ICU患者万古霉素血药浓度监测与个体化给药方案调整

摘 要 目的：临床药师通过万古霉素血药浓度监测结果，参与制定个体化给药方案。 方法: 监测特殊群体患者万古霉素的血药浓度，根据监测结果以及患者的临床表现，设计个体化给药方案。 结果: 临床药师通过个体化给药方案的调整，提高了疗效，并减少了不良反应的发生，提高了临床合理用药水平。 结论: 临床药师通过个体化的精准药学的实践，更好地服务于临床，为患者提供安全合理的药学服务。

Plasma Concentration Monitoring of Vancomycin in ICU Patients and Individualized Medication Adjustment

ABSTRACT Objective: To monitor vancomycin plasma concentration results by clinical pharmacists in order to participate in individualized medication adjustment. Methods: Clinical pharmacist monitored the blood concentration of vancomycin in special patients, and then designed the individualized medication according to the monitoring results and clinical manifestations of patients. Results: Through the individualized medication adjustment, clinical pharmacist enhanced the efficacy and reduced the incidence of adverse reactions, and improved the level of clinical rational drug use as well. Conclusion:Clinical pharmacist can provide better service for clinics through the practice of individualized precision pharmacy, and reasonable and safe pharmacy service can be provided for patients.