首页|99例抗感染药物严重药品不良反应/事件分析

99例抗感染药物严重药品不良反应/事件分析

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目的:分析某院抗感染药物严重药品不良反应/事件(ADR/ADE)的特点及规律,为临床合理应用提供参考.方法:收集 2010~2022 年某院上报至国家药品不良反应监测系统的 99 例抗感染药物严重ADR/ADE报告,并进行统计分析.结果:99 例抗感染药物严重ADR/ADE中,男性患者与女性患者之比为1.7∶1;60 岁及以上人群发生率最高,占 21.2%;12 例既往有药物过敏史;给药途径主要是静脉滴注(53.5%);共涉及13 大类 37 种抗感染药物,其中例次数最多的是抗结核药(60.2%);具体品种例次数最多的是吡嗪酰胺和利福平(均为15.1%);累及系统/器官主要是皮肤及皮肤附件疾病(19.1%).结论:在使用抗感染药物治疗时,除临床最为关注的抗感染疗效外,潜在的药品安全问题同样不容忽视,尤其是严重ADR/ADE.应制定有效措施,以降低抗感染药物ADR/ADE的发生.
Analysis of 99 Serious Adverse Drug Reaction/Event Associated with Anti-Infective Agents
Objective:To analyze the characteristics and rules of serious adverse drug reaction/event(ADR/ADE)associated with anti-infective agents,and provide references for the promotion of rational clinical use of these medications.Methods:99 serious ADR/ADE reports associated with anti-infection agents reported by a hospital to the National Adverse Drug Reaction Monitoring Center between 2010 and 2022 were selected and analyzed statistically.Results:In the 99 serious ADR/ADE,the male-to-female patient ratio was 1.7:1.Patients aged over 60 experienced the highest incidences(21.2%).12 patients had a previous history of drug allergy.The primary route of administration was intravenous infusion(53.5%).The study involved 13 major categories and 37 types of anti-infective agents,with the highest frequency of reports associated with anti-tuberculosis drugs(60.2%).Notably,pyrazinamide and rifampin rank highest for ADR/ADE incidence(15.1%).The system organ class involved was mainly skin and appendages disorders(19.1%).Conclusion:For clinical application of anti-infective agents,besides anti-infective efficacy,we should also be alert to the potential drug safety issues,especially serious adverse drug reactions ADR/ADE.Effective measures should be formulated to lower the incidence of ADR/ADE to anti-infective agents.

anti-infective agentsserious adverse drug reaction/eventrational drug usesafe drug useanalysis of reports

吴怡、潘兴、母继林、王慧铃

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临沧市人民医院,临床药学科,临沧 677000

临沧市人民医院,医疗质量控制科,临沧 677000

临沧市人民医院,院办公室,临沧 677000

抗感染药物 严重药品不良反应/事件 合理用药 安全用药 报告分析

临沧市人民医院2022年医院科技计划项目临沧市科技创新团队项目

2022-29202204AC100002-TD04

2024

中国合理用药探索
中国执业药师协会

中国合理用药探索

影响因子:0.62
ISSN:2096-3327
年,卷(期):2024.21(9)