Analysis on the Therapeutic Scheme for One Case of Refractory Infections with Clinical Pharmacists' Consultation_West China Medical Journal

Authors：

 ZhengGaofeng , YueXiaohui

Department of Pharmacy, People's Hospital of Jianyang City, Jianyang, Sichuan 641400, P R. China;

Corresponding author：

Keywords：

Clinical pharmacist; Pharmacy consultation; Refractory infections; Analysis of therapeutic scheme

DOI：

10.7507/1002-0179.201600142

Video：

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Objective To discuss the practical methods of clinical drug therapy with clinical pharmacists' participation. Method The patient was male and at the age of 88. Because of "exertional heart tiredness for 4 years, coughing sputum for 10 days, and sudden inarticulate condition", he was admitted into the hospital on November 22nd, 2013. The diagnosis was cerebral infarction with pulmonary infection. Clinical pharmacists participated in the consultation on February 19th, 2014 because the uncontrollable repeated pulmonary infection. By analyzing the therapeutic scheme, clinical pharmacists made and adjusted the treatment scheme for one patient with refractory infections. Results After the treatment scheme was adjusted, several laboratory test results of the patient returned to normal, including respiratory rate, body temperature, white blood cell count and neutrophils. Sputum volume decreased obviously and sputum culture was negative. Lung signs and image were significantly improved. Conclusions Clinical pharmacists should pay more attention to the analysis of the clinical therapeutic scheme to improve therapeutic efficacy for patients with refractory infections.

Citation： ZhengGaofeng, YueXiaohui. Analysis on the Therapeutic Scheme for One Case of Refractory Infections with Clinical Pharmacists' Consultation. West China Medical Journal, 2016, 31(3): 541-544. doi: 10.7507/1002-0179.201600142 Copy

1.	薛晓燕, 王明丽. 临床药师参与2例泛耐药鲍曼不动杆菌感染患者的治疗实践[J]. 中国药房, 2013, 24(34) :3251-3253.
2.	胡晓蕾, 詹世鹏, 王渝, 等. 临床药师参与1例肺部重症感染患者治疗方案的调整[J]. 中国药房, 2013, 24(26) :2491-2494.
3.	李钟勇, 何清华. 临床药师参与158例感染性疾病会诊的调查分析[J]. 中南药学, 2011, 9(7) :552-554.
4.	蔡少华. 重症肺炎的抗生素降阶梯治疗策略和国内的临床实践[J]. 中国药物应用与监测, 2007, 4(2) :1-3.
5.	聂垚, 管向东. 重症感染的初始治疗:"重锤猛击"策略的再认识[J]. 中华内科杂志, 2015, 54(8) :677-679.
6.	裴保香, 龚虹霖. 卡泊芬净和伊曲康唑治疗侵袭性肺部真菌感染的回顾性分析[J]. 中国药物应用与监测, 2012, 9(6) :314-316.
7.	叶晓光, 王若伦, 林红燕, 等. 产超广谱β-内酰胺酶肺炎克雷伯菌、大肠埃希菌耐药谱动态观察[J]. 中华医院感染学杂志, 2004, 14(5) :492-495.
8.	Clinical and Laboratory Standards Institute. Performance standards for antimicrobial susceptibility testing; twenty-third informational supplement[S]. CLSI, 2013:M100-S23.
9.	张丽华, 尚谦, 于庆萍. 第三代头孢菌素的用量与大肠埃希菌、肺炎克雷伯菌耐药相关性分析[J]. 中国药师, 2006, 9(3) :260-262.
10.	邹自英, 杨继勇, 朱冰, 等. 大肠埃希菌耐药性分析及生物被膜形成能力研究[J]. 中华医院感染学杂志, 2012, 22(18) :3934-3937.
11.	中华医学会呼吸病学分会感染学组. 2013铜绿假单胞菌下呼吸道感染诊治专家共识[J]. 中华结核和呼吸杂志, 2014, 37(1) :9-15.
12.	谢景超. 老年肺部感染抗菌药物治疗失败原因的论述[J]. 中国感染控制杂志, 2009, 8(2) :73-76.
13.	陈佰义. 抗感染治疗中"降阶梯治疗策略"临床实践的几点思考[J]. 中华内科杂志, 2011, 50(6) :453-455.
14.	中华医学会重症医学分会. 重症患者侵袭性真菌感染诊断与治疗指南(2007) [J]. 中华内科杂志, 2007, 46(11) :960-966.
15.	廖雪莲, 康焰. 重症感染治疗:治菌还是治病[J]. 中华内科杂志, 2015, 54(8) :672-674.

1. 薛晓燕, 王明丽. 临床药师参与2例泛耐药鲍曼不动杆菌感染患者的治疗实践[J]. 中国药房, 2013, 24(34) :3251-3253.
2. 胡晓蕾, 詹世鹏, 王渝, 等. 临床药师参与1例肺部重症感染患者治疗方案的调整[J]. 中国药房, 2013, 24(26) :2491-2494.
3. 李钟勇, 何清华. 临床药师参与158例感染性疾病会诊的调查分析[J]. 中南药学, 2011, 9(7) :552-554.
4. 蔡少华. 重症肺炎的抗生素降阶梯治疗策略和国内的临床实践[J]. 中国药物应用与监测, 2007, 4(2) :1-3.
5. 聂垚, 管向东. 重症感染的初始治疗:"重锤猛击"策略的再认识[J]. 中华内科杂志, 2015, 54(8) :677-679.
6. 裴保香, 龚虹霖. 卡泊芬净和伊曲康唑治疗侵袭性肺部真菌感染的回顾性分析[J]. 中国药物应用与监测, 2012, 9(6) :314-316.
7. 叶晓光, 王若伦, 林红燕, 等. 产超广谱β-内酰胺酶肺炎克雷伯菌、大肠埃希菌耐药谱动态观察[J]. 中华医院感染学杂志, 2004, 14(5) :492-495.
8. Clinical and Laboratory Standards Institute. Performance standards for antimicrobial susceptibility testing; twenty-third informational supplement[S]. CLSI, 2013:M100-S23.
9. 张丽华, 尚谦, 于庆萍. 第三代头孢菌素的用量与大肠埃希菌、肺炎克雷伯菌耐药相关性分析[J]. 中国药师, 2006, 9(3) :260-262.
10. 邹自英, 杨继勇, 朱冰, 等. 大肠埃希菌耐药性分析及生物被膜形成能力研究[J]. 中华医院感染学杂志, 2012, 22(18) :3934-3937.
11. 中华医学会呼吸病学分会感染学组. 2013铜绿假单胞菌下呼吸道感染诊治专家共识[J]. 中华结核和呼吸杂志, 2014, 37(1) :9-15.
12. 谢景超. 老年肺部感染抗菌药物治疗失败原因的论述[J]. 中国感染控制杂志, 2009, 8(2) :73-76.
13. 陈佰义. 抗感染治疗中"降阶梯治疗策略"临床实践的几点思考[J]. 中华内科杂志, 2011, 50(6) :453-455.
14. 中华医学会重症医学分会. 重症患者侵袭性真菌感染诊断与治疗指南(2007) [J]. 中华内科杂志, 2007, 46(11) :960-966.
15. 廖雪莲, 康焰. 重症感染治疗:治菌还是治病[J]. 中华内科杂志, 2015, 54(8) :672-674.

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West China Medical Journal

Analysis on the Therapeutic Scheme for One Case of Refractory Infections with Clinical Pharmacists' Consultation

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