中国药物警戒 ›› 2011, Vol. 8 ›› Issue (2): 113-116.

• 药品不良反应监测 • 上一篇    下一篇

357例抗感染药物不良反应/事件报告分析

金伟华, 王晓蕙, 陈华, 谭永红   

  1. 成都军区总医院药剂科,四川 成都 610083
  • 收稿日期:2015-08-27 修回日期:2015-08-27 出版日期:2011-02-10 发布日期:2015-08-27
  • 作者简介:金伟华,女,副主任药师,医院药学。

Analysis of 357 Cases of Adverse Drug Reaction/Event Reports of Anti-infective Agents

JIN Wei-hua, WANG Xiao-hui, CHEN Hua, TAN Yong-hong   

  1. Department of Pharmacy, General Hospital of the Chinese PLA Chengdu Region, Sichuan Chengdu 610083, China
  • Received:2015-08-27 Revised:2015-08-27 Online:2011-02-10 Published:2015-08-27

摘要: 目的 了解和分析抗感染药物发生不良反应/事件的情况,为促进临床合理应用抗感染药物提供参考。方法 收集2004年1月至2009年11月我院在应用抗感染药物所产生的不良反应报告,从患者情况、不良反应临床表现、给药途径、抗感染药物种类、抗感染的类型及因果关系评价等方面进行分析总结。结果 357例抗感染药物不良反应中,以喹诺酮类药物不良反应例数最多(114例,占31.93%);其次为头孢菌素类(67例,占18.77 %)。不良反应累及的系统-器官主要是皮肤及其附件(162例,占45.38%),其次是消化系统(93例,占26.05%)。抗感染药用于抗感染以呼吸系统发生不良反应例数最多(152例,占42.58%),其次是术后抗感染(79例,占22.13%)。结论 不合理使用抗感染药是药品不良反应/事件产生的主要因素之一,医疗机构应重视抗感染药物的不良反应,加强抗感染药物临床应用的监管。

关键词: 抗感染药物, 药品不良反应/事件, 分析

Abstract: Objective To review and analyze the various adverse reaction of anti-infective agents bacterials in order to provide the basis for clinical rational drug use. Methods Data of report adverse drug reaction of anti-infective agents from January 2004 to November 2009 in our hospital were collected. The condition of patients, clinical manifestations of adverse reaction, route of administration, types of antibacterials, types of anti-infection and causality assessment were analyzed. Results 357 cases of adverse reaction of anti-infective agents were involved in the study. The most adverse reaction were caused by quinolones(114 cases, 31.93%), and the cephalosporins followed(67 cases, 18.77%). The most two vulnerable system/organ were skin and its appendages(162 cases, 45.38%), and digestive system(93 cases, 26.05%). Antibiotics for respiratory anti-infective use cause the largest number of cases of adverse reaction(152 cases, 42.58%), followed by anti-infection after surgery(79 cases, 22.13%). Conclusion Irrational use of anti-infective agents was the main reason for the adverse drug reaction/event. Medical institutions should pay more attention to the adverse reactions of anti-infective agents, and strengthen supervision of clinical use of anti-infective agents.

Key words: anti-infective agents, adverse drug reaction/event, analysis

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