临床药师参与1例婴儿难治性重症沙眼衣原体肺炎治疗的药学实践  

Clinical Pharmacists′Participation in the Pharmaceutical Practice in the Treatment of an Infants with Severe Refractory Chlamydia Trachomatis Pneumonia

作　　者：王利平[1,2] 张了云 WANG Liping;ZHANG Liaoyun(Chengdu Jinjiang Hospital for Women and Children Health,Chengdu,Sichuan,China 610011;Sichuan Provincial Maternity and Child Health Care Hospital,Chengdu,Sichuan,China 610041)

机构地区：[1]四川省成都市锦江区妇幼保健院,四川成都610011 [2]四川省妇幼保健院,四川成都610041

出　　处：《中国药业》2025年第3期120-124,共5页China Pharmaceuticals

基　　金：四川省成都市医学科研项目[2023200]。

摘　　要：目的探讨临床药师在婴儿难治性重症沙眼衣原体肺炎治疗过程中的作用。方法临床药师查阅国内外文献,对婴儿沙眼衣原体肺炎的流行病学、临床特征、微生物检测及抗感染治疗方案进行分析和讨论,并结合患儿实际病情提出个体化用药建议。结果临床医师采纳临床药师建议,采用呼吸道病原体靶向测序技术检测出沙眼衣原体。在考虑婴儿用药安全性、有效性及依从性的基础上,加用阿奇霉素静脉给药抗沙眼衣原体感染,并成功治愈出院。结论临床药师参与婴儿沙眼衣原体肺炎抗感染用药方案的制订,确保了用药的安全性和有效性,并提出相关建议,为临床治疗婴儿沙眼衣原体肺炎提供了依据和方向。Objective To investigate the role of clinical pharmacists in the treatment of an infant with refractory severe Chlamydia trachomatis pneumonia(CTP).Methods The clinical pharmacist analyzed and discussed the epidemiology,clinical features,microbiological testing,and anti-infective treatment plans of the infant with CTP by referring to domestic and foreign literature,and put forward individualized medication recommendations based on the actual condition of the infant.Results The cinical physician adopted the clinical pharmacist's advice,and Chlamydia trachomatis was detected by targeted sequencing of respiratory pathogens.On the basis of considering the medication safety,effectiveness,and compliance of the infant,intravenous administration of azithromycin was added to prevent Chlamydia trachomatis infection,and the infant was successfully cured and discharged.Conclusion Clinical pharmacists'participation in the formulation of anti-infective drug regimen for the infant with CPT can ensure the safety and effectiveness of the medication,and put forward relevant suggestions,so as to provide the evidence and direction for the clinical treatment of infants with CTP.

关 键 词：沙眼衣原体肺炎 抗感染治疗 临床药师 药学监护 

分 类 号：R95[医药卫生—药学] R978