论文部分内容阅读
目的:探讨临床药师参与儿童多重耐药菌感染治疗中耐碳青霉烯类大肠埃希菌致儿童血流感染的药学监护实践。方法:通过药师参与1例由耐碳青霉烯类大肠埃希菌引起的血流感染伴多发皮肤脓肿患儿的抗感染治疗过程,讨论儿童患者多重耐药菌抗感染策略。结果:临床药师结合当地医院的药敏结果和文献资料,建议采用美罗培南联合头孢哌酮钠/舒巴坦抗感染治疗。治疗后未见新发脓肿,既往脓肿愈合较佳,多次血培养及分泌物培养阴性,预后良好。结论:临床药师全程参与针对多重耐药菌感染的抗感染方案的制定和调整,能有效地对患儿进行药学监护,体现药师的价值。
Objective: To investigate the clinical pharmacist’s participation in the pediatric multi-drug resistant infections in children with carbapenem-resistant Escherichia coli infection in children’s bloodstream of drug-controlled practice. Methods: The anti-infective treatment of children with multiple-drug-resistant bacteria in children with multi-drug-resistant bacteria was discussed through the participation of pharmacists in one case of anti-infective treatment of children with multi-skin abscess caused by carbapenem-resistant Escherichia coli. Results: The clinical pharmacist combined with the local hospital drug sensitivity results and literature, it is recommended to use Meropenem cefoperazone sodium / sulbactam anti-infection treatment. No new abscess after treatment, previous abscess healing better, many negative blood culture and secretion culture, the prognosis is good. Conclusion: The clinical pharmacist participated in the formulation and adjustment of the anti-infective program for multiple drug-resistant bacterial infections in the whole process, which can effectively protect the children and show the value of pharmacists.