与药物相关的骨髓炎的潜在风险信号:基于FDA不良事件报告系统 (FAERS) 数据库的全面不成比例分析
Duoqin Huang1, Liulin Fu2, Yining Wang3
1The First Clinical Medical College, Gannan Medical University, Ganzhou, 341000, Jiangxi, China.
Naunyn-Schmiedeberg's archives of pharmacology
|February 16, 2026
概括
这项研究确定了20种药物,包括canagliflozin和alendronic acid,作为药物诱导骨髓炎的重要危险因素. 这些发现有助于早期识别和理解与药物相关的骨感染.
科学领域:
- 药物监督 药物监督 药物监督
- 传染性疾病 传染性疾病
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 与大多数药物相关的骨髓炎风险尚不清楚.
- 现有的研究表明,某些药物和骨髓炎之间存在联系.
- 需要进行大规模的数据分析,以识别药物诱导的骨髓炎风险信号.
研究的目的:
- 调查药物诱导骨髓炎的潜在风险信号.
- 从FAERS数据库中分析一个大数据集.
- 确定与骨髓炎风险增加相关的特定药物.
主要方法:
- 利用了FAERS从2004年第一季度到2025年第二季度的数据.
- 使用了四个算法:ROR,PRR,BCPNN和MGPS.
- 通过本费罗尼校正进行了单变量和多变量回归分析.
主要成果:
- 确定了827种药物,报告了18819例骨髓炎病例.
- 41种药物被所有四种算法一致标记.
- 多变量分析确定了20种药物 (例如,卡纳格利弗洛辛,阿伦德罗尼酸,德诺苏马布,甲铁酸) 作为显著的风险信号.
结论:
- 年龄,性别和20种特定药物是药物诱导骨髓炎的重要危险因素.
- 发病的中位时间为350天;发病时间因药物类别而异.
- 这些发现支持早期临床识别和未来研究与药物相关的骨髓炎病原体.
更多相关视频
09:09Treatment with Vancomycin Loaded Calcium Sulphate and Autogenous Bone in an Improved Rabbit Model of Bone Infection
Published on: March 14, 2019
9.4K
07:48High Spatial Resolution Chemical Imaging of Implant-Associated Infections with X-ray Excited Luminescence Chemical Imaging Through Tissue
Published on: September 30, 2022
1.7K
相关概念视频
Pharmacovigilance
1.8K
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...
1.8K
Drug Toxicity: Risk factors
18
Adverse Drug Reactions (ADRs) are potential complications that arise during pharmacotherapy, influenced by multiple risk factors. Age plays a significant role; both neonates and the elderly are at heightened risk due to their respective immature and diminished metabolic and elimination processes. Gender also impacts ADRs, with females experiencing a 1.5 to 1.7-fold greater risk than males, which may be linked to pharmacokinetic, pharmacodynamic, and hormonal differences. Notably, neonates, the...
18
FDA Approved Drugs: Changes to Approved Drugs
279
Post-approval, manufacturers may modify an approved new or generic drug product. Such modifications can encompass alterations in the Active Pharmaceutical Ingredient (API), manufacturing process, formulation, batch size, manufacturing site, and container closure system (FDA Guidance for Industry, April 2004). Often, a drug product may undergo multiple changes.These modifications require careful evaluation to determine their potential impact on the drug product's identity, strength, quality,...
279
Pharmaceutical Poisoning: Potential Scenarios
15
Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
15
Drug Regulation
3.1K
Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
3.1K
Drug Toxicity: Overview
18
Drug toxicity quantifies the harm a compound causes to an organism, varying by dose and potentially impacting whole systems or specific organs like the liver. Toxic reactions may arise from venomous insect or spider bites, with effects ranging from mild symptoms to severe outcomes such as brain damage or death. Common forms of acute poisoning include ethanol intoxication and overdose of pain or fever medications, with substances like GHB and heroin being particularly lethal at doses close to...
18
