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目的通过对1例系膜增生性肾小球肾炎合并卡氏肺孢子菌肺炎患者的用药监护及用药分析,探讨临床药师参与药物治疗和开展药学监护的方法。方法临床药师对患者进行全程药学监护,分别对帕尼培南倍他米隆及复方磺胺甲口恶唑、卡泊芬净和免疫抑制剂的应用加以分析,探讨药师参与临床药物治疗方案的切入点。结果医师采纳药师部分用药建议,患者病情得到缓解。结论临床药师与医师密切合作,对患者进行药学监护,有利于及时提出个体化的治疗建议,提高药物治疗的水平。
Objective To investigate the clinical pharmacists’ participation in drug treatment and pharmacy monitoring through the analysis of drug administration and medication analysis in 1 case of mesangial proliferative glomerulonephritis combined with pneumocystis carinii pneumonia. Methods The clinical pharmacists conducted full-time pharmacy care for the patients, analyzed the application of panipenem, telmismelamine, sulfamethoxazole, caspofungin, and immunosuppressive agents respectively, and discussed the participation of pharmacists in clinical drug treatment point. The results of the pharmacist to take part of the medication recommendations, the patient’s condition has been alleviated. Conclusion Clinical pharmacists and doctors work closely with patients on pharmacy care, which is conducive to the timely submission of individualized treatment recommendations to improve the level of drug treatment.