| 摘要: |
| 目的：探讨罕见病原菌的抗感染治疗策略。方法：临床药师通过了解病原菌种属、致病力及常用治疗药物选择，结合1例美洲爱文菌患儿病理生理情况，为临床制定抗感染治疗方案提供建议。结果：临床药师协助医师及时、准确地选用抗菌药物、调整治疗方案，患儿病情好转出院。结论：临床药师从病原菌出发，从药物选择和机体对药物反应角度协助医师制定抗感染方案，发挥临床药师专业优势。 |
| 关键词: 美洲爱文菌 感染性休克 亚胺培南/西司他丁钠 降阶梯治疗 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2022.12.004 |
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| 基金项目: |
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| Anti-Infective Therapy Strategy for a Child with Ewingella Americana |
| Xu Xiaoqian1,2, Li Lixia1 |
| (1. Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China; 2. Anhui Children’s Hospital, Hefei 230031, China) |
| Abstract: |
| Objective: To explore the anti-infective therapy strategy of rare pathogenic bacteria. Methods: Combined with the pathophysiological conditions of a child with Ewingella americana, clinical pharmacists provided suggestions for clinical anti-infective therapy regimen by understanding the species, pathogenicity of pathogenic bacteria and selection of commonly used therapeutic drugs. Results: Clinical pharmacists assisted clinicians in selecting antibiotics timely and accurately and adapting the treatment properly, and the child was discharged from the hospital in a better condition. Conclusion: According to pathogenic bacteria, clinical pharmacists assist clinicians to formulate anti-infective therapy regimen from the perspective of drug selection and the body’s response to drugs, and give full play to the professional advantages of clinical pharmacists. |
| Key words: Ewingella americana septic shock imipenem/cilastatin sodium de-escalation therapy |
