中国药物警戒 ›› 2022, Vol. 19 ›› Issue (11): 1258-1261.
DOI: 10.19803/j.1672-8629.20210178

• 安全与合理用药 • 上一篇    下一篇

1例头孢他啶/阿维巴坦治疗碳青霉烯耐药肺炎克雷伯菌血流感染患者的药学监护

任昭1, 刘佳1, 王玉敏2,*, 王月1, 谢清1   

  1. 1航天中心医院药剂科,北京 100049;
    2航天中心医院呼吸与危重症医学科,北京 100049
  • 收稿日期:2021-03-05 发布日期:2022-11-17
  • 通讯作者: *王玉敏,女,博士,副主任医师,呼吸病学。E-mail:nmgwangym@aliyun.com
  • 作者简介:任昭,女,硕士,主管药师,临床药学。
  • 基金资助:
    北京市海淀区卫生健康发展科研委培育计划(HP2021-19-50701)

Pharmaceutical care of a case of carbapenem resistant Klebsiella pneumoniae bloodstream infection treated with ceftazidime/verbatan

REN Zhao1, LIU Jia1, WANG Yumin2,*, WANG Yue1, XIE Qing1   

  1. 1Department of Pharmacy, Aerospace Center Hospital, Beijing 100049, China;
    2Department of Respiratory and Critical Care Medicine, Aerospace Center Hospital, Beijing 100049, China
  • Received:2021-03-05 Published:2022-11-17

摘要: 目的 探讨临床药师在碳青霉烯耐药肺炎克雷伯菌血流感染药物治疗中的作用。方法 临床药师参与1例碳青霉烯耐药肺炎克雷伯菌血流感染患者的治疗过程,结合专业知识,根据患者实际情况,建议采用注射用头孢他啶阿维巴坦单药治疗方案,并对用药的有效性和安全性进行监护。结果 医生采纳临床药师建议,经治疗后患者体温正常,炎症指标好转,血培养显示无细菌生长。结论 临床药师通过参与临床工作,及时掌握新药的相关知识,为临床医生提供药学信息服务,保障用药的合理性、安全性。

关键词: 肺炎克雷伯菌, 碳青霉烯耐药, 头孢他啶/阿维巴坦, 药学监护

Abstract: Objective To investigate the role of clinical pharmacists in the treatment of bloodstream infection caused by carbapenem resistant Klebsiella pneumoniae. Methods Clinical pharmacists participated in the treatment of a patient with bloodstream infection caused by carbapenem resistant Klebsiella pneumoniae. Based on their expertise and the condition of the patient, the pharmacists recommended ceftazidime/avibactam monotherapy, and monitored the effectiveness and safety of medication. Results The clinicians took the advice of clinical pharmacists so that the patient’s temperature returned to normal, the inflammatory indexes were improved, and the blood culture showed no bacterial growth. Conclusion By participating in clinical practice, clinical pharmacists can quickly learn about the usage of new drugs, provide pharmaceutical services for clinicians, and ensure the rationality and safety of drug use.

Key words: Klebsiella pneumoniae, carbapenem resistant, ceftazidime/avibactam, pharmaceutical care

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