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目的为临床药师参与肾功能不全患者抗感染治疗的药学监护提供参考。方法通过参与1例腹膜透析相关性腹膜炎患者的药学治疗实践,临床药师根据患者的病情提供合理性建议,对患者神经系统药物不良反应进行药学监护等。结果与结论患者腹膜透析相关性腹膜炎得到了有效地控制,药物不良反应症状消失,好转出院。对于肾功能不全患者,临床药师应该格外关注药物选择、药物剂量调整和相关药物不良反应,从而保障患者合理用药。
Objective To provide a reference for clinical pharmacists to participate in the pharmacovigilance of anti-infective therapy in patients with renal insufficiency. Methods By participating in one case of peritoneal dialysis-related peritonitis in patients with the practice of pharmacotherapy, clinical pharmacists according to the patient’s condition to provide reasonable advice on the patient’s neurological adverse drug reactions such as drug monitoring. RESULTS AND CONCLUSIONS Peritoneal dialysis-related peritonitis was effectively controlled and symptoms of adverse drug reactions disappeared and was discharged. For patients with renal insufficiency, clinical pharmacists should pay special attention to drug selection, drug dose adjustment and related adverse drug reactions, thus ensuring the rational use of drugs in patients.