COVID-19和怀孕:一项关于感染前和感染后使用药物的欧洲研究
Eimir Hurley1, Benjamin P Geisler1,2, Angela Lupattelli1
1PharmacoEpidemiology and Drug Safety Research Group, Department of Pharmacy, Faculty of Mathematics and Natural Sciences, University of Oslo, Oslo, Norway.
COVID-19显著增加了孕妇的抗血栓药物使用,特别是在晚期的三个月. 这凸显了大流行对孕妇处方实践的影响.
科学领域:
- 药物监督 药物监督 药物监督
- 孕产妇健康 孕产妇健康
- 传染病流行病学 传染病流行病学
背景情况:
- 随着COVID-19大流行,医疗保健需求和处方模式发生了变化.
- 孕妇代表了一个脆弱的人群,具有独特的药物考虑.
研究的目的:
- 调查诊断为COVID-19的孕妇的药物使用模式.
- 根据感染的三个月和地理区域分析药物使用的变化.
主要方法:
- 一项观察性研究利用了六个欧洲电子医疗保健数据库.
- 与COVID-19诊断前后30天的初级保健处方/发行进行比较.
- 包括294,126名孕妇,其中8,943人被诊断患有COVID-19.
主要成果:
- 在COVID-19后观察到抗血栓药物使用的显著增加,特别是在第二和第三个三个月.
- 瓦伦西亚地区的第三季度使用抗血栓剂增幅最高 (3.8%至61.9%).
- 对抗微生物药物和全身性皮质类固醇的增加较小.
结论:
- COVID-19对孕妇的初级保健药物使用产生了重大影响,特别是增加了抗血栓药物处方.
- 需要进一步的研究来评估这些处方变化对母亲和胎儿健康的影响.
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