Pharmaceutical Consultation Practice for One Case of Rapidly by Growing Mycobacteria Bloodstream Infections
- VernacularTitle:1例快速生长分枝杆菌血流感染的药学会诊实践
- Author:
Tao ZHANG
;
Liangliang HONG
;
Yunchen ZHANG
;
Yan FEI
- Keywords:
Clinical pharmacists;
Rapidly growing mycobacteria;
Bloodstream infection;
Consultation
- From:
China Pharmacist
2017;20(7):1268-1270
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the diagnosis and treatment of rapidly growing mycobacteria bloodstream infections.Methods: Based on the two pharmaceutical consultation practice for one case of rapidly growing mycobacteria bloodstream infections after fracture operation, the paper summarized and analyzed the problems in different stages of treatment.Results: The first consultation optimized the dosage of vancomycin according to the patient''s serum concentration and creatinine clearance rate.The second consultation suggested doctors actively perform anti-infection treatment for rapidly growing mycobacteria after the patient''s clinical symptoms and examination results were improved significantly.It is recommended to withdraw anti TB drugs, and the use of clarithromycin combined with amikacin was suitable.The patient was discharged with improved health conditions.Conclusion: Positive intervention and correct diagnosis are the keys for the successful treatment of suspected or definite mycobacteria infection in surgical sites.
