糖尿病合并耐甲氧西林葡萄球菌菌血症患者用药监护1例

目的:通过临床药师对1例糖尿病合并耐甲氧西林葡萄球菌感染患者实施药学监护的过程,探讨此类患者药学监护要点及药师在临床药物治疗中发挥的作用。方法:针对患者病情,协助医师根据药敏结果为患者制定有效的治疗方案,调整注射用盐酸万古霉素的给药剂量,关注患者使用利奈唑胺注射液后出现的不良反应,提出合理的药学监护措施,对患者血糖进行监控并提供健康教育计划。结果:患者经过抗感染及降糖治疗后,感染与血糖均得到有效控制,同时利奈唑胺注射液引起的血小板减少也得到恢复,患者病情稳定出院。结论:临床药师参与个体化给药方案的制定,进行必要的药学监护,对于临床规范、合理用药具有重要意义。

Pharmaceutical Care for a Patient with Diabetes Mellitus Complicated with MRS-Infection

Objective： To ifnd out the role of clinical pharmacists in the pharmaceutical care for a diabetes mel itus complicated with MRS-infected patient. Methods： In the light of the speciifc case, clinical pharmacists assisted physicians formulating the care regimen of the patient including providing suitable pharmaceutical care based on the drug dose adjustment of vancomycin, concerning about the adverse drug reaction induced by linezolid, monitoring blood sugar and providing health education program during the treatment process. Reslts： Because of the effective anti-infection and hypoglycemic treatment, the infection and blood glucose level of the patient were control ed. The reduced platelet count also has been restored. Conclusion： The participation of clinical pharmacists in individualized dose regimen can make pharmaceutical therapy more normative and reasonable.