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Analysis of anti-infective therapy participated by clinical pharmacists for a patient with diabetic ketoacidosis

Published on Oct. 18, 2023Total Views: 1630 times Total Downloads: 511 times Download Mobile

Author: Xu RUAN 1, 2 Dan LYU 3 Han ZHONG 2 Jing-Jing HAN 1 Jing-Li ZHANG 1 Zai-Li ZHANG 2

Affiliation: 1. Department of Pharmacy, Taihe County People’s Hospital of Anhui Province/Taihe Hospital of Wannan Medical College, Fuyang 236600, Anhui Province, China 2. Department of Pharmacy, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China 3. Department of Emergency, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China

Keywords: Diabetic ketoacidosis Urinary tract infection Bloodstream infection Clostridium difficile infection Pharmaceutical care

DOI: 10.19960/j.issn.1005-0698.202310011

Reference: Xu RUAN, Dan LYU, Han ZHONG, Jing-Jing HAN, Jing-Li ZHANG, Zai-Li ZHANG.Analysis of anti-infective therapy participated by clinical pharmacists for a patient with diabetic ketoacidosis[J].Yaowu Liuxingbingxue Zazhi,2023, 32(10):1175-1181.DOI: 10.19960/j.issn.1005-0698.202310011.[Article in Chinese]

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Abstract

Clinical pharmacists participated in the treatment of a case of diabetic ketoacidosis with urinary tract infection and bloodstreanm infection, which was later caused by Clostridium difficile-related diarrhea due to long-term use of antibacterial drugs. According to the patient's condition and pathogenic test results, clinical pharmacists consulted domestic and foreign guidelines through daily pharmaceutical rounds and consultations. After discussing with clinicans, considered that the patient had catheter-related carbapenem-resistant Klebsiella pneumoniae bloodstream infection. It was suggested to remove the femoral vein catheter and use tigecycline 100 mg, q12h combined with imipenem cilastatin 1 g, q8h for anti-infection treatment at the same time. In the later consultation, the patient was advised to take vancomycin 125 mg, q6h orally for the diarrhea of Clostridium difficile associated with antibiotics by physicians and clinicans adopted the opinions. The patient recovered without other adverse drug reactions, and discharged finally. Clinical pharmacists played an active and effective role in the practice of anti-infective pharmacology, which fully embodied the professional value in multidisciplinary collaborative diagnosis and treatment.

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References

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