我院抗菌药物致不良反应233例分析 点击下载
论文标题: 我院抗菌药物致不良反应233例分析
英文标题:
中文摘要: 目的:了解我院抗菌药物致药品不良反应(ADR)发生的特点和规律,为促进临床合理用药提供参考。方法:收集我院2013年10月-2015年6月上报国家ADR监测中心的抗菌药物致ADR报告233例,对其涉及的患者年龄与性别、给药途径、抗菌药物种类、ADR发生时间及累及器官/系统等进行统计分析。结果:≤18岁和≥70岁患者ADR发生率较高,分别占19.3%、18.5%;男性多于女性;静脉给药途径ADR发生率最高,占94.0%;头孢菌素类引发的ADR最多,占33.9%;ADR发生多在用药后1 d内,占63.9%;ADR主要累及皮肤及其附件,占39.3%。结论:坚持明确指征用药,在用药前详细询问过敏史,并以合理的剂量、适宜的给药途径及疗程予以治疗,在发现ADR后及时处理,可减少ADR造成的损害。
英文摘要: OBJECTIVE: To investigate the characteristics and regulations of antibacterials-induced adverse drug reactions (ADR) in our hospital, and to provide reference for promoting rational drug use. METHODS: 233 patients with antibacterials-induced ADR in our hospital from Oct. 2013 to Jun. 2015 were selected and analyzed statistically according to patient’s age and gender, route of administration, the type of antibacterials, occurrence time, organs/systems involved in ADR, etc. RESULTS: There were a large number of ADR in patients age ≤18 and ≥70 years, accounting for 19.3% and 18.5%; the male was more than the female; the incidence of ADR induced by intravenous route was the highest, accounting for 94.0%. Most of ADR was caused by cephalosporins, accounting for 33.9%; ADR often occurred within 1 d after medication, accounting for 63.9%; lesion of skin and its appendants injury was main ADR, accounting for 39.3%. CONCLUSIONS: Adhere to the “clear indications”, a detailed inquiry about allergy history before drug use, right dose, suitable route of administration and course, and timely ADR disposal can reduce the damage caused by ADR.
期刊: 2016年第27卷第5期
作者: 梁河,韦凤华,钟丽球
英文作者: LIANG He,WEI Fenghua,ZHONG Liqiu
关键字: 药品不良反应;抗菌药物;合理用药
KEYWORDS: Adverse drug reaction; Antibacterial drugs; Rational use of drugs
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