摘要
目的:分析心脏起搏器植入术患者术后并发囊袋感染的用药情况与药学监护,为临床抗菌药物的科学合理使用提供参考。方法:针对该例心脏起搏器植入术患者术后并发的囊袋感染,临床药师综合考虑患者实际病情和备选抗菌药物的药学特点,协助临床医生制定抗感染治疗方案,并积极开展药学监护。结果:患者术后并发囊袋感染,且微生物检查显示病原菌为甲氧西林耐药的金黄色葡萄球菌,临床药师综合考虑了患者的基础病情和备选抗菌药物的药学特点后,建议将抗感染治疗方案调整为替加环素,最终感染得到有效控制。结论:临床上患者个体化差异巨大,治疗药物药学特点又各不相同,临床药师在临床开展工作时应充分考虑患者情况和药物特点,协助医生制定个性化的治疗方案,以确保治疗的安全、有效。
Objective: To analyze the medications and pharmaceutical care in a patient with postoperative complication of capsular bag infection after pacemaker implantation, and provide reference for the scientific and rational use of clinical antimicrobial drugs. Methods: For the postoperative complication of capsular bag infection in the patient after pacemaker implantation, the clinical pharmacist assisted the clinician in formulating the anti-infection treatment regimen and actively carried out pharmaceutical care by comprehensively considering the actual condition of the patient and the pharmaceutical characteristics of alternative antibacterial drugs. Results: The patient had a postoperative complication of capsular bag infection, and the microbiological examination showed that the pathogenic bacterium was methicillin-resistant Staphylococcus aureus. After considering the patient’s underlying condition and the pharmaceutical characteristics of alternative antibacterial drugs, the clinical pharmacist recommended adjusting the anti-infection treatment regimen to tigecycline, and eventually the infection was effectively controlled. Conclusion: As patients are clinically individualized and the pharmaceutical characteristics of therapeutic drugs vary, the clinical pharmacist should fully consider the patient’s condition and drug characteristics in clinical work, and assist the doctor in formulating individualized treatment regimens to ensure safe and effective treatment.
作者
曹文婷
宋文静
CAO Wen-ting;SONG Wen-jing(Department of Pharmacy,Qinghai Jiaotong Hospital,Xining 810001;Department of Pharmacy,Qinghai Cardiovascular and Cerebrovascular Disease Specialized Hospital,Xining 810001)
出处
《抗感染药学》
2022年第4期579-583,共5页
Anti-infection Pharmacy
关键词
心脏起搏器植入术
囊袋感染
药学监护
临床药师
pacemaker implantation
capsular bag infection
pharmaceutical care
clinical pharmacist
作者简介
曹文婷(1987-),女,主管药师;通信作者:宋文静(1984-),女,副主任药师,电子邮箱:675583393@qq.com。
