临床药师参与1例恶性外耳道炎伴糖尿病肾病患者诊疗的实践体会

Pharmaceutical Practice of Clinical Pharmacist Participating in Diagnosis and Treatment for One Patient of Malignant Otitis Externa with Diabetic Nephropathy

关键词:  恶性外耳道炎  抗感染治疗  糖尿病肾病  药学实践

Key words:  malignant otitis externa  anti-infective treatment  diabetic nephropathy  pharmaceutical practice

摘要:

目的 探讨临床药师参与肾功能不全严重感染患者的药学实践模式，保障患者抗感染治疗安全有效。方法 临床药师通过参与1例恶性外耳道炎伴糖尿病肾病患者的诊疗，结合细菌流行病学和药学特点调整抗菌药物，同时评估了患者的肾功能和药物相互作用，积极处理了治疗的矛盾。结果 临床药师实施的药学监护和对抗感染治疗方案的优化使患者得到了有效的抗感染治疗，病情得到有效控制。结论 临床药师通过对患者开展个体化药学监护，保障患者用药安全性，促进合理用药。

Abstract:

OBJECTIVE To ensure the safety and effectiveness of anti-infection treatment, the pharmaceutical practice model on clinical pharmacist participating in diagnosis and treatment for severely infected patient with renal insufficiency was discussed. METHODS Through participating in the diagnosis and treatment of one case of malignant otitis externa with diabetic nephropathy, clinical pharmacist adjusted antibiotics according to bacterial epidemiology and pharmacology, assessed kidney function and drug interactions, and dealt with the contradictions of treatment actively. RESULTS The pharmaceutical care and optimization of the anti-infection treatment program implemented by the clinical pharmacist made the patient get the effective anti-infection treatment and improvement of condition. CONCLUSION Clinical pharmacist can ensure safety usage and promote clinical rational drug use by providing individualized pharmaceutical care.