临床药师参与1例多药耐药鲍曼不动杆菌感染治疗的体会.pdfVIP

　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 药物与临床　 　 临床药师参与1例多药耐药鲍曼不动杆菌感染治疗的体会 1 2 贾立华 　 李忠东　 (1.解放军307 医院药学部　 北京100071;2. 空军总医院药学部) 摘　 要　 目的:探讨临床药师进行SOAP模式药学会诊中的思维训练与经验积累过程。 方法:对1例食管癌术后鲍曼不动杆 菌肺炎患者进行病情变化评估,3 次受邀会诊,建议药物治疗方案,监护药物治疗结果,连续1个月主动追踪并回访患者的病 情转归结果。 结果:鲍曼不动杆菌的初始判断与经验治疗后,感染有所好转,随着病情变化,及时调整治疗方案,依据病情和 感染严重程度给予最适当的药物治疗方案,感染有效控制,术后治疗35 d 出院。 结论:临床药师会诊应首先判断病情,对前 期治疗结果进行总结评估,再针对PK/ PD特点选择药物,并不断追踪治疗结果,才能准确评估病情,做到个体化给药。 关键词　 案例分析;临床药师;SOAP会诊 中图分类号:R97　 文献标识码:A　 　 文章编号:1008-049X(2015)05-0816-03 Participation Experience of Clinical Pharmacist in the Treatment of One Patient with Multidrug Resistant Acinetobacter baurnannii Infection 1 2 Jia Lihua ,Li Zhongdong (1. Department of Pharmacy,the307th Hospital of PLA,Beijing 100071,China;2. Department of Phar- macy,General Hospital of Air Force,PLA) ABSTRACT　 Objective:To discuss the experience accumulation and thinking training of clinical pharmacist in the pharmaceutical consultation with SOAP model.Methods:ClinicalpharmacistperformedtheconditionevaluationforonepatientwithAcinetobacterbau- rnannii infection after esophagus cancer surgery and was invited to the consultation for three times. Clinical pharmacist also provided the referencesfor the drug treatment and monitored the whole process. Clinical pharmacist actively followed and paid return visits for the prognosis of the patient for one month.Results:After identifying the pathogen,the experiential therapy was given and the condi- tionsofthepatientwereimproved. Accordingtothechangesoftheconditions,thetreatmentwasadjustedintimewiththemostsuitable drugs for the conditions and infection degree. Finally,the infectionwascontrolled effectively,andthepatientwasdischarged after the 35-day postoperative treatment. Conclusion:During the consultation,clinical pharmacist should correctly judge the conditions of pa- tients,summarize andevaluatetheearliertherapyresults,andthenchoosesuitabledrugsacc