通过静脉注射免疫球蛋白配方诱导的血小板缺血相关的危险因素:使用JADER数据库进行分析
Yoshihiro Nishita1,2, Natsuko Ishida3, Hirofumi Nagai2
1Clinical Pharmacy and Healthcare Science, Kanazawa University, Kanazawa, Japan; yoshi-n@kanazawa-med.ac.jp.
In vivo (Athens, Greece)
|June 27, 2025
概括
静脉注射免疫球蛋白 (IVIg) 可以导致血小板缺血. 老年患者和免疫介导性皮肤或肌肉疾病患者面临这种不良事件的更高风险.
科学领域:
- 药物监督 药物监督 药物监督
- 免疫学 免疫学 免疫学
- 血液学 血液学 血液学
背景情况:
- 血栓缩是一种已知的不良事件,与静脉注射免疫球蛋白 (IVIg) 配方有关.
- 以前的报道仅限于个别案例研究,缺乏流行病学数据.
- 这项研究解决了对IVIg诱导的血小板缺血的流行病学调查的需要.
研究的目的:
- 为了调查与IVIg相关的血小板缺血的风险.
- 确定导致IVIg诱导的血小板缺血的因素.
- 分析来自日本大型数据库的IVIg不良事件数据.
主要方法:
- 从2004年4月到2024年8月利用了日本不良药物事件报告数据库.
- 员工报告概率比率 (ROR) 来评估IVIg和血小板缺血之间的关联.
- 应用多重物流回归来识别相关因素,包括年龄,性别,配方和疾病组.
主要成果:
- 在IVIg使用和血小板狭窄症之间发现了显著的关联.
- 皮炎,川崎病和多聚菌炎/皮质菌炎是经常报告的疾病.
- 60岁及以上的患者以及免疫介导性皮肤和肌肉疾病患者中观察到血栓塞缩症的风险增加.
结论:
- 静脉注射免疫球蛋白 (IVIg) 与血小板狭窄症的风险增加有关.
- 建议对老年患者进行血小板缺血的临床评估.
- 患有免疫介导性皮肤和肌肉疾病的患者在IVIg治疗期间需要仔细监测.
相关概念视频
Factors Affecting Protein-Drug Binding: Patient-Related Factors
119
Protein-drug binding, a pivotal aspect of pharmacokinetics, is subject to considerable variability influenced by an array of patient-related factors. The intricate interplay of age, individual differences, and pathological conditions significantly impact the binding dynamics and subsequent pharmacological effects.
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
119
Blood Transfusion and Agglutination
11.3K
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
11.3K
Disorders of Hemostasis
1.2K
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
1.2K
Factors Affecting Protein-Drug Binding: Drug-Related Factors
211
Drug binding to proteins is a complex phenomenon influenced by various drug-related factors, each playing a significant role in the interaction between drugs and proteins within the body.
One crucial factor in drug-protein binding is the drug's lipophilicity or its affinity for fat. More lipophilic drugs tend to have higher binding extents. For example, highly lipophilic drugs like cloxacillin exhibit substantial protein binding, with as much as 95% of the drug binding to proteins. In...
One crucial factor in drug-protein binding is the drug's lipophilicity or its affinity for fat. More lipophilic drugs tend to have higher binding extents. For example, highly lipophilic drugs like cloxacillin exhibit substantial protein binding, with as much as 95% of the drug binding to proteins. In...
211
Acute Kidney Injury IV: Diagnostic Studies and Prevention
59
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
59
Factors Affecting the Risk of Infection
12.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.3K


