The clinical pharmacist participated in the treatment process of catheter-related bloodstream infection (CRBSI) in a patient with the antimicrobial allergy. Based on the previous drug allergy history and the actual hospital drug reserve, high dose of tigecycline (first dose 200 mg, 100 mg, q12h maintenance) combined with fosfomycin (1 g, bid) for empirical anti-CRBSI treatment was recommended with the patient's consent, and the clinician adopted this opinion. Then the infection was effectively controlled and the condition was discharged. Through consultation, clinical pharmacists assisted doctors to develop individualized treatment plans, provided precise pharmaceutical monitoring services for patients, and provided reference for the safe, effective and rational use of antibiotics for special groups such as allergic patients.
1.吕倩, 赖晓全, 魏诗晴, 等. 应用精细化防控措施降低中心静脉导管相关血流感染发病率[J]. 中国感染控制杂志, 2022, 21(4): 363-367. [Lyu Q, Lai XQ, Wei SQ, et al. Application of precise prevention and control measures in reducing incidence of central venous catheter-related bloodstream infection[J]. Chinese Journal of Infection Control, 2022, 21(4): 363-367.] DOI: 10.12138/j.issn.1671-9638.20222145.
2.安娜, 徐明芝, 白亚飞, 等. 老年血液透析患者导管相关感染的病原菌特征及影响因素分析[J]. 中国病原生物学杂志, 2022, 17(4): 455-458. [An N, Xu MZ, Bai YF, et al. Study on pathogenic bacteria and influencing factors of catheter-related infection in elderly hemodialysis patients[J]. Journal of Parasitic Biology, 2022, 17(4): 455-458.] DOI: 10.13350/j.cjpb.220417.
3.邓敏, 李鹃鹃, 丁楠, 等. 一例沙门菌感染伴抗菌药过敏患者的病例分析[J]. 药学实践杂志, 2021, 39(5): 468-471. [Deng M, Li JJ, Ding N, et al. A case analysis of a patient with salmonella infection and allergy to antibiotics[J]. Journal of Pharmaceutical and Service, 2021, 39(5): 468-471.] DOI: 10.12206/j.issn.1006-0111.202103009.
4.赵娜, 史永志, 解沛涛, 等. 临床药师对1例青霉素过敏的坏死性筋膜炎合并糖尿病患者的药学实践[J]. 中国药房, 2019, 30(15): 2143-2149. [Zhao N, Shi YZ, Xie PT, et al. Pharmaceutical practice of clinical pharmacist participating in a penicillin allergic patient with necrotizing fasciitis combined with diabetes mellitus[J]. China Pharmacy, 2019, 30(15): 2143-2149.] DOI: 10.6039/j.issn.1001-0408.2019.15.24.
5.Abd El-Hamid El-Kady R, Waggas D, AkL A. Microbial repercussion on hemodialysis catheter-related bloodstream infection outcome: a 2-year retrospective study[J]. Infect Drug Resist, 2021, 14: 4067-4075. DOI: 10.2147/IDR.S333438.
6.Chaves F, Garnacho-Montero J, Del Pozo JL, et al. Diagnosis and treatment of catheter-related bloodstream infection: clinical guidelines of the Spanish Society of Infectious Diseases and Clinical Microbiology and (SEIMC) and the Spanish Society of Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC)[J]. Med Intensiva (Engl Ed), 2018, 42(1): 5-36. DOI: 10.1016/j.medin.2017.09.012.
7.徐荣, 黄晨, 嵇金如, 等. 优化替加环素在革兰阴性杆菌血流感染患者中的给药方案: 基于全国血流感染耐药监测联盟的蒙特卡洛模拟研究[J]. 医药导报, 2022, 41(7): 1021-1025. [Xu R, Huang C, Ji JR, et al. Optimization of dosing regimens of tigecycline in treatment of patients with gramnegative bloodstream infection: a Monte Carlo simulation based on the blood bacterial resistant investigation collaborative system in China[J].Herald of Medicine, 2022, 41(7): 1021-1025.] DOI: 10.3870/j.issn.1004-0781.2022.07.016.
8.罗赛赛, 郑巧伟, 任晓东, 等. 我院2010~2019年碳青霉烯类耐药鲍曼不动杆菌血流感染的影响因素及预后分析[J]. 中国药师, 2021, 24(12): 2208-2211. [Luo SS, Zhen QW, Ren XD, et al. Impacting factors and prognosis of patients with bloodstream infection caused by carbapenem-resistant Acinetobacter baumannii in our hospital from 2010 to 2019[J]. China Pharmacist, 2021, 24(12): 2208-2211.] DOI: 10.19962/j.cnki.issn1008-049X.2021.12.013.
9.Demirlenk YM, Gücer LS, Uçku D, et al. A meta-analysis for the role of aminoglycosides and tigecyclines in combined regimens against colistin- and carbapenem-resistant Klebsiella pneumoniae bloodstream infections[J]. Eur J Clin Microbiol Infect Dis, 2022, 41(5): 761-769. DOI: 10.1007/s10096-022-04429-0.
10.Suich J, Mawer D, van der Woude M, et al. Evaluation of in vitro activity of fosfomycin, and synergy in combination, in Gram-negative bloodstream infection isolates in a UK teaching hospital[J]. J Med Microbiol, 2022, 71(4). DOI: 10.1099/jmm.0.001524.
11.Han H, Qin W, Zheng Y, et al. High-dose versus standard-dose tigecycline treatment of secondary bloodstream infections caused by extensively drug-resistant Acinetobacter baumannii: an observational cohort study[J]. Infect Drug Resist, 2021, 14: 3837-3848. DOI: 10.2147/IDR.S322803.
12.崔朴梅, 梁永梅, 陈超, 等. 临床药师参与1例CRKP泌尿道感染继发血流感染患者抗感染治疗分析[J]. 中国药师, 2022, 25(8): 1398-1401. [Cui PM, Liang YM, Chen C, et al. Analysis of anti-infective therapy participated by clinical pharmacists for a patient with CRKP urinary tract infection secondary bloodstream infection[J]. China Pharmacist, 2022, 25(8): 1398-1401.] DOI: 10.19962/j.cnki.issn1008-049X.2022.08.017.
13.徐溯, 杨帆. 耐药形势下磷霉素的临床应用[J].中国感染与化疗杂志, 2018, 18(4): 434-439. [Xu S, Yang F. Clinical application of fosfomycin in the context of prevalent multidrug resistance[J]. Chinese Journal of Infection and Chemotherapy, 2018, 18(4): 434-439.] DOI: 10.16718/j.1009-7708.2018.04.018.
14.Mun SJ, Kim SH, Huh K, et al. Oral step-down therapy in patients with uncomplicated Staphylococcus aureus primary bacteremia and catheter-related bloodstream infections[J]. J Chemother, 2022, 34(5): 319-325. DOI: 10.1080/1120009X.2022.2031469.