在西班牙,由于药物剂量错误而导致的中毒
Johanna Ramírez-Romero1, Claudia Cifuentes1, Beatriz Azkunaga1
1Servicio de Urgencias de Pediatría, Hospital Universitario de Cruces, Instituto de Investigación Sanitaria Biocruces Bizkaia, Universidad del País Vasco, UPV/EHU, Barakaldo, Bizkaia, Spain.
Anales de pediatria
|June 18, 2025
概括
药物剂量错误是儿童中毒的重要原因之一,特别是在1岁以下的婴儿中. 这些错误经常发生在家中,需要急诊室的干预,突出了家庭对安全药物实践的教育的需要.
科学领域:
- 儿科急救医学 儿科急救医学
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 药物剂量错误是儿童中毒的常见原因之一.
- 儿科急诊室 (ED) 处理许多由这些错误引起的病例.
研究的目的:
- 分析西班牙儿科ED中因药物剂量错误而导致的中毒的特征和治疗方法.
- 为了确定高风险的年龄组和常见的药物,涉及从剂量错误的儿科中毒.
主要方法:
- 从2008年到2023年,在西班牙58个ED中对中毒事件的预期登记.
- 数据由西班牙儿科急诊医学学会 (SEUP) 毒理监测观测中心收集.
主要成果:
- 记录了289个药物剂量错误 (占3429次暴露的8.4%),主要是在家庭环境中.
- 1岁以下的婴儿受到了不成比例的影响 (37.9%的中毒是在这个年龄组).
- 抗发烧药/止痛药,主要是,是最常见的罪祸首;所有结果都是有利的.
结论:
- 药物剂量错误是小儿中毒的关键原因,特别是在婴儿中.
- 这些错误需要大量的ED干预,强调需要有针对性的预防策略.
- 为了减少中毒事件,教育家庭安全药物管理至关重要.
相关概念视频
Anticholinesterase Agents: Poisoning and Treatment
1.0K
Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
1.0K
Pharmacovigilance
1.0K
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...
1.0K
Enhanced Elimination of Poison
588
Poison can be effectively removed from the gastrointestinal (GI) tract through various decontamination procedures.
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...
588
Prevention of Further Absorption of Poison
934
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
934
Factors Affecting Drug Response: Overview
2.4K
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...
2.4K
Antidotes
771
Antidotes are medicinal substances used to counteract the harmful effects of toxins or drugs in the body. They function in various ways, each uniquely designed to combat specific toxic compounds.
Specific antidotes operate by inhibiting the enzymes that control biochemical pathways, reducing the production of harmful metabolites.
An example of an antidote is atropine, which counteracts the detrimental effects of cholinesterase inhibitors. It achieves this by deactivating muscarinic receptors,...
Specific antidotes operate by inhibiting the enzymes that control biochemical pathways, reducing the production of harmful metabolites.
An example of an antidote is atropine, which counteracts the detrimental effects of cholinesterase inhibitors. It achieves this by deactivating muscarinic receptors,...
771


