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目的:通过临床药师对1例脑室造瘘术后颅内感染患者实施药学服务的过程,探讨临床药师参与抗感染治疗与开展药学监护的方法。方法:针对具体病例从药物选择、给药剂量、不良反应监测等方面,为患者制定个体化治疗方案,并进行药学监护。结果:本次药学监护取得明显效果,提高了临床药物治疗水平。结论:临床药师参与抗感染个体化治疗方案的制定,深入临床直接面向患者提供药学服务,开展药学监护,可避免药物不良反应的发生,提高医疗质量。
OBJECTIVE: To investigate the clinical pharmacists’ participation in the anti-infective therapy and the pharmacy guardianship through one pharmacy service for patients with intracranial infection after ventricular fistulation. Methods: According to the specific cases of drug selection, dose, adverse reaction monitoring, the development of individualized treatment programs for patients, and for drug monitoring. Results: The Pharmacokinetic Obtaining significant effect, improve the level of clinical drug treatment. Conclusion: The clinical pharmacists are involved in the development of an individualized anti-infective treatment plan. They provide in-depth clinical services to patients directly and provide pharmacy care to avoid adverse drug reactions and improve the quality of medical care.