Pharmaceutical Care for Anti-infection Treatment in One Patient with Neck Multi-space Infection and Chest Wall Abscess Induced by Pediococcus Pentosaceus
Pharmaceutical Care for Anti-infection Treatment in One Patient with Neck Multi-space Infection and Chest Wall Abscess Induced by Pediococcus Pentosaceus
Objective:To analyze the pharmaceutical care process of anti-infection treatment in patients with neck multi-space infection and chest wall abscess induced by Pediococcus pentosaceus,and provide a reference for the diagnosis and treatment of patients with Pediococcus pentosaceus infection in clinical practice.Methods and Results:A patient went to the hospital's emergency department due to"sore throat for 6 days,accompanied by expectoration,fever,dysphagia,and restriction of mouth opening".After examination,the doctor considered it to be neck multi-space infection with chest wall abscess,then the patient was admitted to the otolaryngology department;on the first day of admission,abscess incision and drainage was performed and a drainage tube was placed to drain the pus.The pus was used for microbial culture,and cefoperazone-sulbactam sodium+ornidazole were given empirically.On the fifth day,Pediococcus pentosaceus was cultured in the pus.After referring to related data,the clinical pharmacist suggested adjusting the anti-infection treatment regimen to ampicillin;on the eighth day,the patient's left chest wall was still swollen,so a second operation was performed and a drainage tube was placed to drain the pus;in the following 3 weeks,the patient's abscess gradually disappeared,the wound surface gradually recovered,and no bleeding,redness and swelling were observed,and the patient was basically cured.Conclusion:The infection with Pediococcus pentosaceus is relatively rare in clinical practice;in addition,a serious abscess was formed for the patient.Therefore,doctors and pharmacists should attach importance to it and take internal medicine and surgical methods to ensure the treatment effect.
关键词
戊糖片球菌/颈部多间隙感染/胸壁脓肿/抗感染治疗/药学监护
Key words
Pediococcus pentosaceus/neck multi-space infection/chest wall abscess/anti-infection treatment/pharmaceutical care
维普
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