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临床药师参与1例脓毒性休克患者抗感染的治疗实践

张英 毛峻琴 黄芳

中国药房Issue(32):4589-4590,2.
中国药房Issue(32):4589-4590,2.DOI:10.6039/j.issn.1001-0408.2015.32.46

临床药师参与1例脓毒性休克患者抗感染的治疗实践

Pharmaceutical Care for Anti-infective Treatment of A Case of Septic Shock

张英 1毛峻琴 1黄芳2

作者信息

  • 1. 解放军第85医院药剂科,上海 200052
  • 2. 同济大学附属第十人民医院药学部,上海 200072
  • 折叠

摘要

Abstract

OBJECTIVE:To investigate the role of clinical pharmacists in anti-infective treatment for the patient with septic shock. METHODS:Clinical pharmacists participated in anti-infective treatment for a patient with septic shock,assisted physicians to formulate individual regimen based on empirical anti-infective treatment,ESBLs producing Escherichia coli and anti-fungal treat-ment. Clinical pharmacists suggested using Itraconazole injection 200 mg,ivgtt,qd,for anti-fungal treatment;Itraconazole cap-sules 200 mg,po,bid,instead of fusidinic for anti-fungal treatment;meropenem 0.5 g,ivgtt,q6 h,for anti-infective treatment. RESULTS:Physicians adopted the suggestion of clinical pharmacists;the infection had been controlled after 16 d treatment and then the patient discharged from the hospital. CONCLUSIONS:Clinical pharmacists participate in clinical treatment,and assist phy-sicians to make a decision and formulate individual regimen,so as to promote rational drug use.

关键词

脓毒性休克/抗感染治疗/病例分析/药学监护

Key words

Septic shock/Anti-infective treatment/Case analysis/Pharmaceutical care

分类

医药卫生

引用本文复制引用

张英,毛峻琴,黄芳..临床药师参与1例脓毒性休克患者抗感染的治疗实践[J].中国药房,2015,(32):4589-4590,2.

中国药房

OA北大核心CSTPCD

1001-0408

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