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1 例复杂性泌尿道多重耐药肺炎克雷伯菌感染患儿的药学监护
杨琪琪1,2,张志清2,赵一鸣1,王晓玲1
0
((1. 首都医科大学附属北京儿童医院,北京 100045;2. 河北医科大学第二医院,石家庄 050000))
摘要:
目的:总结并分享临床药师参与治疗儿童复杂性泌尿道多重耐药肺炎克雷伯菌感染的经验。方法:临床药师积极参与 1 例泌尿道多重耐药(产超广谱β-内酰胺酶、丝氨酸碳青霉烯酶) 肺炎克雷伯菌感染患儿的抗感染治疗过程,提供抗菌药物选 择、调整建议以及药学监护服务。结果:临床药师协助临床医师控制了患儿感染,患儿病情好转出院。结论:临床药师在临床工 作中应主动配合治疗团队,利用自身专业优势,促进临床合理用药以取得更好疗效,缩短患儿住院时间。
关键词:  肺炎克雷伯菌  泌尿道感染  超广谱β-内酰胺酶  耐碳青霉烯酶  阿米卡星
DOI:doi:10.13407/j.cnki.jpp.1672-108X.2023.02.003
基金项目:
Analysis of Drug Use in the Treatment of a Child with Complex Urinary Tract Infection Caused byKlebsiella Pneumoniae
Yang Qiqi1, 2, Zhang Zhiqing2, Zhao Yiming1, Wang Xiaoling1
((1. Beijing Children’s Hospital Affiliated to Capital Medical University, Beijing 100045, China; 2. The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China))
Abstract:
Objective: To summarize the anti-infective drug use process of clinical pharmacists participating in the clinical treatment of complex urinary tract infection with Klebsiella pneumoniae. Methods: A child with urinary tract infection caused by Klebsiella pneumoniae (extended spectrum beta-lactamases, serine carbapenemase) was treated by clinical pharmacists, who actively participated in the selection of antibiotics, the adjustment of antibiotics and pharmaceutical care. Results: The clinical pharmacist assisted the clinician to control the infection of the child, and the child was discharged after improvement. Conclusion: Clinical pharmacists should actively cooperate with the treatment team in clinical work, and make use of their own professional advantages to promote clinical rational drug use, obtain better therapeutic effects and shorten the hospitalization time of the patient.
Key words:  Klebsiella pneumoniae  urinary tract infection  extended spectrum beta-lactamase  carbapenemase-resistant  amikacin

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