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Exploration of the safety of aminoglycosides once daily by clinical pharmacist |
LIU Jinchun ZHANG Haixia MENG Xiangyan GE Weihong▲ |
Department of Pharmacy, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Province, Nanjing 210008, China |
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Abstract Objective To evaluate the safety of aminoglycoside antibiotics once daily with clinical pharmacists tracking the entire treatment process. Metheds From September 2015 to August 2016, in Institute of Antibiotics, Shanghai Huashan Hospital, 30 patients who used once daily aminoglycoside antibiotics were selected, clinical pharmacist participated in the formulation of treatment strategies, and monitored the adverse effects of aminoglycosides. Clinical pharmacists observed the serum creatinine, blood urea nitrogen and hearing of the patients before and after using aminoglycosides. Results The serum creatinine and serum urea nitrogen in 30 patients after treatment with aminoglycoside antibiotics had no significant change compared with that before treatment, and the differences were not statistically significant (P > 0.05). In addition, none of the 30 patients appeared ototoxicity or neuromuscular blockade. Conclusion Under the supervision of clinical pharmacists, once daily using of aminoglycoside antibiotics and control the infusion rate according to the instructions have a better safety, and the incidence of nephrotoxicity, ototoxicity, neuromuscular blockage and other adverse reactions is low.
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