1例化脓性脑膜炎患者的药学监护  

Pharmaceutical Care for a Patient with Purulent Meningitis

作　　者：付虹[1] 戎有和[2] 

机构地区：[1]南京中医药大学附属医院,南京210029 [2]南京中医药大学护理学院,南京210029

出　　处：《中国药房》2015年第35期5017-5019,共3页China Pharmacy

摘　　要：目的:探讨临床药师在化脓性脑膜炎患者抗感染治疗中的作用与切入点。方法:临床药师对1例化脓性脑膜炎患者进行药学监护,协助医师调整抗菌药物治疗方案,先后使用万古霉素+头孢曲松钠、美罗培南+万古霉素、左氧氟沙星+万古霉素抗感染,并处理美罗培南和左氧氟沙星的药品不良反应。结果:医师采纳临床药师建议,患者的感染得到控制,药品不良反应症状消失,予以出院。结论:临床药师对化脓性脑膜炎患者进行药学监护,协助医师制订安全、有效的抗感染方案,及时解决药品不良反应,促进临床合理用药。OBJECTIVE：To explore the role and breakthrough point of clinical pharmacist in the anti-infective therapy for a patient with purulent meningitis. METHODS：Clinical pharmacists provided pharmaceutical care for a patient with purulent meningitis,assisted physicians to adjust therapy plan of antibiotics,i.e. anti-infective therapy of vancomycin＋ceftriaxone sodium,meropenem＋vancomycin,levofloxacin＋vancomycin successively;disposed ADR induced by meropenem and levofloxacin. RESULTS：The physicians adopted the suggestions of clinical pharmacists,the infection symptom had been controlled,and ADR disappeared;and then the patient was discharged from hospital. CONCLUSIONS：Clinical pharmacists provide pharmaceutical care for patient with purulent meningitis,assist the physicians to develop safe and effective anti-infective therapy plan,and dispose ADR timely so as to promote rational drug use in the clinic.

关 键 词：化脓性脑膜炎 药学监护 临床药师 药品不良反应 

分 类 号：R969.3[医药卫生—药理学]