高剂量氟康唑治疗近平滑念珠菌感染的药学监护 1 例分析 作者:钟玲 娄艳 黎奔来源:《中国医药导报》第 10 期 [摘要] 氟康唑是一种三唑类抗真菌药,广泛应用于念珠菌及隐球菌感染的治疗。随着念珠菌耐药问题的日益突出,抗真菌药品的选择及使用剂量的把握也成为临床用药的难点。本文从疾病诊疗、治疗及高剂量氟康唑使用安全性等角度,结合药学监护,对 1 例使用高剂量氟康唑治疗近平滑念珠菌血症的病例进行分析,对用药安全性及合理性进行评定、干预,为临床合理应用氟康唑治疗近平滑念珠菌血症提供参考。 [核心词] 高剂量氟康唑;安全性;近平滑念珠菌血症;药学监护;临床药师 [中图分类号] R97 [文献标记码] A [文章编号] 1673-7210()04(a)-0127-04 [Abstract] Fluconazole , a three azole antifungal agent , is widely used in the treatment of Candida and Cryptococcal infections. However , with the increasingly prominent problem of Candida resistance , the choice of antifungal drugs and the use of dose has become a difficult point in clinical medication. This paper makes analysis for a case with parapsilosis Candidaemia treated with high dose Fluconazole , from the angle of disease diagnosis , treatment and the safety of high dose Fluconazole , combined with pharmaceutical car , and evaluates and intervenes the safety and rationality of drug use. The article provides reference for clinical rationly application of Fluconazole in the treatment of parapsilosis Candidaemia. [Key words] High dose fluconazole ; Safety ; Candidaemia ; Pharmaceutical care ; Clinical pharmacist 抗真菌类药品,毒副作用大,不良反映多,临床上对其使用剂量始终都颇为谨慎。氟康唑是一种对真菌甾醇合成有特异性强效克制作用的三唑类抗真菌药。因其抗菌效果佳、生物运用度好、价格便宜等优势而被广泛的应用于念珠菌及隐球菌感染的治疗中。本文就 1 例高剂量使用氟康唑治疗近平滑念珠菌感染的病例进行分析讨论,为氟康唑的合理应用及临床药师的药学监护提供参考。 1 临床资料 患者,男,61 岁,身高 165 cm,体重...