| 摘要: |
| 目的：探讨临床药师为多重耐药弗劳地枸橼酸杆菌感染患儿提供药学服务的意义。方法：通过药师参与1例由弗劳地枸橼酸杆菌引起的血流感染患儿的治疗过程，讨论弗劳地枸橼酸杆菌多重耐药的抗感染策略，并进行充分的药学监护。结果：弗劳地枸橼酸杆菌多重耐药应选择敏感的抗菌药物治疗方案，严密监测可能发生的不良反应。该患儿应用阿米卡星治疗后体温恢复正常，复测血培养阴性，预后良好。结论：临床药师全程参与该患儿抗感染方案的制定，优化了治疗方案，提高了临床治疗的有效性和安全性，体现了药师的价值。 |
| 关键词: 儿童 碳青霉烯 弗劳地枸橼酸杆菌 血流感染 药学服务 |
| DOI：doi:10.13407/ j.cnki.jpp.1672-108X.2019.10.012 |
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| 基金项目: |
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| Pharmaceutical Care for One Child with Congenital Heart Disease Infected with Multi-Drug Resistant Citrobacter Freundii after Surgery |
| 周明媛，姜丽 |
| (江苏省徐州市中心医院，江苏徐州 221009) |
| Abstract: |
| Objective: To investigate the significance of clinical pharmacists in providing pharmaceutical care for one child infected with multi-drug resistant Citrobacter freundii. Methods: The clinical pharmacists participated in the treatment of a child with bloodstream infection caused by multi-drug resistant C. freundii, discussed the anti-infective strategy of multi-drug resistant C. freundii, and conducted the pharmaceutical care. Results: The treatment of multi-drug resistant C. freundii should choose sensitive antibiotic treatment programs to closely monitor possible adverse drug reactions. After the treatment with amikacin, the body temperature returned to the normal level and the blood culture was negative with favorable prognosis. Conclusion: Clinical pharmacists participate into the formulation of anti-infection programs for the child, optimize the treatment programs and improve the effectiveness and safety of clinical treatment, which reflects the value of clinical pharmacists. |
| Key words: children carbapenem Citrobacter freundii bloodstream infection pharmaceutical care |
