文章摘要

某妇幼保健院2019年104例新的/严重的儿童药品不良反应报告分析

作者: 1汪洋, 1杨欢, 1罗琪, 1左秀丽, 1徐喆
1 马鞍山市妇幼保健院药剂科,安徽 马鞍山 243000
通讯: 徐喆 Email: 276571435@qq.com
DOI: 10.3978/j.issn.2095-6959.2022.06.017

摘要

目的:整理分析马鞍山市妇幼保健院新的/严重的儿童药品不良反应(adverse drug reaction,ADR)特点,为保障患儿用药安全,促进儿童药品合理使用提供参考。方法:回顾性统计分析马鞍山市妇幼保健院2019年1月1日至2020年12月30日经医院不良反应评价人员评价后上报国家ADR监测中心的104例新的/严重的儿童药品不良反应,报告内容包括报告类型、关联性评价、性别、月龄/年龄、既往ADR史、家族ADR史、原患疾病、ADR涉及药品品种、剂型及给药途径,ADR累及的系统/器官、结果及转归。结果:在2019年1月1日至2020年12月30日上报的104例新的/严重的儿童药品不良反应中,严重的2例(1.92%);新的99例(95.19%);新的严重的3例(1.92%)。关联性评价为肯定的5例(4.81%);很可能的75例(75.96%);可能的为19例(19.23%)。1~3岁患儿新的/严重的ADR所占比例最高,达47.12%。主要的给药途径为静脉滴注(72.11%)。引起新的/严重的ADR相关的药品包括7类27种,其中抗感染药物最多,占比高达65.38%。ADR累及系统/器官以全身性反应及消化系统反应为主,患儿原患疾病均未受不良反应影响。结论:药品ADR监测工作能预防和减少儿童新的/严重的ADR的发生,减轻患儿伤害和家庭负担,保证儿童用药安全、有效、合理。
关键词: 儿童;药品不良反应;安全用药

Analysis of 104 new/serious pediatric adverse drug reaction reports in a maternal and child health care hospital in 2019

Authors: 1WANG Yang, 1YANG Huan, 1LUO Qi, 1ZUO Xiuli, 1XU Zhe
1 Department of Pharmacy, Ma’anshan Maternal and Child Health Care Hospital, Ma'anshan Anhui 243000, China

CorrespondingAuthor: XU Zhe Email: 276571435@qq.com

DOI: 10.3978/j.issn.2095-6959.2022.06.017

Abstract

Objective: To analyze the characteristics of new/severe adverse drug reaction (ADR) in children in Ma’anshan Maternal and Child Health Care Hospital, so as to provide reference for ensuring drug the safety of children’s medication and promoting the rational use of children’s medicines. Methods: Retrospective statistical analysis of 104 cases of new/severe ADR in children reported to the National ADR Monitoring Center by hospital ADR evaluators from January 1, 2019 to December 30, 2020 in Ma’anshan Maternal and Child Health Care Hospital. The contents of the report include report type, relevance evaluation, gender, age/month, previous history of ADR, family history of ADR, underlying disease, drug species, dosage form and route of administration involved in ADR, systems/organs involved in ADR, results, and outcomes. Results: Between January 1, 2019 and December 30, 2020, 104 new/severe ADR were reported in children, of which 2 cases (1.92%) were severe; new 99 cases (95.19%); three cases (1.92%) were newly severe. The correlation evaluation was positive in 5 cases (4.81%); probable in 75 cases (75.96%); probable in 19 cases (19.23%). The proportion of new/severe ADR in 1–3 years old children was the highest, reaching 47.12%. The main route of administration was intravenous drip (72.11%). Drugs related to new/severe ADRs included 27 types of drugs in 7 categories, of which anti-infective drugs accounted for the most, accounting for 65.38%. The systems/organs involved in ADR were mainly systemic reactions and digestive system reactions, and the primary diseases of the children were not affected by adverse reactions. Conclusion: Drug ADR monitoring can prevent and reduce the occurrence of new/severe ADRs in children, reduce the burden of children’s injuries and families, and ensure that children’s medication is safe, effective, and reasonable.

Keywords: children; adverse drug reaction; safe medication

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