与新生儿的药物治疗相关的负面结果,这些新生儿接受了亲肠营养治疗
Evelin Nataly Vega Díaz1, Aida Adriana Miranda Barros2, Monica Alexandra Castelo Reyna3
1Agencia Nacional de Regulación, Control y Vigilancia Sanitaria (ARCSA), Quito 090112, Ecuador.
Pediatric reports
|June 27, 2023
概括
这项研究确定了厄瓜多尔新生儿亲肠营养 (PN) 中与药物相关的问题. 过早生育和多种药物增加了风险,突出了营养治疗委员会的需要.
科学领域:
- 新生儿医学 新生儿医学
- 临床药房 临床药房
- 药物监督 药物监督 药物监督
背景情况:
- 肠道营养 (PN) 对新生儿至关重要,但可能会出现与药物有关的问题.
- 关于厄瓜多尔新生儿PN的临床日常实践问题存在有限的研究.
研究的目的:
- 在接受PN的新生儿中识别与药物相关的负面结果 (NRAM).
- 在厄瓜多尔的一家三级医院分析与药物相关的问题 (DRPs) 作为NRAM的潜在原因.
主要方法:
- 在四个月内进行了一项观察性,前性,描述性研究.
- 分析了78名新生儿的医疗记录,PN处方和药房数据库.
- 使用行政,物理化学和临床验证进行分类的DRP.
主要成果:
- 物理化学验证确定了78.81%的DRP;临床验证确定了17.62%;行政验证确定了3.57%.
- 确定的NRAM包括72%的数量不确定,16%的需要,11%的数量无效.
- NRAM与早产,APGAR评分,PN持续时间和药物数量有显著的相关性.
结论:
- 与药物相关的问题显著导致新生儿PN的药物负面结果.
- 诸如早产和多药等因素增加了NRAM的风险.
- 建议设立营养治疗委员会以减轻这些风险.
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