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目的通过对1例脓毒性休克合并头皮血肿婴儿的抗感染用药分析及药学监护,探索临床药师评价药物治疗方案和提供药学监护的思路。方法对1例脓毒性休克合并头皮血肿婴儿的抗感染治疗方案进行分析和药学监护。根据病原学、药敏结果和患者病情及时调整抗感染治疗策略,同时积极清创引流。结果患儿体温、白细胞计数、中性粒细胞百分比、降钙素原、C-反应蛋白等指标均明显下降,病情好转,治疗1个月后出院。结论对于复杂感染的特殊人群,临床药师通过参与抗感染治疗方案的制定和实行个体化的药学监护,对促进临床合理用药有积极作用。
OBJECTIVE To explore the clinical pharmacist evaluation of drug treatment programs and to provide the pharmacy care mentality by analyzing the anti-infection medication and pharmacy care of 1 infant with septic shock and scalp hematoma. Methods One case of septic shock combined with scalp hematoma infant anti-infective treatment program analysis and pharmacy care. According to the etiology, drug susceptibility results and patients with timely adjustment of anti-infective treatment strategy, and actively debridement and drainage. Results The body temperature, white blood cell count, neutrophil percentage, procalcitonin, C-reactive protein and other indicators were significantly decreased, the condition improved, the treatment of 1 month after discharge. Conclusion For the special population with complicated infection, clinical pharmacists have a positive effect on promoting clinical rational drug use by participating in the formulation of anti-infective treatment programs and implementing individualized pharmacy care.