药物引起的扩散性肺部疾病:使用法国药监数据库进行了37年全国性的观察研究
Sophie Yavordios1, Guillaume Beltramo1,2,3, Romane Freppel4
1Service de Pneumologie et Soins Intensifs Respiratoires, Centre de Référence Constitutif des Maladies Pulmonaires Rares de l'Adultes de Dijon, Réseau OrphaLung, Filière RespiFil, CHU Dijon-Bourgogne, Dijon, France.
药物诱导的间歇性肺病 (DI-ILD) 是一种严重的疾病,通常是致命的,与各种药物有关. 早期诊断和药物戒断对于患者的治疗结果至关重要.
科学领域:
- 药物监督和药物安全研究.
- 肺部医学和呼吸道疾病.
- 临床药理学和药物不良反应.
背景情况:
- 药物诱导的间歇性肺病 (DI-ILD) 是一组由药物引起的多种肺病.
- 与DI-ILD相关的药物的数量正在增加.
- 在营销后,DI-ILDs通常通过药物不良反应 (ADR) 报告来确定.
研究的目的:
- 分析向法国药监数据库 (FPVD) 报告的药物诱导的扩散性肺病病例.
- 描述这些病例的临床表现.
- 为了确定最常被怀疑导致这些肺部疾病的药物.
主要方法:
- 从FPVD (1985-2022) 的案件进行了回顾性分析.
- 在18岁以上的患者中,包括在MedDRA的"下呼吸道疾病"中编码的ADR.
- 检查了7234个涉及1112个特定分子的病例.
主要成果:
- 96.7%的病例是严重的,死亡率为13.3%.
- 间歇性肺病 (51.0%),肺 (15.6%) 和肺纤维化 (10.5%) 是最常见的副作用.
- 抗癌和心血管药物是最受影响的类别;阿米奥达龙和甲醇是最常被怀疑的药物.
结论:
- 这项为期37年的研究是迄今为止关于药物诱导的扩散性肺部疾病的最大研究.
- 这些情况带来了重大风险,包括致命的结果.
- 及时诊断和停止使用违规药物对于管理至关重要.
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