| 引用本文: | 王凤飞,朱剑萍.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[J].中国现代应用药学,2019,36(22):2828-2831. |
| WANG Fengfei,ZHU Jianping.Pharmaceutical Practice of Clinical Pharmacist Participating in Diagnosis and Treatment for One Patient of Malignant Otitis Externa with Diabetic Nephropathy[J].Chin J Mod Appl Pharm(中国现代应用药学),2019,36(22):2828-2831. |
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| 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。 |
| 关键词: 恶性外耳道炎 抗感染治疗 糖尿病肾病 药学实践 |
| DOI：10.13748/j.cnki.issn1007-7693.2019.22.016 |
| 分类号:R969.3 |
| 基金项目:浙江省教育厅科研项目（Y201738864）；浙江省自然科学基金/省药学会联合基金（LYY18H310005） |
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| Pharmaceutical Practice of Clinical Pharmacist Participating in Diagnosis and Treatment for One Patient of Malignant Otitis Externa with Diabetic Nephropathy |
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WANG Fengfei1, ZHU Jianping2
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1.Pharmacy Department, Xixi Hospital of Hangzhou, Hangzhou 310023, China;2.Pharmacy Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China
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| 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. |
| Key words: malignant otitis externa anti-infective treatment diabetic nephropathy pharmaceutical practice |
