| 137 | 0 | 59 |
| 下载次数 | 被引频次 | 阅读次数 |
报道临床药师参与1例胰十二指肠切除术后并发耐碳青霉烯类肺炎克雷伯菌感染致医院获得性肺炎患者的药学实践。患者,男性,75岁,因“胆管恶性肿瘤9月余,乏力、食欲不佳加重1周”入院。入院后行“根治性胰十二指肠切除术+部分横结肠切除术”,术后抗感染效果欠佳。临床药师根据患者病情,结合国内外指南与循证医学证据,不断调整和优化抗感染治疗方案,最终选用替加环素联合磷霉素钠的抗感染治疗方案。经治疗,患者感染得到了有效控制。
Abstract:[1] CAO Y, GU H Y, HUANG Z D, et al. Impact of enhanced recovery after surgery on postoprative recovery for pancreaticoduodenectomy:pooled analysis of observational study[J]. Front Oncol, 2019, 9:687.
[2]中华医学会呼吸病学分会感染学组.中国成人医院获得性肺炎与呼吸机相关性肺炎诊断和治疗指南(2018年版)[J].中华结核和呼吸杂志, 2018, 41(4):255.
[3] BORTOLOTTIP, DELPIERREC, GUERNRL, et al. High incidence of post operative in fection safter pancreaticoduodenectomy:a need for perioperative anti-infectious strategies[J]. Infect Dis Now, 2021, 51(5):456.
[4]中国医药教育协会感染疾病专业委员会.抗菌药物药代动力学/药效学理论临床应用专家共识[J].中华结核和呼吸杂志, 2018,41(6):409.
[5]国家卫生健康委合理用药专家委员会.国家抗微生物治疗指南(第3版)[M].北京:人民卫生出版社, 2023:21-22.
[6]国家卫生健康委合理用药专家委员会.耐药革兰氏阴性菌感染诊疗手册(第2版)[M].北京:人民卫生出版社, 2022:49-125.
[7]戴维·吉尔伯特.桑福德抗微生物治疗指南(第50版)[M].范洪伟,译.北京:中国协和医科大学出版社, 2021:42-43.
[8]中国碳青霉烯耐药肠杆菌科细菌感染诊治与防控专家共识编写组,中国医药教育协会感染疾病专业委员会,中华医学会细菌感染与耐药防控专业委员会.中国碳青霉烯耐药肠杆菌科细菌感染诊治与防控专家共识[J].中华医学杂志, 2021, 101(36):2850.
[9] RODRíGUEZ-GASCóN A, CANUT-BLASCO A. Deciphering pharmacokinetics and pharmacodynamics of fosfomycin[J]. Rev Esp Quimioter, 2019, 32(Suppl 1):19.
[10] CAMARLINGHI G, PARISIO E M, ANTONELLI A, et al.Discrepancies in fosfomycin susceptibility testing of KPC-producing Klebsiella pneumoniae with various commercial methods[J].Diagn Microbiol Infect Dis, 2019, 93(1):74.
[11] ZENG M, XIA J, ZONG Z Y, et al. Guidelines for the diagnosis,treatment, prevention and control of in fection scaused by carbapenem-resistant gram-negative bacilli[J]. Wei Mian Yu Gan Ran Za Zhi, 2023, 56(4):653.
[12] HUANG L, WANG M Y, SUN L Y. Synergy testing by E-test and microdilution checkerboard for fosfomycin combined with tigecycline against KPC-producing Klebsiella pneumoniae[J].Clin Lab, 2019, 65(12):2369.
[13] NI W T, LI G B, ZHAO J, et al. Use of Monte Carlo simulation to evaluate the efficacy of tigecycline and minocycline for the treatment of pneumonia due to carbapenemase-producing Klebsiella pneumoniae[J]. Infect Dis, 2018, 50(7):507.
基本信息:
DOI:10.19577/j.1007-4406.2024.11.013
中图分类号:R969.3
引用信息:
[1]张凌雄,张玲,柳露云,等.1例胰十二指肠切除术后患者感染耐碳青霉烯类肺炎克雷伯菌的药学实践[J].中国临床药学杂志,2024,33(11):863-866.DOI:10.19577/j.1007-4406.2024.11.013.
2024-11-25
2024-11-25