在美国,与药物相关的婴儿死亡率增加
Panagiota Kitsantas1, Sebastian Densley2, Meera Rao2
1Population Health and Social Medicine, 1782 Charles E. Schmidt College of Medicine, Florida Atlantic University , Boca Raton, FL, USA.
Journal of perinatal medicine
|May 21, 2024
概括
美国涉及毒品的婴儿死亡人数从2018年至2022年显著增加了2.2倍,不成比例地影响了白人和黑人婴儿. 这些死亡主要发生在新生儿后,突显了迫切的公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 儿科 儿科 儿科
背景情况:
- 婴儿死亡率仍然是一个关键的公共卫生问题.
- 吸毒是导致婴儿死亡率的一个未被认可的因素.
- 了解时间趋势对于有针对性的干预至关重要.
研究的目的:
- 分析美国与毒品有关的婴儿死亡的时间趋势.
- 为了确定与药物相关的婴儿死亡率的人口和时间模式.
- 为公共卫生预防策略提供信息.
主要方法:
- 利用来自疾病控制和预防中心的广泛在线流行病学研究数据 (WONDER) 的数据.
- 从2018年到2022年 (使用2022年临时数据) 分析了295起涉及毒品的婴儿死亡.
- 根据根本原因和时期 (新生儿与新生儿后) 分类死亡.
主要成果:
- 从2018年到2022年,药物相关的婴儿死亡率显著增加了2.2倍.
- 在非西班牙裔白人和黑人婴儿中,增长明显更高.
- 死亡主要发生在新生儿后期 (28-364天),主要原因是袭击和中毒.
结论:
- 与毒品相关的婴儿死亡率大幅增加,特别是在特定的种族群体和新生儿后期.
- 这些发现强调了需要将涉及毒品的婴儿死亡问题作为可以预防的公共卫生问题.
- 干预措施应侧重于母亲的物质使用治疗,产前护理和社会风险因素.
相关概念视频
Drug Regulation
1.4K
Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
1.4K
Factors Affecting Drug Response: Overview
2.0K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.0K
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K
Prescription, Nonprescription and Orphan Drugs
721
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
721
Pharmacovigilance
825
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
825
Nonlinear Pharmacokinetics: Dependence of Elimination Half-Life and Dose Clearance
124
The elimination half-life and drug clearance of drugs following nonlinear kinetics can vary with dosage. The Michaelis-Menten parameters and drug concentration influence these factors. As the dose increases, the elimination half-life tends to lengthen, resulting in a reduction in clearance and a disproportionately larger area under the curve. The total clearance can be derived from the Michaelis-Menten equation for drugs following a one-compartment model.
A study on guinea pigs examined the...
A study on guinea pigs examined the...
124


