| 摘要: |
| [摘要]目的：分析临床药师对1例婴儿肝移植术后抗感染治疗的药学监护，提高临床药学监护水平。方法：临床药师对2019年11月复旦大学附属儿科医院收治的1例肝移植术后婴儿进行抗感染用药分析与监护。结果：患儿治疗期间予以抗细菌、抗真菌、抗病毒药物等一系列防治措施。因患儿出现反复发热，考虑感染控制不佳，正确调整抗感染药物后，患儿体温、肝功能恢复正常，预后良好，出院。结论：婴儿肝移植术后因免疫功能低下且同时服用免疫抑制剂，常常诱发各种感染，治疗过程中需要多药联用，并根据临床症状及检查结果调整治疗方案，以保障婴儿肝移植后的生命安全。 |
| 关键词: 婴儿 肝移植 抗感染 药学监护 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2022.05.005 |
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| 基金项目: |
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| Pharmaceutical Care for an Infant with Anti-Infective Medication after Liver Transplantation by Clinical Pharmacists |
| Han Long1,2, Zhang Junqi1, Yan Meixing2, Li Zhiping1 |
| (1. Children’s Hospital of Fudan University, Shanghai 201102, China; 2. Qingdao Women and Children’s Hospital, Shandong Qingdao 266000, China) |
| Abstract: |
| [Abstract] Objective: To analyze the pharmaceutical care for an infant with anti-infective medication after liver transplantation by clinical pharmacists, so as to improve the level of clinical pharmaceutical care. Methods: Clinical pharmacists analyzed and monitored the anti infective medication of an infant after liver transplantation in the Children’s Hospital of Fudan University in Nov. 2019. Results: During the treatment, the infant was given antibacterial, antifungal, and antiviral drugs. Due to recurrent fever, poor infection control was considered. After correct adjustment of anti-infective drugs, the body temperature and liver function of the infant returned to the normal state, and the infant was discharged with good prognosis. Conclusion: After liver transplantation for infants, due to the low immune function and concurrent use of immunosuppressive agents, various infections are easily induced. During the treatment process, multiple drugs should be used in combination, and the treatment regimen should be adjusted according to clinical symptoms and examination results to ensure the safety of infants after liver transplantation. |
| Key words: infants liver transplantation anti-infection pharmaceutical care |
