Pharmaceutical care on a patient withEnterococcus gallinarum-induced intracranial infection
WANG Xiu-qin
YANG Xue-wu
XU Chun-jing
JI Li-ying
Abstract：A 35-year-old male patient was admitted to hospital mainly because of cerebrospinal fluid (CSF) rhinorrhea accompanied by fever for 3 months. The patient suffered a meningioma surgery 3 months ago and developed CSF rhinorrhea after surgery. And then, the patient got intermittent fever for 3 months and Enterococcus gallinarum was showed in the culture of CSF repeatedly. The effect of anti-infective therapy was poor. After admission, meropenem and vancomycin were given to the patient for 1 week. But the fever and CSF rhinorrhea was continued. His body temperature fluctuated from 38.5℃ to 39.7℃. The white blood cells in blood and CSF were higher as well as the protein in CSF. The continuous infusion of ampicillin sodium (4 g, q 6 h), ornidazole (0.5 g, q 12 h) and gentamicin sulfate 240 000 units were given to him after clinical pharmacist consultation. The patient improved 3 – 11 days later and was discharged 17 days later. During the whole treatment, pharmacists performed pharmaceutical care in antibiotics selection, drug dosage, infusion rate and adverse drug reactions, thus to ensure medication safety and effective.
Keywords：Clinical pharmacistEnterococcus gallinarumIntracranial infectionPharmaceutical care
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 278-280 )