耐药鲍曼不动杆菌肺部感染患者的药学监护 陈玲园8，葛英，宋爱华(广西河池市人民医院l临床药学室，广西河池547000) 中图分类号R97 文献标志码B 文章编号1672—2124(2013)07—0663—02 摘要 目的：探讨临床药师为临床提供药学服务的方式。方法：临床药师参与l例泛耐药鲍曼不动杆菌肺部感染患者治疗方案 的制定。结果：抗感染专业临床药师利用自己的专业知识，针对感染泛耐药鲍曼不动杆菌肺部感染，提出采用亚胺培南／西司他丁 钠联合多西环素抗感染治疗；-3出现过敏反应时，及时建议停用可疑药物多西环素，做到合理用药。结论：临床药师利用丰富的临 床用药知识和正确的临床思维，将自己的药学知识与患者的临床特点有机结合起来，可为临床解决实际问题。临床药师参与用药 方案的制定及药品不良反应的监护，可保证患者用药安全、有效。 关键词泛耐药鲍曼不动杆菌；临床药师；药学监护 PharmaceuticalCareforOneCaseof ResistantAcinetobacterBaumannii Pan-Drug Infection CHEN Clinical Hechi Ling—yuan，GE Ai—hua(Dept．of Ying，SONG Pharmacy，GuangxiMunicipal Hechi People’SHospital，Guangxi547000，China) ABSTRACT themodeforclinical to OBJECTIVE：To explore pharmacistsprovidepharmaceutical Clinical took intheformulationof for1 caseof resistant therapeutic pharmacistspart regimen pan—drug baumannii clinical inanti-infectivetook pulmonauinfection．RESULTS：Thepharmacistsspecialized therapy of with their tocomewithanti-infective sodium to advantageexpertise up therapyimipenem／cilastatinplusdoxycycline treat resistantacinetobacterbaumannii infectionand withdrawalofthe pan·drug pulmonary suggest suspecteddrug to inthe of reactionSOas achieverationaluseof doxycyclinepresenceallergic of intheformulation and onadversereactionscan pharmacists‘involvementtherapeuticregimenmonitoring drug ensure andeffectivemedication． patients’safe KEY