血液性恶性瘤患者中药物相互作用的评估:一项由药剂师领导的临床研究
Sogol Zarrabi1,2, Elham Hosseini1, Kourosh Sadeghi1
1Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
概括
药物相互作用 (DDI) 在血液性恶性瘤患者中很常见. 临床药剂师的干预对于管理这些普遍的DDI和改善患者安全至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 在瘤学瘤学.
- 临床药房 临床药房
背景情况:
- 患有血液性恶性瘤的患者经常需要多种药物,增加药物相互作用 (DDI) 的风险.
- 有效识别和管理DDI对于患者的安全和治疗有效性至关重要.
研究的目的:
- 在患有血液性恶性瘤的住院患者中识别和描述药物相互作用 (DDI).
- 描述与这种患者群体中DDI发生相关的因素.
- 评估已识别的DDI的临床影响和干预措施.
主要方法:
- 一项前性干预研究,涉及住院的血液性恶性瘤患者,同时服用至少四种药物.
- 药剂师编制的综合药物清单,使用 Lexi-interact® 和 Micromedex® 数据库识别了DDI.
- 临床药剂师评估了DDI的重要性,并实施了干预措施.
主要成果:
- 在200名患者中确定了1281名DDI,其中81.1%被认为具有临床意义.
- 主要的严重程度和药理动力学机制是最常见的DDI特征.
- 在服用药物的数量和DDI发生之间发现了强烈的正相关性 (P < 0.001).
结论:
- 药物相互作用在住院的血液性恶性瘤患者中非常普遍.
- 药物的数量与DDI的发病率增加直接相关.
- 临床药剂师的干预对于评估和管理DDI至关重要,以确保患者的安全.
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