Participation of Clinical Pharmacists in Pharmaceutical Care for a Child with Subglottic Talaromyces marneffei Infection
返回论文页
|更新时间:2022-06-21
|
Participation of Clinical Pharmacists in Pharmaceutical Care for a Child with Subglottic Talaromyces marneffei Infection
China PharmacyVol. 31, Issue 12, (2020)
作者机构:
作者简介:
基金信息:
DOI:
CLC:
Published:2020,
扫 描 看 全 文
CHEN Yinqing, WU Weizhe, HE Yanling, et al. Participation of Clinical Pharmacists in Pharmaceutical Care for a Child with Subglottic Talaromyces marneffei Infection. [J]. China Pharmacy 31(12).(2020)
DOI:
CHEN Yinqing, WU Weizhe, HE Yanling, et al. Participation of Clinical Pharmacists in Pharmaceutical Care for a Child with Subglottic Talaromyces marneffei Infection. [J]. China Pharmacy 31(12).(2020)DOI:
Participation of Clinical Pharmacists in Pharmaceutical Care for a Child with Subglottic Talaromyces marneffei Infection
OBJECTIVE:To investigate the role of clinical pharmacists on the individualized treatment of children with subglottic Talaromyces marneffei infection. METHODS :The clinical pharmacists participated in the medication procedure for a case of subglottic T. marneffei infection child . The clinical pharmacists suggested that Budesonide suspension for inhalation should be stopped,according to the subglottic infection pathogen type (T. marneffei );Itraconazole oral solution should be chosen and taken orally 2.5 mg/kg,q12 h,and indicators as liver function ,blood potassium should be monitored regularly. However ,as Itraconazole oral solution needed to be applied for temporary purchase ,Itraconazole capsules 2.5 mg/kg,q12 h,p.o.,was administrated temporarily ;clinical pharmacists suggested that Itraconazole capsules should be taken after meal ,and the doctor changed the feeding mode of milk from q 4 h to continuous pumping. After purchased ,Itraconazole oral solution was used instead 2.5 mg/kg,q12 h in fasting state ,and according the clinical pharmacist ’s suggestion ,the doctor changed the nursing method to q 4 h milk pumping. After purchasing and using oral solution instead ,clinical pharmacists suggested taking it at fasting state ;according to the monitoring results and target range (0.5-1 mg/L),oral dose of Itraconazole oral solution was finally adjusted to 8.3 mg/kg, q12 h. In view of the diarrhea during the treatment ,clinical pharmacists suggested to continue the original treatment after considering the effectiveness and importance of the treatment ;at the same time ,discharge medication education should be carried out. RESULTS : The doctors adopted the suggestions of the clinical pharmacists. The child got a clinical improvement and was discharged after 48 days. CONCLUSIONS :Clinical pharmacists participate in the treatment of children with T. marneffei infection,timely assist physicians to adjust and improve the medication regimen ,which improve the efficacy and safety of medication for children.
关键词
临床药师儿童声门下狭窄马尔尼菲蓝状菌感染药学监护
Keywords
Clinical pharmaci stChildSubglottic stenosisTalaromyces marneffei infectionPharmaceutical care
Participation of clinical pharmacists in pharmaceutical care for a patient with Mycobacterium abscess infection after the resection of intervertebral schwannoma
1例乳腺癌合并静脉血栓栓塞患者的抗凝方案优化
临床药师参与1 例高龄患者治疗的药物重整
1例急性肺栓塞合并肝功能不全患者的抗凝药学监护
1例NK/T细胞淋巴瘤伴糖尿病患者的药学监护
Related Author
WU Yanyan
WANG Can
YANG Xinwei
KONG Wenqiang
HU Xuelian
LI Chenlu
PAN Hongming
SHEN Lirong
Related Institution
Dept. of Pharmacy, Second Affiliated Hospital, Army Medical University
Dept. of Pharmacy, Chongqing Health Center for Women and Children/Women and Children’s Hospital of Chongqing Medical University