摘要
报告1例全身多处脓肿患者,临床药师根据患者的病史和职业特点,初步判断疑似诺卡菌感染,在延长培养时间后获得阳性结果,使患者得以确诊。在缺乏药物敏感试验指导的基层医疗机构,药师通过广泛查阅文献,选择复方磺胺甲噁唑片作为主要治疗药物,并根据患者病情调整为复方磺胺甲噁唑片联合亚胺培南西司他丁钠,治疗10 d后,患者病情恢复出院。在基层医疗机构,重视和发现提示罕见病的临床线索,充分复习文献,医师和药师密切配合,根据患者病情随时调整治疗方案,才能为患者争取最好的临床结局。
For a patient with multiple abscesses,the clinical pharmacist preliminarily judged that the patient was suspected of Nocardia infection according to the patient’s medical history and occupational characteristics.Positive results were obtained after extended culture time,allowing the patient to be confirmed.In primary medical institutions lacking the guidance of drug sensitivity tests,pharmacists selected Compound Sulfamethoxazole Tablets as the main treatment drug through extensive literature review,and adjusted it to Compound Sulfamethoxazole Tablets combined with Imipenem and Cilastatin Sodium according to the patient’s condition.After 10 days of treatment,the patient recovered and was discharged from hospital.In primary medical institutions,the best clinical outcome can only be achieved by discovering clinical clues indicated rare diseases,fully reviewing literatures,closely cooperating with clinicians and pharmacists,adjusting treatment plans at any time according to patients’conditions.
作者
李艳
李静
常群
刘启迪
LI Yan;LI Jing;CHANG Qun;LIU Qi-di(Department of Pharmacy,Linquan People's Hospital,Anhui Fuyang 236400,China)
出处
《临床药物治疗杂志》
2022年第5期84-86,共3页
Clinical Medication Journal
关键词
皮肤脓肿
脑脓肿
诺卡菌
复方磺胺甲噁唑片
dermapostasis
brain abscesses
Nocardia
Compound Sulfamethoxazole Tablets
