揭示导致塞费皮姆诱导神经毒性的诱导因素:系统性审查和元分析
Harri Hardi1, Melva Louisa2, Indah Suci Widyahening3
1Clinical Pharmacology Specialist Study Program, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
British journal of clinical pharmacology
|June 16, 2025
概括
功能障碍是塞费皮姆诱导的神经毒性 (CIN) 的主要危险因素. 持续输液和治疗药物监测可能有助于降低CIN风险.
科学领域:
- 药理学 药理学 是一个学科.
- 临床毒理学 临床毒理学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 塞费皮姆是一种具有潜在神经毒性副作用的宽谱抗生素.
- 塞费皮姆诱导的神经毒性 (CIN) 是一种严重的不良事件,可能发生在接受这种药物的患者中.
研究的目的:
- 识别和分析与塞费皮姆诱导的神经毒性 (CIN) 的发展相关的风险因素.
主要方法:
- 使用主要科学数据库对23篇文章进行了系统审查.
- 分析使用随机效应模型对二分法和连续结果.
主要成果:
- 降低估计的淋巴膜过率 (eGFR < 30 mL/min/1.73 m2) 是CIN (OR 10.06) 的最重要的危险因素.
- 其他促成因素包括中枢神经系统异常,晚年,体重较高,低albuminemia,糖尿病,高血压和慢性肺病.
- 与间歇输注相比,连续输注塞菲皮姆的CIN几率比率较低.
结论:
- 功能障碍是CIN的主要危险因素.
- 缓解CIN的策略包括剂量调整,治疗药物监测 (TDM) 和考虑持续注射cefepime.
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