临床药师参与1例足部损伤患者术后MRSA感染治疗的药学监护  

The pharmaceutical care by clinical pharmacists for a foot injury patient with postoperative MRSA infection

作　　者：罗晶晶 吴新安 薛刚 解正东 叶剑波 戎成婷 LUO Jingjing;WU Xinan;XUE Gang;XIE Zhengdong;YE Jianbo;RONG Chengting(Department of pharmacy,Hefei BOE Hospital,Hefei 230011,China;Department of orthopedics,Hefei BOE Hospital,Hefei 230011,China)

机构地区：[1]合肥京东方医院药学科,安徽合肥230011 [2]合肥京东方医院骨科,安徽合肥230011

出　　处：《药学实践杂志》2022年第3期286-288,共3页Journal of Pharmaceutical Practice

摘　　要：目的探讨临床药师在术后感染MRSA患者药物治疗监护中作用。方法通过参与制订抗感染治疗方案、选择抗菌药物、识别MRSA感染高危因素、评估万古霉素疗效、利用TDM技术调整剂量,以及对万古霉素不良反应监护及处理。结果在临床药师的药学监护下,患者得到有效治疗,避免了万古霉素相关不良反应的进一步伤害。结论临床药师在促进患者及时康复、精准安全用药中发挥了重要作用。Objective To explore the clinical pharmacist’s role in drug therapy and monitoring for the patient with postoperative MRSA infection.Methods Clinical pharmacists participated in planning anti-infective treatment,antimicrobial medication selection,identification of high-risk factors for MRSA infection,evaluation of vancomycin efficacy,dosage adjustment using TDM technology,monitoring and management of vancomycin adverse reactions.Results With the pharmaceutical care provided by clinical pharmacists,the patient received effective treatment with minimal vancomycin-related adverse reactions.Conclusion Clinical pharmacists played an important role in accelerating patient recovery by rational and safe medication use.

关 键 词：临床药师 万古霉素 耐甲氧西林金黄色葡萄球菌 药学监护 

分 类 号：R969.3[医药卫生—药理学]