在新生儿重症监护室使用两种不同的决策支持软件评估潜在的药物相互作用:一项回顾性研究
Yunus Emre Ayhan1, Ercan Tutak2, Burak Özdemir3
1Prof. Dr. Cemil Taşcıoğlu City Hospital, Clinical Pharmacy, Istanbul, Türkiye. eczyunusemreayhan@gmail.com.
BMC pediatrics
|October 3, 2025
概括
潜在的药物相互作用 (pDDI) 在新生儿重症监护室 (NICU) 很常见. 这项研究发现两种药物相互作用软件程序之间的协议较弱,强调了临床审查的必要性.
科学领域:
- 新生儿药理学 新生儿药理学
- 临床药房 临床药房
- 药物安全 药物安全
背景情况:
- 药物相互作用 (DDI) 在新生儿重症监护室 (NICU) 存在重大风险,原因是多药和新生儿的脆弱性.
- 评估潜在的DDI (pDDI) 对于确保该群体的安全药物治疗实践至关重要.
研究的目的:
- 为了比较两个不同的决策支持软件 (DSS) 系统,LexidrugTM和Micromedex®在识别新生儿pDDI方面的性能.
- 评估通过两个DSS识别的pDDI的临床意义和一致性.
主要方法:
- 在第三级NICU接受多种药物的新生儿的回顾性分析.
- 使用LexidrugTM和Micromedex®识别了pDDI,并按严重程度分类.
- 后期发育障碍药物的临床相关性由新生儿科医生和临床药剂师独立评估.
- 统计分析包括肯德尔的W和科恩的卡帕,以求一致性.
主要成果:
- 在研究的280名新生儿中,pDDI在很大一部分被检测出来 (53.9%的LexidrugTM,45.4%的Micromedex®).
- 范科米辛,珍塔米辛和芬太尼经常与pDDI有关.
- 在pDDI的两个DSS之间观察到非常微弱到微弱的一致性,特别是在主要或禁忌相互作用方面.
结论:
- 在NICU环境中,pDDI很普遍,需要仔细监测.
- 在pDDI检测的不同DSS之间存在显著的差异,这强调了需要专家临床解释的需要.
- 临床药剂师和新生儿学家之间的合作对于准确的新生儿DDI管理至关重要.
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