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目的:总结本院药师在术后感染会诊方面的实践经验和体会,供临床药学工作者参考。方法:结合本院临床药师参与会诊的典型术后感染病例,分析术后感染的及时诊断、个体化的抗菌药物应用和疾病的转归,总结术后感染药师会诊的经验。结果:判断术后发热是否是感染性发热,是药学会诊的关键点和难点;早期准确的判断感染部位,是药学会诊经验性用药的重要依据;及时评价术后感染程度、调整治疗方案,是降低死亡率的重要措施;临床药师应结合患者的具体情况,制订个体化抗感染治疗方案;掌握药品的特点,监测患者相关指标的动态变化,关注患者的用药安全,制订个体化药学监护计划。结论:复杂的术后感染要及时地控制,不仅需要对致病菌正确的判断和合理的应用抗菌药物,还需要对患者术中及术后病情变化正确的分析、判断和评估,在个体化的药学监护下应用安全、有效、合理的抗菌方案。
Objective: To summarize the practical experience and understanding of the hospital pharmacists in postoperative infection consultation for the reference of clinical pharmacy workers. Methods: Combined with the typical cases of postoperative infection in our clinic, the timely diagnosis of postoperative infection, the application of antimicrobial agents and the prognosis of the disease were analyzed. The experience of postoperative infection consultation by pharmacists was summarized. Results: To determine whether the postoperative fever is infectious fever is the key point and difficult point of the pharmacy consultation. Early accurate diagnosis of the infected site is an important basis for the empirical medication of the pharmacy consultation. Timely evaluation of the postoperative infection and adjustment of the treatment plan are Reduce the mortality rate of important measures; clinical pharmacists should be combined with the specific circumstances of patients, develop individualized anti-infective treatment programs; master the characteristics of drugs, monitoring of patient-related indicators of dynamic changes, concerned about the patient’s drug safety, develop individualized pharmacy care plan. Conclusion: The complicated postoperative infection should be controlled in time. It not only needs the correct judgment of pathogens but also the rational use of antimicrobial agents. It also requires the correct analysis, judgment and assessment of the patients’ intraoperative and postoperative changes. The application of drug safety, effective, rational antibacterial program.