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目的分析β-内酰胺类抗菌药物致药物热的临床表现及诊治方法,为临床抗感染治疗中及时准确判断药物热提供参考。方法对2014年1月—2015年12月宁波地区4家三甲医院发生的β-内酰胺类抗菌药物致药物热的用药情况、临床表现、辅助检查等进行统计分析。结果β-内酰胺类抗菌药物致药物热的病例共41例,其中哌拉西林他唑巴坦钠居第1位18例(43.9%),其次为头孢曲松6例(14.6%),头孢地嗪5例(12.1%)。11例仅有发热表现(26.8%),其余30例伴有不同的临床表现。所有患者停药后体温恢复正常。结论临床药师应利用自己的专业优势,协助临床医师尽早诊治药物热。
Objective To analyze the clinical manifestations and diagnosis and treatment of β-lactam antibiotics induced drug fever, and to provide a reference for timely and accurate determination of drug fever in clinical anti-infective therapy. Methods The statistic analysis of drug-induced drug-induced fever, β-lactam antibiotics induced by β-lactam antibiotics in 4 top three hospitals in Ningbo from January 2014 to December 2015 were performed. Results There were 41 cases of drug-induced fever caused by β-lactam antibiotics, among which piperacillin / tazobactam sodium was the first one in 18 cases (43.9%), followed by 6 cases (14.6%) of ceftriaxone, Dioxazine in 5 cases (12.1%). 11 cases only fever (26.8%), the remaining 30 cases with different clinical manifestations. All patients returned to normal temperature after withdrawal. Conclusion Clinical pharmacists should use their own professional advantages to help clinicians diagnose drug fever as soon as possible.