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Adverse reactions to trimethoprim-sulfamethoxazole in hospitalized patients

Insights

Trimethoprim-sulfamethoxazole caused adverse reactions in 8% of hospitalized patients. Most reactions were mild gastrointestinal or skin issues, with serious toxicity being rare.

Area of Science:

  • Pharmacology
  • Clinical Medicine
  • Drug Safety

Background:

  • Trimethoprim-sulfamethoxazole is a widely prescribed antibiotic.
  • Understanding its adverse event profile is crucial for patient safety.

Purpose of the Study:

  • To determine the incidence and types of adverse reactions associated with trimethoprim-sulfamethoxazole in hospitalized patients.

Main Methods:

  • Retrospective analysis of 1,121 hospitalized patients receiving trimethoprim-sulfamethoxazole.
  • Documentation and categorization of reported adverse drug reactions.

Main Results:

  • 8% (91 out of 1,121) of patients experienced drug-attributed adverse reactions.
  • The most frequent adverse effects included gastrointestinal upset (3.9%) and skin reactions (3.3%).
  • Serious toxicity was infrequently observed.

Conclusions:

  • Trimethoprim-sulfamethoxazole is generally well-tolerated in hospitalized patients.
  • Monitoring for common gastrointestinal and skin reactions is advisable.
  • The drug appears to have a favorable safety profile regarding severe toxicity.

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