在新生儿重症监护病房中通过药物暴露于帕拉本:一项区域队列研究
Silvia Iacobelli1,2, Marie Commins2, Simon Lorrain2
1Néonatologie, Réanimation Néonatale et Pédiatrique, CHU La Réunion, Site Sud, Saint Pierre, France.
Frontiers in pharmacology
|June 26, 2023
概括
在NICU中,非常早产的婴儿 (VPIs) 经常通过药物暴露于 parabens. 许多VPI超过了可接受的每日摄入量 (ADI),凸显了需要无类药物替代品的需求.
科学领域:
- 新生儿药理学和毒理学
- 弱势群体的环境健康
背景情况:
- 环境因素对非常早产婴儿 (VPI) 的发育有重大影响.
- 识别所有潜在的暴露源对于这些易受伤害的婴儿至关重要.
研究的目的:
- 通过新生儿重症监护室 (NICU) 的药物管理量化VPI中的素暴露.
- 评估暴露的程度,包括摄入量,持续时间和累积剂量.
主要方法:
- 在两个NICU进行了五年的前性观察研究,共享计算机系统.
- 监测含有类药物的暴露,首次暴露时间,每日摄入量,超过ADI的婴儿数量,持续时间和累积剂量.
- 队列包括1,315名VPI.
主要成果:
- 85.5%的VPI暴露于含有的药物中.
- 在33.1天内,帕拉本的平均摄入量为2.2毫克/千克/天;累计摄入量为80.3毫克/千克.
- 暴露的婴儿中有3.5%超过了ADI;较低的妊娠年龄 (GA) 与更高的摄入量和更长的暴露相关.
结论:
- 常用药物是VPI中素暴露的重要来源.
- 在新生儿重症监护室环境中,可接受的每日摄入量 (ADI) 很容易被超过.
- 开发无类药物配方对于保护脆弱的早产婴儿至关重要.
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