临床药师参与1例尿路感染伴药物热患者药学实践  

Pharmaceutical care for a patient with urinary tract infection and drug fever

作　　者：杨宝春 孙欣 杨欣 吴琳 王丽萍 YANG Baochun;SUN Xin;YANG Xin;WU Lin;WANG Liping(Department of Pharmacy,Wuxi Second Hospital,Nanjing Medical University,Wuxi Jiangsu 214000,China)

机构地区：[1]南京医科大学附属无锡第二医院药学部,江苏无锡214000

出　　处：《中国药物警戒》2022年第5期572-573,578,共3页Chinese Journal of Pharmacovigilance

基　　金：江苏省药学会奥赛康医院药学基金(A2017090)。

摘　　要：目的分析临床药师参与尿路感染患者的用药监护,探讨提高医师和药师对药物热药学实践的认识。方法介绍临床药师参与1例疑似头孢地嗪致药物热患者的用药分析与治疗干预过程。结果临床药师根据药物热发生机制、临床特点,分析患者的临床症状、实验室检查结果和用药情况,建议临床医师停用头孢地嗪后,患者体温逐渐恢复正常。结论临床药师深入临床进行用药监测,可及时发现药品不良反应,防止不合理用药,提高药物的合理使用水平。Objective To explore the effect of monitoring of drug use by clinical pharmacists for a patient with urinary tract infection and to advance physicians’and pharmacists’understanding of drug fever.Methods A clinical pharmacist participated in the analysis and intervention of a suspected cefdiazine-induced fever patient.Results Based on the mechanism,clinical characteristics of drug fever,clinical symptoms,laboratory test results and drug use of the patient,the clinical pharmacist suspected that the fever might have been caused by cefdiazine and suggested that cefdiazine be discontinued.The clinician took the advice so that the patient’s temperature gradually returned to normal.Conclusion Active participation in drug monitoring by clinical pharmacists will help to detect adverse drug reactions as soon as possible so as to prevent irrational use of drugs.

关 键 词：临床药师 药物热 头孢地嗪 药品不良反应 

分 类 号：R969.3[医药卫生—药理学]