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Pharmaceutical care of catheter-related bloodstream infection in a patient with allergy to multiple antibiotics

Published on Aug. 03, 2023Total Views: 1920 times Total Downloads: 1136 times Download Mobile

Author: Xiu-Xing LEI 1, 2 Yong-Wu CHEN 2 Sheng-Yu ZHANG 2

Affiliation: 1. Department of Pharmacy, Traditional Chinese Hospital of Lu’An, Lu’an 237000, Anhui Province, China 2. Department of Pharmacy, First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital), Hefei 230000, China

Keywords: Antimicrobial Allergy Catheter-related bloodstream infection Hemodialysis Pharmaceutical care

DOI: 10.19960/j.issn.1005-0698.202308014

Reference: Xiu-Xing LEI, Yong-Wu CHEN, Sheng-Yu ZHANG.Pharmaceutical care of catheter-related bloodstream infection in a patient with allergy to multiple antibiotics[J].Yaowu Liuxingbingxue Zazhi,2023, 32(8):945-949.DOI: 10.19960/j.issn.1005-0698.202308014.[Article in Chinese]

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Abstract

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.

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References

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