【摘要】 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。更多还原

【Abstract】 OBJECTIVE To explore how clinical pharmacists evaluate therapeutic strategies and provide pharmaceutical care,a case report involving an infant with septic shock and scalp hematoma is introduced. METHODS Anti-infective therapy in an infant with septic shock and scalp hematoma was analyzed and pharmacist carried out pharmaceutical care in the process of therapy. The therapeutic strategies were timely moderated according to etiology,drug sensitive test and patient symptoms,and debridement and drainage of scalp hematoma were used. RESULTS The body temperature,white blood cell count,neutrophil percentage,proealcitonin and C-reactive protein of infant were significantly decreased and returned to normal level. After treatment for one month,this infant discharged from hospital. CONCLUSION For complex infective diseases,clinical pharmacists played an important role in promoting rational use of drug through participating in therapeutic strategies selection of anti-infection and carrying out personalized medication.更多还原