首页|鸟分支杆菌致支气管扩张症合并感染的药物治疗与监护一例

鸟分支杆菌致支气管扩张症合并感染的药物治疗与监护一例

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本文报道1例鸟分支杆菌致支气管扩张症合并感染患者,在缺乏药物敏感性试验指导的情况下,临床药师参与药物治疗及药学监护过程。临床药师结合患者的既往史、诊疗史、疾病生理特点及当前病情,通过循证协助选择初始治疗方案;从用药安全性、有效性、用药注意事项和用药依从性等方面实施药学监护;在初始治疗有效性不显著时,根据药物的药动学和药效学特点调整药物治疗建议,医师采纳并实施。经治疗患者临床效果良好,顺利出院。
Pharmacological treatment and monitoring of bronchiectasis co-infection caused by mycobacterium avium:a case report
This article reported a case with bronchiectasis co-infection caused by mycobacterium avium,in which a clin-ical pharmacist participated in the process of pharmacological treatment and monitoring in the absence of guidance from drug susceptibility testing.Clinical pharmacists analyzed the patient's history,diagnostic and treatment history,physiological char-acteristics of the disease,and the current condition,and assisted in the selection of the initial therapeutic regimen through evi-dence-based assistance.Meanwhile,clinical pharmacists implemented pharmaceutical care from the aspects of medication safety,efficacy,precautions for medication,and medication compliance,and adjusted the recommendations of drug therapy according to the characteristics of pharmacokinetic and pharmacodynamic characteristics of the medications.The advice sug-gested by clinical pharmacists was adopted and implemented by the physicians when the effectiveness of the initial therapy was not significant.The patient was discharged from the hospital with a good clinical outcome.

non-tuberculous mycobacteriamycobacterium avium complexpulmonary infectionclinical pharmacy

祝晓雨、王静宜、陈瑞玲

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首都医科大学附属北京天坛医院 药学部,北京 100070

西南医科大学附属中医医院 静脉用药调配中心,四川 泸州 646000

非结核分枝杆菌 鸟分枝杆菌复合群 肺部感染 临床药学服务

2024

临床药物治疗杂志
北京药学会

临床药物治疗杂志

CSTPCD
影响因子:1.07
ISSN:1672-3384
年,卷(期):2024.22(3)
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