塞费皮姆诱导的神经毒性
Jessica Taylor1, Hannah M Gunter1, Karen Cohen1
1Division of Clinical Pharmacology, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Southern African journal of infectious diseases
|May 13, 2025
概括
一个患有急性损伤和感染的患者发生了严重的cefepime神经毒性. 及时识别和撤销cefepime对于管理这种严重的不良药物反应至关重要.
科学领域:
- 药理学 药理学 是一个学科.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
背景情况:
- 塞费皮姆是一种广泛使用的抗生素.
- 神经毒性是Cefepime已知的,尽管不常见的不良影响.
- 急性损伤可能会损害cefepime的清除,增加神经毒性的风险.
研究的目的:
- 在患有急性损伤的患者中报告严重的塞费皮姆诱导的神经毒性病例.
- 强调早期识别和管理这种药物不良反应的重要性.
主要方法:
- 案例报告的呈现方式.
- 审查患者的临床过程,实验室数据和管理.
主要成果:
- 一名患有骨折相关感染的患者在急性损伤后出现了严重的塞费皮姆诱导的神经毒性.
- 尽管切断了塞费皮姆,但患者仍然需要输管,机械呼吸,多种抗药物和血液透析.
结论:
- 塞费皮姆诱导的神经毒性是脑病变的可逆原因.
- 早期识别和停止使用塞费皮姆对于患者的治疗结果至关重要.
- 塞菲皮姆的使用增加需要医疗保健提供者更好地意识到这种报告不足的不良药物反应,特别是在像南非这样面临抗菌素耐药性挑战的地区.
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