摘要
目的:分析鲍曼不动杆菌感染患者临床治疗的药学监护及抗菌药物合理使用。方法:临床药师对1例泛耐药鲍曼不动杆菌肺部感染患者的治疗过程进行全程监护,分析抗菌药物的合理使用。结果:该患者鲍曼不动杆菌定植与感染交替存在,对于鲍曼不动杆菌感染时,按《抗菌药物临床应用指导原则》要求联合用药治疗;要提高免疫力,加强防治。结论:鲍曼不动杆菌的定植和感染的区分仍是临床上的难点,需结合患者临床症状和检验指标判断,临床药师可参与患者个体化用药方案的制订以保证患者的用药安全、有效。
Objective： To analyze the pharmaceutical care for anti-infection medication in pulmonary infection pa- tient with pan-resistant Acinetobacter baumannii. Methods： The entire treatments of a case of pulmonary infected by pan-resistant Acinetobacter baumannii were monitored by clinical pharmacists, and the uses of antibiotics were ana- lyzed. Results： Colonization and infection ofAcinetobacter haumannii were alternately found in the patient. For Acinetobacter haumannii infections, combination therapy is required according to ＂Clinical use of antihiotics guidelines＂. For colonization, the key measure is to improve immunity to strengthen prevention. Conclusion： The distinction be- tween colonization and infection ofAcinetohacter baumannii is still a clinical nodus, which should be determined by combining clinical symptoms and laboratory indicators. The joint of clinical pharmacists in thc development of individu- alized treatment programs would improve the safety and effectiveness of the treatment.
出处
《抗感染药学》
2016年第5期1060-1063,共4页
Anti-infection Pharmacy
关键词
鲍曼不动杆菌
泛耐药
定植
感染
Acinetobacter baumannii
pan-resistan
colonization： infection
