临床药师参与1例全身多处皮肤感染致感染性休克患者治疗.PDF

临床药师参与1例全身多处皮肤感染致感染性休克患者的治疗 分析 1＊ 1 2 1 1# 李 飞 ，岳建农 ，闫建华 ，廖玉芳 ，邹 泽 （1.重庆市黔江中心医院药学部，重庆 409099；2.重庆市黔江中 心医院检验科，重庆 409099） 中图分类号 R978.1；R969.3 文献标志码 A 文章编号 1001-0408（2014）26-2488-03 DOI 10.6039/j.issn. 1001-0408.2014.26.33 摘 要 目的：为感染性休克患者的抗感染治疗提供参考。方法：临床药师对1例全身皮肤感染致感染性休克患者抗感染治疗过 程进行回顾，在抗感染治疗过程中存在对患者入院后的感染评估不足、对患者可能的致病菌预计不足、药物剂量不足等问题。临 床药师针对情况及时纠正，为患者提供更好的抗感染治疗方案及药学监护。结果：患者抗感染治疗有效，感染得到有效控制。结 论：临床药师为主导的药学服务使得全身多处皮肤感染致感染性休克患者的治疗取得了显著疗效。提倡临床药师参与多学科联 合会诊，可以保障患者用药更加安全、有效、合理。 关键词 临床药师；抗感染治疗；多学科会诊；药学监护 Analysis of Anti-infection Therapy for a Case of Septic Shock Induced by Systemic Multiple Skin Infection by Clinical Pharmacists 1 1 2 1 1 LI Fei ，YUE Jian-nong ，YAN Jian-hua ，LIAO Yu-fang ，ZOU Ze （1. Dept. of Pharmacy ，Chongqing Qianjiang Center Hospital ，Chongqing 409099，China ；2. Clinical Laboratory Section ，Chongqing Qianjiang Center Hospi- tal ，Chongqing 409099，China ） ABSTRACT OBJECTIVE ：To provide reference for anti-infection therapy for septic shock patient. METHODS ：Clinical phar- macist retrospectively analyzed a case of septic shock induced by systemic multiple skin infection. The deficiency of anti-infection therapy was found ：the severe infection wasn ’t evaluated completely ；the potential pathogenic bacteria were not estimated ；the drug dosage was not enough. Clinical pharmacist corrected the problems timely and provided better therapeutic scheme and phar- maceutical care. RESULTS ：The anti-infection treatment was effective ，and infection was effectively controlled. CONCLU- SIONS ：The participation of clinical pharmacist obtains obvious efficacy in the treatment of septic shock induced by systemic mul- tiple skin infection. Clinical pharmacist involving in the work of multidisciplinary consultation can guarantee safe ，effective and r