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某院1115例药品不良反应报告分析

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目的 通过对广东省某三甲医院发生的药品不良反应(ADR)报告进行分析,以了解ADR发生的规律和特点,为临床安全用药提供参考,更好的保障公众用药安全。方法 选取肇庆市第一人民医院药学部上报至国家药品不良反应监测中心的 1115 例ADR报告,采用回顾性研究方法对这1115 例ADR从性别和年龄分布、药品种类分布、抗感染药物分布、给药途径分布和累及器官系统分布方面进行统计分析。结果 1115 例ADR报告中,男性 526 例(47。2%),女性 589 例(52。8%),男女之比为 0。89∶1,老年患者(>60 岁)的ADR发生率为 45。1%,占比最高。ADR涉及 14 个药品种类,其中ADR发生最多的种类为抗肿瘤药物占 25。2%,其次为抗感染药物占 21。5%。抗感染药物中头孢菌素类占比最高达 32。9%,其次为喹诺酮类(23。8%)和青霉素类(19。6%)。静脉给药发生ADR的频率最高占73。8%,其次为口服给药占 14。8%。ADR最常累及皮肤及其附件损害占29。8%,其次为血液系统占 28。0%。结论 ADR发生与患者的性别、年龄、药品种类和给药途径等多种因素有关,医院要加强ADR的监测和管理,规范药物的合理使用,保障患者用药安全。
Analysis of 1115 adverse drug reaction reports in a hospital
Objective To understand the pattern and characteristics of ADR occurrence by analyzing the adverse drug reactions(ADR)reports in a tertiary hospital in Guangdong Province,so as to provide reference for clinical safe drug use and better guarantee the safety of public drug use.Methods Selecting 1115 ADR reports reported by the Pharmacy Department of Zhaoqing First People's Hospital to the National Adverse Drug Reaction Monitoring Center,a retrospective study method was used to statistically analyze these 1115 ADRs from gender and age distribution,drug types,antibacterial drug distribution,administration routes,and involved organ systems.Results Of the 1115 ADR cases reported,526 cases(47.2%)were male and 589 cases(52.8%)were female,with a male-to-female ratio of 0.89:1,and the incidence of ADR in elderly patients(>60 years old)was 45.1%,accounting for the highest proportion.ADR involved 14 types of drugs,of which the type with the most ADR was antitumor drugs(25.2%),followed by anti-infective drugs(21.5%).Among the anti-infective drugs,cephalosporins accounted for the highest proportion of 32.9%,followed by quinolones(23.8%)and penicillins(19.6%).Intravenous administration had the highest frequency of ADR at 73.8%,followed by oral administration at 14.8%.ADRs most frequently involved the skin and its adnexal damage in 29.8%,followed by the hematologic system in 28.0%.Conclusion The occurrence of ADR is related to various factors such as the patient's gender,age,type of medication,and route of administration.Hospitals should strengthen the monitoring and management of ADR,standardize the rational use of drugs,and ensure the safety of patient medication.

Adverse drug reactionsMedication safetyIntravenous medicationAntitumor drugsAntibacterial drugs

彭金辉

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526000 肇庆市第一人民医院药学部

药品不良反应 用药安全 静脉用药 抗肿瘤药物 抗菌药物

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(13)
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