关键词: 临床药师, 中间葡萄球菌, 鲍曼不动杆菌, 痰培养

Abstract:

AIM: To provide reference for clinical rational use of drugs, clinical pharmacists carried out pharmaceutical care for a patient misdiagnosed as methicillin-resistant Staphylococcus intermedius pulmonary infection.  METHODS: Pharmaceutical consultation and care on the patient with sputum culture and drug sensitivity test of methicillin-resistant Staphylococcus intermedius came into effects by analyzing and estimating the presence and degree of infection, the possible pathogens, the antimicrobial resistance, the empirical therapy, the goal-directed therapy, the monitoring of adverse drug reactions and the guidance to the patient. RESULTS: The results of multiple cultures suggested that the possible pathogen was multi-drug-resistant Acinetobacter baumannii. The symptoms and laboratory parameters of the patient were improved after dosage regimen of antimicrobial, and meanwhile no adverse drug reactions occurred. CONCLUSION: Clinical pharmacists participating in pharmaceutical care should not only have a solid knowledge of pharmaceutical knowledge professionally, but also should grasp the methods of relevant clinical diagnosis and the analysis abilities of laboratory testing results. This can provide better guidance to the clinical treatments.

Key words: clinical pharmacists, Staphylococcus intermedius, Acinetobacter baumannii, sputum culture