2017 年第 11 期 第 12 卷

临床药师参与糖尿病伴颈部疖痈感染患者个体化药学监护的优势

Advantage of individualized pharmaceutical care interfered by clinical pharmacists in diabetic patient with furuncle and carbuncle of neck infection

作者：陈爱芳，陈东，廖婧，郭丹丹，徐静，周旭

英文作者：Chen Aifang Chen Dong Liao Jing Guo Dandan Xu Jing Zhou Xu

单位：102209北京王府中西医结合医院药剂科（陈爱芳、廖婧、郭丹丹、徐静、周旭），心内科（陈东）

英文单位：Department of Pharmacy Beijing Royal Integrative Medicine Hospital Beijing 102209 China(Chen AF Liao J Guo DD Xu J Zhou X); Department of Cardiology Beijing Royal Integrative Medicine Hospital Beijing 102209 China(Chen D)

关键词：糖尿病；疖痈感染；耐甲氧西林金黄色葡萄球菌；合理用药；药学监护

英文关键词：Diabetesmellitus;Furuncleandcarbuncleinfection;Methicillin-resistantstaphylococcusaureus;Rationaldruguse;Pharmaceuticalcare

• 摘要：

• 目的  探讨临床药师参与糖尿病伴颈部疖痈感染患者个体化药学监护的优势。方法  临床药师通过参与1例糖尿病继发颈部疖痈耐甲氧西林金黄色葡萄球菌感染患者的诊治过程，对初始治疗方案进行评估，协助医师分析病例特点、调整用药方案，并全程对患者用药进行监护。结果  患者糖尿病伴颈部疖痈感染治疗有效、合理，感染得到控制，空腹及餐后血糖基本达标，临床药师通过协助医师制定治疗方案，实施药学监护，为临床提供了合理用药建议。结论  临床药师参与药物治疗方案的制定与评价，为临床提供药学服务，为患者提供了有效合理的个体化用药方案。

• Objective To explore the advantage of individualized pharmaceutical care interfered by clinical pharmacist in diabetic patient with furuncle and carbuncle of neck infection. Methods One case of diabetes complicated with furuncle and carbuncle of neck infected by methicillin-resistant staphylococcus aureus was treated with individualized pharmaceutical care. On the basis of comprehensive treatments, pharmacists evaluated the initial medication regimen and suggested adjustments according to clinical features of the case. Results Clinical pharmacists provided assistance to clinicians in effective and rational treatments for diabetes with furuncle and carbuncle of neck infection. Infection in the patient was under control; fasting and postprandial blood glucose reached the standards. Conclusion Clinical pharmacists make rational drug use suggestions in clinical practice of individualized pharmaceutical care.