临床药师参与1例产褥感染合并急性腹泻患者的药学监护  

Pharmaceutical Care for a Patient with Puerperal Infection and Acute Diarrhea

作　　者：田杨 张临宏 吴姗 邓小兰 冯雪雷 Tian Yang;Zhang Linhong;Wu Shan;Deng Xiaolan;Feng Xuelei(Department of Pharmacy,Chengdu Shuangliu Maternal and Child Health Care Hospital,Chengdu 610200,China)

机构地区：[1]成都市双流区妇幼保健院药学部,成都610200

出　　处：《药物流行病学杂志》2021年第12期832-836,共5页Chinese Journal of Pharmacoepidemiology

基　　金：四川省基层卫生事业发展中心项目(编号:SWFZ20-Q-050)。

摘　　要：临床药师参与1例产褥感染合并急性腹泻患者的个体化治疗,根据患者的病情变化,建议将抗菌药物调整为注射用哌拉西林他唑巴坦,针对治疗过程中腹泻的进行性加重,探讨和甄别原因,推测外源细菌性感染控制不佳可能性最大,建议加用左氧氟沙星片,产褥感染治愈后建议及时停用哌拉西林他唑巴坦,单用左氧氟沙星片至患者腹泻痊愈。医师采纳临床药师建议,患者产褥感染和腹泻得到及时控制与治疗,痊愈出院。临床药师参与到临床治疗团队中可及时协助医师调整并完善用药方案,有助于提高患者用药的有效性和及时性。Clinical pharmacists participated in the individualized treatment of a patient with puerperal infection complicated with acute diarrhea. According to the patient’s condition, it was suggested to actively adjust ceftazidime for injection to piperacillin sodium and tazobactam sodium. In view of the progressive aggravation of diarrhea during the treatment, Clinical pharmacists discussed and identified the causes, and speculated that poor control of exogenous bacterial infection was the most likely reason, it was suggested that levofloxacin tablets should be added. After puerperal infection was cured, it was suggested that piperacillin sodium and tazobactam sodium should be stopped in time, and levofloxacin tablets alone should be used until cured. According to the advice of clinical pharmacists, the puerperal infection and diarrhea were controlled and treated in time. Clinical pharmacists participating in the clinical treatment team can timely assist doctors to adjust and improve the medication plan, which is helpful to improve the effectiveness and timeliness of patients’ medication.

关 键 词：临床药师 产褥感染 急性腹泻 药学监护 

分 类 号：R97[医药卫生—药品]