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引用本文:鲍仕慧,陈丽佳,张友婷,黄成坷,王增寿.PICU临床药师参与抗感染药物治疗案例分析[J].中国现代应用药学,2014,31(2):228-230.
BAO Shihui,CHEN Lijia,ZHANG Youting,HUANG Chengke,WANG Zengshou.Case Study: Clinical Pharmacists Participating in Anti-infection Drug Treatment in PICU[J].Chin J Mod Appl Pharm(中国现代应用药学),2014,31(2):228-230.
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PICU临床药师参与抗感染药物治疗案例分析
鲍仕慧, 陈丽佳, 张友婷, 黄成坷, 王增寿
温州医学院附属第二医院药学部,浙江 温州 325027
摘要:
目的 探讨临床药师在儿童重症监护病房抗感染药物治疗中的作用。方法 通过临床药师参与1例感染性休克患儿抗感染药物治疗过程,与临床医师共同制订治疗方案,监护患者用药全过程,针对患者病情变化提出治疗方案调整。结果 临床药师在抗感染治疗进程中,提出监测利奈唑胺血药浓度等建议被临床采纳,充分体现以药动学和药效学理论指导个体化给药。结论 临床药师参与医疗团队,协助临床医师调整药物治疗方案,有利于提高药物治疗效果。
关键词:  临床药师  儿童重症监护病房  抗感染  药学监护
DOI:
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基金项目:浙江省医学会临床科研基金(2011ZYC-A23)
Case Study: Clinical Pharmacists Participating in Anti-infection Drug Treatment in PICU
BAO Shihui, CHEN Lijia, ZHANG Youting, HUANG Chengke, WANG Zengshou
Department of Pharmacy, the Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325027, China
Abstract:
OBJECTIVE To investigate the role of clinical pharmacists in anti-infection drug treatment in PICU(Pediatric Intensive Care Unit). METHODS The clinical pharmacists participated in the anti-infection drug treatment of a child patient, formulated the treatment plan together with the clinical doctors and supervised the whole process of treatment for the patient, then adjusted treatment plan according to the patient’s changed condition. RESULTS During the anti-infection treatment, clinical pharmacists provided suggestion such as monitoring the plasma concentration of linezolid that were adopted, which reflected applying of pharmacokinetics and pharmacodynamics theories to guide individualized medicine administration. CONCLUSIONS Clinical pharmacists participation in the clinical treatment and corporation with the clinical doctors to adjust the treatment plan can improve the effectiveness of drug treatment.
Key words:  clinical pharmacist  pediatric intensive care unit  anti-infection  pharmaceutical care
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