临床药师参与泛耐药鲍曼不动杆菌感染患者抗感染治疗的疗效分析  

Analysis in Efficacy of Anti-infection Medication in Patients with PanResistant Acinetobacter Baumannii with Help of Clinical Pharmacist

作　　者：游燕[1] 闫智杰[1] 

机构地区：[1]南昌大学第四附属医院,南昌330003

出　　处：《抗感染药学》2017年第4期733-735,共3页Anti-infection Pharmacy

基　　金：江西省卫生计生委科技计划项目(编号:20171101)

摘　　要：目的:临床药师参与泛耐药鲍曼不动杆菌(PRAB)感染患者抗感染治疗,分析了其用药的合理性及其疗效。方法:临床药师参与3例泛耐药鲍曼不动杆菌感染重症患者,并协助临床制订了个体化用药方案。结果:经替加环素与头孢哌酮-舒巴坦等药物抗感染治疗后,患者胸部CT检查示感染灶吸收,体温、血白细胞、C-反应蛋白、氧合指数、血清白蛋白水平及APACHE Ⅱ评分值均有明显好转。结论:临床药师参与治疗泛耐药鲍曼不动杆菌感染患者临床用药的会诊,体现了临床药师以患者为中心的药学服务理念,提高了救治的有效率。Objective： The clinical pharmacist has participated in the anti-infection medication in patients with Panresistant Acinetobacter baumannii（PRAB）. Being the reasonable and the effeicacy of medication have been analyzed. Methods： The three cases of severe patients who were infected PRAB were chosen and clinical pharmacist was partici- pating in clinical consultation and assisting clinical physicians to make individualized medication scheme. Results：After treatment with tigecycline and cefoperazone-sulbactam and other drugs, patchy shadows with X-ray signs were significantly absorbed than before therapy; temperature, leukocytes, CRP, oxygenation index, albumen and APACHE Ⅱ scores were significantly improved. Conclusion： The clinical pharmacist has participated in anti-infective treatment of PRAB infection, Reflectsing they the clinical pharmacists take patients as the center of pharmaceutical service concept and improve the effectiveness of the treatment.

关 键 词：临床药师 替加环素 头孢哌酮-舒巴坦 泛耐药鲍曼不动杆菌 

分 类 号：R969.3[医药卫生—药理学]