临床药师参与一例过敏体质患者泛耐药鲍曼不动杆菌感染的治疗实践  

Practice of clinical pharmacists participating in the extensively drug-resistant Acinetobacter baumannii infection for an allergic patient

作　　者：黄炎 张鹏[2] HUANG Van;ZHANG Peng(Department of Pharmacy,North China University of Science and Technology Affiliated Hospital,Tangshan 063000,China;Department of Pharmacy,General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]华北理工大学附属医院药学部,河北唐山063000 [2]宁夏医科大学总医院药剂科,银川750004

出　　处：《实用药物与临床》2018年第6期698-701,共4页Practical Pharmacy and Clinical Remedies

摘　　要：目的探讨临床药师在药物治疗实践中的作用。方法以1例过敏体质患者泛耐药鲍曼不动杆菌(XDRAB)肺部感染的治疗过程为例,临床药师根据患者病情变化协助医师制定治疗方案,确定采取降阶梯的治疗策略,初始给予广谱、强效的抗感染治疗,而后针对细菌培养结果调整为针对XDRAB的治疗方案,进一步结合患者病情变化进行用药调整,治疗过程中就不良反应的发生与监护提出建议,并就用药争议点与临床医生充分探讨。结果采用上述方案治疗后,患者感染指标趋于正常,病情逐渐好转。结论临床药师在治疗过程中发挥自己的专业特长,对提高疗效、保障患者用药安全有着积极的作用。Objective To explore the role of clinical pharmacist in drug therapy practice. Methods Clinical pharmacists participated in the treatment of extensively drug-resistant Acinetobacter baumannii infection for an allergic patient to assist physicians in formulating treatment strategies based on the changes in the patient＇s condition, taking deescalating strategy and giving broad spectrum antibiotic for initial treatment and giving anti-XDRAB treatment based on the result of bacterial culture and symptoms of the patient. In the treatment, clinical pharmacists gave suggestions about the adverse drug reaction and discussed the controversy with physicians. Results After treatment, the infection indicators of the patient returned to normal and the condition was improved. Conclusion Clinical pharmacists take advantage of their professional expertise,which has a positive effect in improving the efficacy and safety of drug use in thepatients.

关 键 词：鲍曼不动杆菌 临床药师 过敏体质 

分 类 号：R969[医药卫生—药理学]