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临床药师参与脑出血术后反复发作难治性肺炎治疗一例

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本文介绍了1例临床药师参与脑出血术后的老年患者反复发作难治性肺炎的抗感染治疗过程。临床药师结合患者的临床表现、病理生理特点、细菌流行病学特点、药敏试验结果及最新指南,先后提出了硫酸多黏菌素E+美罗培南、硫酸多黏菌素E+替加环素+头孢哌酮钠舒巴坦钠、硫酸多黏菌素E静脉滴注并雾化+头孢哌酮钠舒巴坦钠的抗感染治疗方案并进行药学监护。最终患者的肺部感染得到有效控制,未出现严重药物不良反应,顺利出院。
Strategy analysis of clinical pharmacist participating in the treatment of recurrent refractory pneumonia in patient after intracerebral hemorrhage
This paper introduces the clinical pharmacist's participation in the anti-infective treatment of an elderly patient with recurrent refractory pneumonia after cerebral hemorrhage surgery.Clinical pharmacist formulated anti-infective protocols as follows and implemented pharmaceutical care:polymyxin E sulfate+meropenem,polymyxin E sulfate+tigecycline+cef-perazone/sulbactam,polymyxin E sulfate intravenously and atomized+cefperazone/sulbactam,in accordance with patient's clinical manifestations,pathophysiological characteristics,bacterial epidemiological characteristics,drug sensitivity test results and the latest guidelines.Finally,the pneumonia was effectively controlled,no severe adverse drug reactions occurred,and the patient was discharged smoothly.

refractory pneumoniaanti-infective treatmentpolymyxin E sulfateclinical pharmacist

原明璐、王小营、李忠东

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国家电网公司北京电力医院 首都医科大学电力教学医院 药剂科,北京 100073

难治性肺炎 抗感染治疗 硫酸多黏菌素E 临床药师

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(6)
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