目的 通过协助临床医师诊治1例洛氏普雷沃菌感染,探讨临床药师在药物治疗中的作用。方法 临床药师通过认真分析患者的病情,详细询问过敏史,根据药敏试验结果,查阅国内外文献,在抗菌药物的选择、药学监护和患者出院后的用药教育等方面,为患者制订抗感染治疗方案提供建议。结果 临床药师提出的治疗方案被医师采纳,患者经治疗后病情明显好转。结论 临床药师利用自身的药学知识优势,可协助医师制订安全、有效的治疗方案,体现临床药师的价值。
Abstract
OBJECTIVE To explore the role of clinical pharmacists in drug therapy by assisting the clinician to diagnose and treat a case of disseminated prevotella loescheii infection. METHODS Clinical pharmacists offered reasonable suggestions for antibiotics selection by analyzing the disease condition of the patient, asking about allergy history, looking up domestic and foreign literature and drug sensitivity test result. And the pharmacists also provided pharmaceutical care and discharging medication education to the patient. RESULTS The treatment regimen suggested by the clinical pharmacists was adopted by the physicians, and the disease condition was relieved significantly after treatment. CONCLUSION Clinical pharmacists can demonstrate their value by taking advantage of their pharmacy knowledge and assisting clinicians to develop safe and effective therapeutic regimens.
关键词
洛氏普雷沃菌 /
临床药师 /
病例分析
{{custom_keyword}} /
Key words
prevotella loescheii /
clinical pharmacist /
case analysis
{{custom_keyword}} /
中图分类号:
R969.3
{{custom_clc.code}}
({{custom_clc.text}})
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] PARTE A C. LPSN-list of prokaryotic names with standing in nomenclature[J]. Nucleic Acids Res,2014, 42(1):613-616.
[2] HU Y J. Irrational use of antibiotics increases adverse drug reaction[J]. Chin J Pediatr(中华儿科杂志),2002,40(8):8-10.
[3] YU J W, LIN N M, CHENG B, et al. Analysis on domestic and foreign case report on the adverse drug reaction of metronidazole[J]. Chin J Nosocomiol(中华医院感染学杂志),2014,24(8):1897-1901.
[4] YANG Q, WEI H L. Pharmaceutical care for patient after gangrenous perforative appendicitis operation[J]. J China Pharm(中国药房),2010,21(42):4031-4032.
[5] HUANG Y F. Pharmaceutical care of antimicrobial treatment in respiratory medicine department[J]. Pract Pharm Clin Rem(实用药物与临床),2013,16(2):135-136.
[6] ALDRIDGE K E, ASHCRAFT D, CAMBRE K, et al. Multicenter survey of the changing in vitro antimicrobial susceptibilities of clinical isolates of Bacteroides fragilis group, Prevotella, Fusobacterium, Porphyromonas, and Peptostreptococcus species[J]. Antimicrob Agents Chemother,2001, 45(4):1238-1243.
[7] CAO Z Y. Chinese Okstetrics and Gynecology(中国妇产科学)[M]. 2nd ed. Beijing:People′s Medical Press. 2004:1372.
[8] MEHMOOD M, JAFFAR N A, NAZIM M, et al. Bacteremic skin and soft tissue infection caused by Prevotella loescheii[J]. BMC Infect Dis,2014,14:162.
[9] ZHANG J D, CHEN D K. A case of prevotella bivia infection in bloodstream[J]. Chin J Clin Lab Sci(临床检验杂志),2013,31(10):798-799.
[10] VELOO A C M, VAN WINKELHOFF A J. Antibiotic susceptibility profiles of anaerobic pathogens in the Netherlands[J]. Anaerobe, 2015,31:19-24.
[11] BAHAR H, TORUN M M, DEMIRCI M,et al. Antimicrobial resistance and beta-lactamase production of clinical isolates of prevotella and porphyromonas species[J]. Chemotherapy,2005, 51(1):9-14.
[12] PENG X Y, ZHOU Q. Allergic cross-reactivity among β-lactam antibiotics[J]. Chin J New Drugs Clin Rem(中国新药与临床杂志),2012, 31(8):437-440.
[13] ROMANO A, VIOLA M, GUEANT-RODRIGUEZ R M, et al. Imipenem in patients with immediate hypersensitivity to penicillins[J]. N Engl J Med,2006, 354(26):2835-2837.
[14] CHINESE PHARMACOPOEIA COMMISSION. Notes of Clinical Medication of Chinese Pharmcopoeia(中国药典临床用药须知)[M]. 2010 ed. Beijing: Chinese Medical Science and Technology Press. 2010:682-684.
[15] CUI Q L, WANG L X, WANG J Y, et al. The value of ultrasound-guided aspiration and treatment of pelvic abscesses[J]. Chin J Med Imaging (中国医学影像学杂志),2009, 17(5):350-352.
[16] WANG L, TANG Z X, GU L M. Pharmaceutical care practice of clinical pharmacists in the department of internal medicine[J]. Chin Pharm J(中国药学杂志),2010,45(20):1599-1600.
{{custom_fnGroup.title_cn}}
脚注
{{custom_fn.content}}