Participation of clinical pharmacists in pharmaceutical care for a patient with Mycobacterium abscess infection after the resection of intervertebral schwannoma
- VernacularTitle:临床药师参与1例椎间神经鞘瘤切除术后脓肿分枝杆菌感染的药学监护
- Author:
Yanyan WU
1
,
2
;
Can WANG
1
;
Xinwei YANG
1
;
Wenqiang KONG
1
;
Xuelian HU
1
Author Information
1. Dept. of Pharmacy，Second Affiliated Hospital，Army Medical University，Chongqing 400037，China
2. Dept. of Pharmacy，Chongqing Health Center for Women and Children/Women and Children’s Hospital of Chongqing Medical University，Chongqing 401147，China
- Publication Type:Journal Article
- Keywords:
clinical pharmacist;
Mycobacterium abscess;
skin;
soft tissue;
infection;
ADR;
pharmaceutical care
- From:
China Pharmacy
2022;33(18):2277-2280
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To provide ideas for pharmaceutical care of Mycobacterium abscess infection. METHODS The diagnosis and treatment plan ，about a patient with M. abscess infection after resection of intervertebral neurilemmoma participated by clinical pharmacists ，was analyzed . According to the results of bacterial culture and drug sensitivity test of wound secretion ，the clinical pharmacist timely dealed with the adverse drug reactions during the treatment . For the tinnitus caused by the patient taking amikacin（0.4 g，intravenous drip ，q12 h），it was suggested to stop amikacin and replace it with linezolid ；however，the patient suffered from knee pain after taking linezolid . The clinical pharmacist once again suggested stopping linezolid ，continuing to use amikacin，and adjusting the dose to 0.8 g，intravenous drip ，q24 h；at the same time ，the patients were given medication guidance and ordered to have regular follow -up after discharge . RESULTS The physicians adopted the suggestions of clinical pharmacists ， and the patient did not suffer from tinnitus ，knee pain and other discomfort ，and the liver and kidney functions were normal . CONCLUSIONS Clinical pharmacists timely assist clinicians to adjust the medication plan ，which improves the effectiveness and safety of patients ’medication.
