首页|1例替加环素致肝受损的病例分析

1例替加环素致肝受损的病例分析

扫码查看
替加环素是一种新型的广谱抑菌药物,其拥有超广谱的抗菌活性,于 2011 年 12 月在我国上市,其与四环素的机构极为相似,且不易产生耐药性。替加环素具有广泛的抑菌活性,在多种疾病中发挥显著的抑菌效果,但随着抗生素的滥用,导致多重耐药菌重现,Ⅲ期临床试验已证实替加环素最常见的不良事件是胃肠道反应,如恶心、呕吐(20%~45%)、胰腺炎及胆红素、碱性磷酸酶(ALP)、丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)等血清水平的升高等,但随着其临床使用日渐增多,不良反应逐渐增多,此外,部分患者使用替加环素会发生肝功能异常等不良反应,这大大降低了替加环素的使用范围。如果出现严重肝功能损伤应立即停药并及时纠正,加用保护肝功能药物,以免引起急性重症药物肝损伤。
Analysis of 1 case of liver damage caused by tigecycline
Tigecycline is a new broad-spectrum antibacterial drug,which has ultra-broad-spectrum antibacterial activity,and is listed in China in December 2011.Its mechanism is very similar to tetracycline,and it is not easy to produce resistance.Tigecycline has a wide range of bacteriostatic activity and exerts significant bacteriostatic effects in a variety of diseases,but with the misuse of antibiotics,it has led to the reappearance of multidrug-resistant bacteria,and the most common adverse events of tigecycline have been confirmed in phaseⅢ clinical trials to be gastrointestinal reactions,such as nausea,vomiting(20%-45%),pancreatitis,and elevated serum levels of bilirubin,alkaline phosphatase(ALP),alanine aminotransferase(ALT),and aspartate transaminase(AST).However,with its increasing clinical use,adverse reactions are gradually presented,in addition,some patients using tigecycline will occur liver function abnormalities and other adverse reactions,which greatly reduces the scope of tigecycline use.If serious hepatic impairment occurs,the drug should be stopped immediately and corrected in time,with the addition of drugs to protect liver function,so as not to cause acute severe drug liver injury.

Liver damageTigecyclineCase analysis

万凌燕

展开 >

334500 铅山县中医院药剂科

肝受损 替加环素 病例分析

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(3)
  • 15