中国药房2012，Vol.23Issue(46)：4406-4408,3.DOI:10.6039/j.issn.1001-0408.2012.46.33
临床药师参与1例肺部及中枢神经系统感染患者治疗方案的制订
Clinical Pharmacists Participating in the Formulation of Therapy Scheme for a Case of Lung and Central Nervous System Infection
何菊英 1唐敏 1夏培元1
作者信息
- 1. 第三军医大学西南医院药学部,重庆400038
- 折叠
摘要
Abstract
OBJECTIVE: To investigate the role of clinical pharmacists in the treatment of severe infection. METHODS: Clinical pharmacists took part in the consultations of a case of lung and central nervous system infection in neurosurgery department and considered it as mixed infection according to clinical manifestation and imaging feature, and provided individualized dosage regimen on the basis of hepatic and renal function of patient: imipenem/cilastatin sodium 1 g, ivgtt, tid; levofloxacin 0.6 g, ivgtt, qd; vancomycin 0.5 g, ivgtt, bid; itraconazole 0.2 g, ivgtt, bid. RESULTS: After 20 days of above therapy, body temperature and hemogram of patient returned normal, and there was no growth of bacteria in twice of cerebrospinal fluid culture. CT manifestation of chest pointed out obvious absorption of pulmonary inflammation and pleural effusion on both sides decreased significantly, which were better than before. Infection were controlled basically and then the patient was transferred to rehabilitation and physical therapy section to receive physiotherapy. CONCLUSION: The participation of clinical pharmacists in clinical treatment can improve therapeutic level and promote rational drug use.关键词
临床药师/肺部感染/中枢神经系统感染/会诊/合理用药Key words
Clinical pharmacists/ Lung infection/ Central nervous system infection/ Consultations/ Rational drug use分类
医药卫生引用本文复制引用
何菊英,唐敏,夏培元..临床药师参与1例肺部及中枢神经系统感染患者治疗方案的制订[J].中国药房,2012,23(46):4406-4408,3.
