Chinese Journal of Pharmacovigilance ›› 2020, Vol. 17 ›› Issue (9): 631-635.
DOI: 10.19803/j.1672-8629.2020.09.18

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Literature Analysis of Levofloxacin-induced Delirium

YANG Lei1, WANG Fengling1, WU Jingwei3, LI Jun4,*   

  1. 1Department of Urology, the First Affiliated Hospital of Chengdu Medical College, Chengdu Sichuan 610500, China;
    2Department of Pharmacy, the First Affiliated Hospital of Chengdu Medical College, Chengdu Sichuan 610500, China;
    3Department of Pharmacy, West China Guang'an Hospital, Sichuan University, Guang'an Sichuan 638000, China;
    4Department of Gastroenterology, the First Affiliated Hospital of Chengdu Medical College, Chengdu Sichuan 610500, China
  • Received:2020-08-17 Revised:2020-08-17 Online:2020-09-15 Published:2020-08-17

Abstract: Objective To explore the clinical characteristics and related factors of levofloxacin-induced delirium so as to provide reference for rational and safe use of levofloxacin in clinic. Methods Such databases as CNKI, VIP, Wanfang, and PubMed were searched for related articles published since inception. With "levofloxacin", "delirium", "psychosis" or "disorder" as the key words, all the original literature on levofloxacin-induced delirium was selected and the data about the corresponding indicators was extracted and analyzed. Results A total of 712 articles were retrieved. According to the inclusion and exclusion criteria, 46 articles were accepted and 57 cases of delirium induced by levofloxacin were collected, 35 of whom (61.40%) were males and 22 (38.60%) were females. Among these cases of delirium induced by levofloxacin, 29 involved elders above 65 years old (50.88%). Conclusion Despite the low incidence of delirium induced by levofloxacin, the therapeutic effect and mental health of patients are affected, making it necessary to pay attention to the clinical use. When symptoms occur, correct regimens should be adopted without delay.

Key words: levofloxacin, delirium, psychosis, literature analysis

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