基于美国食品和药物管理局不良事件报告系统数据库的Ceftazidime/avibactam相关不良事件的现实研究
Xin Zheng1, Yang Peng1, Yang-Xue Ou2
1Department of Pharmacy, Dianjiang People's Hospital of Chongqing, Chongqing, China.
Frontiers in cellular and infection microbiology
|February 9, 2026
概括
塞法胺/阿维巴克坦 (CZA) 的使用显示出脏和肝胆道疾病的潜在风险. 将CZA与美罗胺结合使用可能会增加呼吸衰竭的风险,需要仔细的临床监测.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 药品安全 药品安全
背景情况:
- 塞法胺/阿维巴克坦 (CZA) 对于治疗多抗药性格拉姆阴性细菌感染至关重要.
- 由于MDR感染的增加,了解与CZA相关的不良事件 (AE) 是至关重要的.
研究的目的:
- 为了全面分析Ceftazidime/avibactam (CZA) 的不良事件概况.
- 调查CZA的特定安全信号,特别是与美罗相结合.
主要方法:
- 从FAERS数据库 (2015-2025) 中检索了AE报告.
- 在AE信号检测中使用ROR,PRR,BCPNN和MGPS.
- 使用多变量逻辑回归来评估CZA-美罗胺组合的安全性,调整以考虑混因素.
主要成果:
- 在24个与CZA相关的器官系统类别中确定了89个首选术语.
- 在/尿路疾病 (ROR 2.49) 和肝胆道疾病 (ROR 5.04) 中检测到显著的AE信号.
- CZA-美罗胺组合显示呼吸衰竭的风险显著增加 (aOR 3.26),无论疾病的严重程度如何.
结论:
- 这项研究强调了CZA的显著和新的AE信号.
- 对于CZA-美罗胺组合,需要特别注意呼吸衰竭风险,而不仅仅是疾病进展.
更多相关视频
相关概念视频
Local Anesthetics: Adverse Effects
815
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
815
Integration of Synaptic Events
4.2K
Synaptic integration mainly includes the summation of graded potentials. Graded potentials, regardless of their type, cause subtle alterations in membrane voltage, resulting in either depolarization or hyperpolarization. These incremental changes, when combined or summed, can propel the neuron toward its threshold. Consider, for example, a membrane experiencing a +15 mV shift, causing it to depolarize from -70 mV to -55 mV. In this scenario, graded potentials govern the membrane's ability to...
4.2K
Insulin: Dosing Regimen and Adverse Effects
825
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
825
Skeletal Muscle Relaxants: Adverse Effects
853
Skeletal muscle relaxants are widely used for muscle paralysis and relieving pain following any muscle injury or stiffness. However, depending on the drug type, they can have adverse effects that range from mild to severe. Usually, nondepolarizing neuromuscular blockers have minimal side effects. For example, drugs like d-tubocurarine, cisatracurium, and rocuronium cause hypotension, whereas drugs like baclofen, when stopped abruptly, can lead to the recurrence of spastic conditions.
Unlike...
Unlike...
853
Schwarzschild Radius and Event Horizon
2.8K
No object with a finite mass can travel faster than the speed of light in a vacuum. This fact has an interesting consequence in the domain of extremely high gravitational fields.
The minimum speed required to launch a projectile from the surface of an object to which it is gravitationally bound so that it eventually escapes the object’s gravitational field is called the escape velocity. The escape velocity is independent of the mass of the object. Merging the idea of escape...
The minimum speed required to launch a projectile from the surface of an object to which it is gravitationally bound so that it eventually escapes the object’s gravitational field is called the escape velocity. The escape velocity is independent of the mass of the object. Merging the idea of escape...
2.8K
Pharmacokinetics: Drug–Food and Drug–Viral Interactions
257
A drug interaction occurs when the concurrent use of another drug, food, or an external substance alters the pharmacological activity of a drug. This interaction can modify the action of the original drug, affecting its effectiveness and safety.Drug–food interactions are significant as they impact drug absorption, metabolism, and excretion. For example, grapefruit juice is a well-known disruptor of drug metabolism. It inhibits the cytochrome P450 3A4 enzyme, crucial for the metabolism of...
257


