临床药师参与泌尿系统念珠菌病继发念珠菌血症治疗的药学实践  

Pharmaceutical practice of clinical pharmacists participating in the treatment of candidemia secondary to urinary candidiasis

作　　者：毛新奇 田洁 刘秀梅 陈楠 MAO Xinqi;TIAN Jie;LIU Xiumei;CHEN Nan(Department of Pharmacy,the Fifth Clinical Medical College of He’nan University of Chinese Medicine(Zhengzhou People’s Hospital),Zhengzhou 450003,China;Department of Pharmacy,He’nan Children’s Hospital,Zhengzhou 450018,China)

机构地区：[1]河南中医药大学第五临床医学院(郑州人民医院)药学部,郑州450003 [2]河南省儿童医院药学部,郑州450018

出　　处：《上海医药》2024年第3期67-70,79,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：河南省医学科技攻关项目(LHGJ20200682、2018020846);郑州市社会科学调研课题(ZSLX20210264)。

摘　　要：目的:探讨泌尿系统念珠菌病继发念珠菌血症的药物治疗方案及监护重点。方法:临床药师参与3例泌尿系统念珠菌病继发念珠菌血症患者的会诊,制订抗感染方案,调整给药剂量,并实施药学监护。结果:3例念珠菌血症患者中,2例血培养检出白色假丝酵母,1例检出近平滑假丝酵母,经临床药师调整给药方案后患者感染得到控制。结论:临床药师参与临床药物治疗,可充分发挥其专业特长,为患者提供个体化用药方案,确保了用药的安全性、有效性。Objective:To explore the pharmacological regimen and monitoring priorities of candidaemia secondary to urinary candidiasis.Methods:Clinical pharmacists participated in the consultation of 3 patients with urinary candidiasis secondary to candidaemia,formulated anti-infective regimens,adjusted the dosage of drug use and implemented pharmacological monitoring.Results:Candida albicans and Candida proximalis were detected by blood culture in two cases and one case of candidaemia,and the patients’infections were controlled after the clinical pharmacist adjusted the dosing regimen.Conclusion:Clinical pharmacists can give full play to their professional expertise when participating in clinical drug therapy,provide patients with individualized medication regimens and ensure the safety and effectiveness of medication.

关 键 词：临床药师 念珠菌血症 泌尿系统感染 药学实践 

分 类 号：R519.3[医药卫生—内科学] R978.5[医药卫生—临床医学]