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1例金黄色葡萄球菌全身播散性感染患儿的药学监护OA

Pharmaceutical Care for a Pediatric Patient with Systemic Disseminated Staphylococcus aureus Infection

中文摘要英文摘要

目的 探讨临床药师对金黄色葡萄球菌(SA)血源性感染导致骨髓炎、肺炎及中枢神经系统受累患儿的药学监护.方法 临床药师参与 1 例 13 岁 SA 全身播散性感染男患儿的诊疗,通过治疗药物监测、感染部位药动学/药效学分析等策略优化抗感染治疗,协助临床医师制订个体化治疗方案.结果 临床医师采纳药师建议,患儿感染控制良好,无明显不良反应发生,病情好转出院.结论 临床药师实施重症感染患儿的全流程药学监护,可为临床药物治疗的有效性与安全性提供重要保障.

Objective To explore the pharmaceutical care provided by clinical pharmacists for pediatric patient with osteomyelitis,pneumonia,and central nervous system involvement caused by hematogenous Staphylococcus aureus(SA)bloodstream infections.Methods Clinical pharmacists were actively involved in the diagnosis and treatment of a 13-year-old male pediatric patient with disseminated systemic SA infection.Anti-infective therapy was optimized via therapeutic drug monitoring(TDM)and pharmacokinetic/pharmacodynamic(PK/PD)analysis of antibiotics at infection sites,and pharmacists collaborated with clinicians to develop individualized treatment plans.Results The physician implemented the pharmacist's recommendations.The patient's infection was satisfactorily controlled without obvious adverse drug reactions,resulting in successful hospital discharge.Conclusion By providing comprehensive pharmaceutical care throughout the entire treatment course for patients with severe infections,clinical pharmacists ensured the therapeutic efficacy and safety of antimicrobial therapy,serving as a critical safeguard for clinical outcomes.

覃娴雅;龚文婷

湖北省妇幼保健院药学部,武汉 430070湖北省妇幼保健院药学部,武汉 430070

医药卫生

治疗药物监测药学监护金黄色葡萄球菌全身播散性感染

Therapeutic drug monitoringPharmaceutical careStaphylococcus aureusDisseminated infection

《医药导报》 2026 (9)

1523-1529,7

10.3870/j.issn.1004-0781.2026.09.006

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