Case Analysis of Participation of Clinical Pharmacists in Anti-infective Treatment for a Case of Septic Shock Induced by Intrauterine Infection
10.6039/j.issn.1001-0408.2018.04.29
- VernacularTitle:临床药师参与1例宫内感染致脓毒性休克患者的抗感染治疗病例分析
- Author:
Yanyan LI
1
;
Jing LENG
;
Zhi'e FANG
;
Yalin YANG
;
Junda WANG
Author Information
1. 重庆市中医院药剂科
- Keywords:
Septic shock;
Intrauterine infection;
Anti-infective treatment;
Clinical pharmacists
- From:
China Pharmacy
2018;29(4):553-556
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE: To explore the role of clinical pharmacists in anti-infective treatment for the patient with septic shock induced by intrauterine infection. METHODS: Clinical pharmacists participated in anti-infective treatment for a patient with septic shock induced by intrauterine infection, and assisted physicians to formulate empirical anti-infective treatment, determine that Escherichia coli was pathogenic bacteria and analyze the causes of fluctuations in body temperature. According to the patient's disease condition and results of assistant examination, clinical pharmacists suggested using Imipenem and cilastatin sodium for injection 1. 0 g, ivgtt, q6 h, stopping Teicoplanin for injection, de-escalation using Cefoxitin sodium for injection 2. 0 g, ivgtt, q8 h for anti-infective treatment, with oral sequential therapy. RESULTS: Physicians adopted most advice of pharmacists. After 30 d anti-infective and symptomatic treatment, the patients symptoms were better than before, and discharged from the hospital. CONCLUSIONS: Clinical pharmacists participate in formulating individual anti-infective treatment regimen, so as to promote the rational use of antibiotics and improve the response rate and success rate of treatment.
