临床药师参与1例耐甲氧西林金葡菌血流感染合并下肢静脉血栓患儿的治疗实践  

Pharmaceutical Care Performed by Clinical Pharmacist for a Pediatric Case with MRSA Bacteremia Complicated with Deep Venous Thrombosis

作　　者：王映俊 季兴[1] 张永[1] 刘瑶[1] Wang Yingjun;Ji Xing;Zhang Yong;Liu Yao(Department of Pharmacy,Nanjing Children’s Hospital,Nanjing 210008,China)

机构地区：[1]南京医科大学附属儿童医院药学部,南京210008

出　　处：《中国药师》2022年第5期849-853,共5页China Pharmacist

基　　金：江苏省药学会——天晴医院药学基金(编号:Q202002)。

摘　　要：临床药师参与1例金黄色葡萄球菌血流感染合并下肢静脉血栓患儿药物治疗的全过程,运用药学专业知识针对金黄色葡萄球菌感染及下肢静脉血栓的药物治疗方案提出合理性建议。治疗期间因万古霉素血药浓度较低,导致患儿抗感染治疗疗效不佳,经临床药师建议调整用药方案后感染得到有效控制。在抗凝治疗方面,临床药师进行了全程用药监护,下肢静脉血栓经抗凝治疗明显好转,治疗过程中未发生药物相关不良反应。临床药师参与药物治疗方案的制定,有助于保障患儿用药的安全性、有效性,促进临床合理用药。Clinical pharmacists participated in the treatment of a child with methicillin-resistant Staphylococcus aureus(MRSA)bacteremia complicated with deep venous thrombosis,and assisted clinicians in adjusting the treatment regimens.Therapeutic drug monitoring of vancomycin was suggested to ensure the achievement of therapeutic target.Meanwhile,individualized pharmaceutical care during anticoagulant therapy was provided for the child,so as to ensure the efficacy and reduce adverse drug reactions.The implementation of pharmaceutical care by clinical pharmacists can coordinate the optimization of treatment regimens,which is conducive to the safety and effectiveness of medication for pediatric patients.

关 键 词：耐甲氧西林金黄色葡萄球菌 下肢静脉血栓 儿童 药学监护 

分 类 号：R97[医药卫生—药品]