对一例罕见头状地霉肺炎的治疗和体会
Pharmaceutical Care and Research(2018)
Abstract
目的:介绍一例罕见的头状地霉肺炎的治疗方法以及药学服务经验.方法和结果:临床药师参与一例高龄头状地霉肺炎病人的治疗过程.通过查阅文献制定了氟康唑联合氟胞嘧啶的治疗方案,该病人对治疗反应较好,但治疗1个月仍不足以根除病菌,复发后再次合用氟康唑和氟胞嘧啶治疗2个月可彻底治愈.作者保留了菌种,6个月后通过体外联合药敏试验进行了验证.结论:氟胞嘧啶与氟康唑联合治疗头状地霉肺炎方案具有效性、安全性和经济性.体外联合药敏试验亦验证了该方案的有效性.
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Key words
Geotrichum capitatum,pneumonia,fluconazole,flucytosine,microbial sensitivity tests,clinical pharmacists
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