摘要
1例31岁男性因反复发热伴头痛及左足背红肿发热入医院治疗,完善相关检查后考虑感染性心内膜炎合并颅内感染及左足蜂窝组织炎。给予万古霉素+头孢曲松抗感染治疗,用药后感染控制不佳,临床药师根据万古霉素血药浓度监测结果及合并用药情况分析疗效不佳的原因,协助临床医生调整用药方案,并在用药期间对疗效及不良反应进行监护,最后取得良好治疗效果。
A 31 year old male patient was admitted to hospital because of recurrent fever with headache and left foot redness,swelling and fever.After improving the relevant examination,infectious endocarditis complicated with intracranial infection and left foot cellulitis were considered.Giving vancomycin and ceftriaxone anti-infection treatment,but the infection control was poor.Clinical pharmacists analyzed the causes of poor curative effect according to the monitoring results of vancomycin blood concentration and combined medication,assist clinicians to adjust medication plan,and monitored effect and adverse reactions.Finally,good therapeutic effect was achieved.
作者
周安琴
张登亮
ZHOU Anqin;ZHANG Dengliang(The Affiliated Traditional Chinese medicine Hospital of Southwest Medical University,Luzhou Sichuan 646000,China;Luzhou People's Hospital,Luzhou Sichuan 646000,China)
出处
《药品评价》
CAS
2022年第7期431-433,共3页
Drug Evaluation
关键词
药学服务
感染性心内膜炎
万古霉素
头孢曲松
用药监护
Pharmaceutical services
Infective endocarditis
Vancomycin
Ceftriaxone
Medication monitoring
