临床药师参与1例听神经瘤切除术后颅内感染患者的药学监护
Clinical Pharmacists’ Participation in the Pharmaceutical Care of a Patient with Intracranial Infection after Acoustic Neuroma Resection

临床药师参与1例听神经瘤切除术后颅内感染患者抗感染的治疗。临床药师通过判断患者的感染部位、感染严重程度、可能致病菌，抗菌药物的药代学药动学特点、抗菌谱等制定初始治疗方案，并在治疗过程中动态评估抗感染疗效，及时更换抗感染治疗方案。医师采用临床药师的用药建议后，患者感染得到有效控制，病情好转出院。在整个治疗过程中，临床药师参与到治疗团队中，及时提供用药建议和调整用药方案，保证患者用药的安全性和有效性。
Clinical pharmacist participated in anti-infection treatment of a patient with intracranial infection after acoustic neuroma resection. The pharmacists observed the efficacy of the drugs, and formu-lated the initial treatment plan according to the common pathogenic bacteria at the infection site, the pharmacokinetics and pharmacokinetics of antibiotics. Physicians use clinical pharmacist’s ad-vice, effectively control the progress of the disease, the patient improved and discharged. The par-ticipation of clinical pharmacists in clinical treatment teams can timely assist physicians to adjust and improve medication regimens, which is conducive to improving the effectiveness and timeli-ness of medication for patients.