临床药师参与化脓性骨髓炎药物治疗的实践  

The practice of clinical pharmacists in antibacterial treatment of pyogenic osteomyelitis:a case report

作　　者：吴笑春[1] 辛华雯[1] 李罄[1] 靳桂明[1] 余爱荣[1] 苏丹[1] 熊磊[1] 沈杨[1] 

机构地区：[1]广州军区武汉总医院临床药理科,武汉430070

出　　处：《中国新药杂志》2008年第2期169-171,共3页Chinese Journal of New Drugs

摘　　要：目的:通过临床药师参与化脓性骨髓炎的治疗实践,以利于有效控制耐甲氧西林金葡球菌感染。方法:临床药师及时监测去甲万古霉素的血药浓度、提供咨询意见,根据患者的病情变化,与临床医生共同协商,制订针对性的治疗方案并随时修正。结果:经过长达4个月的抗感染治疗,终于成功地控制患者的感染,并保全了下肢。结论:临床药师参与临床治疗实践,有利于提高临床药物治疗学水平。Objective： Clinical pharmacists took a part in the treatment of one patient with pyogenic osteomyelitis to more effectively control the MRSA infection. Methods： The clinical team included doctors, pharmacists and nurses. Pharmacists measured the plasma concentration of norvancomycin in time, and provided their consultant opinions for establishing and adjusting the appropriate therapeutic regimens according to the patient＇s conditions. Results： After the antibacterial treatment for 4 months, the patient＇s infection was finally controlled and his right leg had been avoided to be cut off. Conclution： Clinical pharmacists taken part in clinical practice will improve the rational pharmacotherapy.

关 键 词：化脓性骨髓炎 耐甲氧西林金葡球菌 去甲万古霉素 临床药师 

分 类 号：R969.3[医药卫生—药理学] R978.1[医药卫生—药学]