医药导报2026，Vol.45Issue(9)：1517-1523,7.DOI:10.3870/j.issn.1004-0781.2026.09.005
1例多重病原感染支气管肺炎患儿的药学监护
Pharmaceutical Care for a Pediatric Patient with Bronchopneumonia Caused by Multiple Pathogens
王璇璇 1程虹1
作者信息
- 1. 武汉大学中南医院药学部,武汉 430071
- 折叠
摘要
Abstract
Objective To investigate the pharmaceutical care provided by clinical pharmacists for a child with bronchopneumonia caused by multiple pathogens.Methods Clinical pharmacists delivered whole-process pharmaceutical care for a child with bronchopneumonia attributed to multiple pathogens,including drug-resistant bacteria.Based on clinical evidence,literature analysis,and in conjunction with etiological findings,precise recommendations regarding the selection and duration of antimicrobial therapy were proposed to the medical team,aiming to ensure the safety,efficacy,and cost-effectiveness of medication.Results After the physician adopted the recommendation to add cefotiam,the child's condition improved significantly.The pharmacist prudently evaluated the rationality of initiating fluconazole solely based on next-generation sequencing results,but this recommendation was not adopted by the physician.Conclusion The clinical pharmacist promptly identified and bridged a treatment gap in the child's antibiotic therapy,and considering the methodological limitations of next-generation sequencing,recommended dynamic monitoring instead of immediate antifungal therapy,thereby demonstrating the dual professional value of maintaining the continuity of the anti-infective regimen while avoiding overtreatment.关键词
支气管肺炎/临床药师/药学监护Key words
Bronchopneumonia/Clinical pharmacist/Pharmaceutical care分类
医药卫生引用本文复制引用
王璇璇,程虹..1例多重病原感染支气管肺炎患儿的药学监护[J].医药导报,2026,45(9):1517-1523,7.
