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抗生素所致不良反应的分析及措施

Analysis of Adverse Reactions Induced by Antibiotics and Countermeasures

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【作者】 张述耀郑滢陈娇玲庄旭心林朝仙

【Author】 ZHANG Shu-yao1*,ZHENG Ying1,CHEN Jiao-ling1,ZHUANG Xu-xin2,LIN Chao-xian2(1.Dept.of Pharmacy,The Tumor Hospital of Medical College of Shantou University,Shantou 515041,China;2.Dept.of Pharmacy,The First Affiliated Hospital of Medical College of Shantou University,Shantou 515041,China)

【机构】 汕头大学医学院附属肿瘤医院药剂科汕头大学医学院附属第一医院药剂科

【摘要】 目的:了解使用抗生素发生的不良反应,促进临床合理使用抗生素。方法:对汕大附属第一院及汕大附属肿瘤医院2009年收集的160例抗生素不良反应报告进行分析。结果:静脉注射给药引发的不良反应(ADR)发生率高达84.38%。头孢菌素类抗菌药物不良反应的发生率最高59.37%,其次为氨基糖苷类发生率高达20.00%。首次用药时不良反应发生率为82.50%。药物不良反应以皮肤系统损害居首位(44.38%),其次为过敏性休克(17.50%)。结论:为减少不良反应的发生,应强化使用抗生素过程的监测,并采取防治的对策。

【Abstract】 OBJECTIVE:To probe into the adverse drug reactions(ADRs) induced by antibiotics in order to promote clinical rational use of antibiotics.METHODS:A total of 160 antibiotics-induced ADR cases collected in 2009 in our hospital were analyzed retrospectively.RESULTS:Of the 160 ADR cases,84.38% were induced intravenously;cephalosporins took the lead in the incidence of ADRs(59.37%),followed by Aminoglycosides(20.00%);the incidence of ADRs was 82.50% for those patients who received antibiotics for the first time.In terms of clinical manifestations,lesions of skin system dominated the first place(44.38%),followed by anaphylactic shock(17.50%).CONCLUSION:To reduce the incidence of antibiotics-induced ADRs,efforts should be put to the monitoring on the use of antibiotics meanwhile taking preventive and curative countermeasures.

【关键词】 抗生素不良反应合理用药
【Key words】 AntibioticsAdverse drug reactionRational drug use
  • 【文献出处】 中国医院用药评价与分析 ,Evaluation and Analysis of Drug-Use in Hospitals of China , 编辑部邮箱 ,2010年06期
  • 【分类号】R978.1
  • 【被引频次】7
  • 【下载频次】348
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