首页|1例重症肺炎支原体肺炎患儿临床治疗的药学监护分析

1例重症肺炎支原体肺炎患儿临床治疗的药学监护分析

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目的:分析儿童重症肺炎支原体肺炎(severe Mycoplasma pneumoniae pneumonia,SMPP)治疗方案及其药学监护过程,为儿童SMPP药物治疗提供参考。方法与结果:患儿因"发热 7d,咳嗽 5d"而收入院治疗,结合患儿临床表现和检查结果,考虑为肺炎,遂经验性予以阿奇霉素和头孢他啶,并辅以止咳化痰治疗;但阿奇霉素满疗程后,患儿症状并无明显改善,同时病原学检查回报肺炎支原体阳性,考虑该肺炎支原体可能对阿奇霉素耐药;临床药师在综合患儿年龄和相关文献结果后,建议可改用多西环素,医生和家属均采纳了此建议;患儿 6d后好转出院,6 周后随访表示预后良好。结论:临床药师全程参与患者临床治疗,实施药学监护,有效促进了临床合理用药,确保了患儿用药的安全性。
Analysis of Pharmaceutical Care in Clinical Treatment of a Child with Severe Mycoplasma Pneumoniae Pneumonia
Objective:To analyze the treatment regimen and pharmaceutical care process of severe Mycoplasma pneumoniae pneumonia(SMPP)in children,and provide a reference for drug treatment of SMPP in children.Methods and Results:The child was admitted to the hospital for treatment due to"fever for 7 days and cough for 5 days".In combination with the child's clinical manifestations and examination results,pneumonia was considered;then azithromycin and ceftazidime were administered empirically,supplemented with relieving cough and reducing sputum;but after a full course of azithromycin,the child's symptoms were not alleviated obviously,and the etiological examination reported positive Mycoplasma pneumoniae,which was considered to be resistant to azithromycin;the clinical pharmacist recommended doxycycline after considering the child's age and relevant literature results,and the doctor and family members adopted the recommendation.The child improved and was discharged after 6 days,and the follow-up after 6 weeks showed a good prognosis.Conclusion:Clinical pharmacists participate in the clinical treatment of patients throughout the process and implement pharmaceutical care,which effectively promotes the clinically rational medication and ensures the safety of medication for children.

severe Mycoplasma pneumoniae pneumoniachildrenpharmaceutical careclinical pharmacist

聂绩、余凤玮、周晗菡、谢元春、李斌

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重庆市渝北区人民医院,重庆 401120

重症肺炎支原体肺炎 儿童 药学监护 临床药师

2024

抗感染药学
江苏省苏州市第五人民医院

抗感染药学

影响因子:0.505
ISSN:1672-7878
年,卷(期):2024.21(5)