频率和风险因素分析与甲尼达相关的神经系统不良事件
Se Ju Lee1,2, Jinnam Kim1, Ki Hyun Lee1
1Division of Infectious Diseases, Department of Internal Medicine and AIDS Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Journal of general internal medicine
|December 13, 2023
概括
与甲尼达相关的神经不良事件正在增加,肝硬化,病,静脉注射使用和低体重是关键风险因素. 建议在长期治疗中对患有这些疾病的患者进行仔细监测.
科学领域:
- 药物监督 药物监督 药物监督
- 临床神经学 临床神经学
- 药品安全 药品安全
背景情况:
- 对与甲尼达相关的神经系统不良事件的了解有限.
- 需要确定风险因素和这些事件的频率.
研究的目的:
- 调查风险因素和与甲二醇相关的神经系统不良事件的发生频率.
- 分析报告事件的趋势.
主要方法:
- 基于人口的回顾性队列研究 (韩国不良事件报告系统,2011-2020年).
- 在第三级医院进行了匹配的病例控制研究 (2006-2021年).
- 病例定义:与甲基醇相关的脑病变或外围神经病变.
主要成果:
- 报告给KAERS的2309个神经系统不良事件,显示出日益增长的趋势.
- 在医院发现了54例与甲尼达相关的脑病变/神经病变.
- 确定了危险因素:肝硬化,慢性病,静脉注射,较低的体重.
结论:
- 报告中metronidazole相关的神经系统不良事件的增加趋势.
- 患有已识别的风险因素的患者在长期的甲尼达治疗期间需要仔细的神经监测.
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