中国药物警戒 ›› 2024, Vol. 21 ›› Issue (9): 1064-1067.
DOI: 10.19803/j.1672-8629.20240365

• 安全与合理用药 • 上一篇    下一篇

1例脓毒血症继发肺曲霉菌感染患者的药学监护

张彩霞1, 周易1,*, 谭璐1, 陈文明1, 柳阳2, 游禹3   

  1. 1长江大学附属黄冈市中心医院药学部,湖北 黄冈 438000;
    2湖北中医药大学附属湖北省中医院药事部,湖北 武汉 430000;
    3武穴市中医医院药剂科,湖北 武穴 435400
  • 收稿日期:2024-05-31 出版日期:2024-09-15 发布日期:2024-09-14
  • 通讯作者: *周易,男,硕士,副主任药师,临床药学与药理学。E-mail:zy915901@163.com
  • 作者简介:张彩霞,女,硕士,主管药师,临床药学。

Pharmaceutical care of pulmonary aspergillus infection secondary to sepsis

ZHANG Caixia1, ZHOU Yi1,*, TAN Lu1, CHEN Wenming1, LIU Yang2, YOU Yu3   

  1. 1Department of Pharmacy, Huanggang Central Hospital of Yangtze University, Huanggang Hubei 438000, China;
    2Department of Pharmacy, Hubei Hospital of Traditional Chinese Medicine Affiliated to Hubei University of Chinese Medicine, Wuhan Hubei 430000, China;
    3Department of Pharmacy, Wuxue Hospital of Traditional Chinese Medicine,Wuxue Hubei 435400, China
  • Received:2024-05-31 Online:2024-09-15 Published:2024-09-14

摘要: 目的 探讨临床药师在抗感染治疗过程中的作用,为临床提供药学监护与个体化治疗积累实践经验,促进临床合理用药。方法 临床药师参与1例脓毒血症继发肺曲霉菌感染患者的抗感染治疗全过程。协助临床医师制定和调整治疗方案,对伏立康唑片进行血药浓度监测并提供个体化给药方案及药学监护。结果 患者病情得到好转,为以后提供更好的药学服务积累了经验。结论 临床药师积极参与脓毒血症继发肺曲霉菌感染的药物治疗实践,保证了患者药物治疗的有效性及安全性,充分体现了临床药师的自身价值。

关键词: 脓毒血症, 烟曲霉菌, 伏立康唑片, 血药浓度监测, 药学监护, 临床药师

Abstract: Objective To explore the role of clinical pharmacists in the course of anti-infection treatment, and exchange experience related to individualized treatment of patients with pulmonary aspergillus infection secondary to sepsis so as to promote clinical rational drug use. Methods Clinical pharmacists participated in the whole process of anti-infection treatment of a patient with pulmonary aspergillus infection secondary to sepsis by assisting clinicians in formulating and adjusting treatment plans, monitoring voriconazole concentrations in blood, and providing individualized medications and pharmaceutical care. Results The condition of the patient was improved eventually, which offered experience for providing better pharmaceutical care in the future. Conclusion Clinical pharmacists' participation in medications against pulmonary aspergillus infection secondary to sepsis can help ensure the effectiveness and safety of drug treatment for patients so that the worth of clinical pharmacists can be proved.

Key words: sepsis, pulmonary aspergillo, voriconazole, tablrt, monitoring of plasma concentrations, pharmaceutical care, clinical pharmacist

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