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目的:分析我院2015年药品不良反应(ADR)监测情况,为临床安全、合理用药提供参考。方法:采用回顾性研究方法,分类统计我院2015年收集的123例ADR报告,分别从患儿的一般资料、给药途径、药品种类、ADR累及的系统或器官、主要临床表现等方面进行统计分析。结果:123例ADR中,0~3岁患儿比例最高,为54.47%(67例);与抗感染药物有关的80例,占68.04%,其中万古霉素16例;与抗肿瘤药物有关的18例,其中门冬酰胺酶14例;ADR累及的系统或器官主要为皮肤及其附件系统(93例,75.61%)。结论:医院应加强儿童ADR的监测及相关知识的宣传,合理使用抗菌药物,减少静脉注射频率,以保障用药安全。
Objective: To analyze the surveillance of ADR in our hospital in 2015, and provide reference for clinical safety and rational drug use. Methods: A retrospective study was conducted to classify 123 cases of ADR collected in our hospital in 2015 according to the general data of children, the route of administration, the types of drugs, the systems or organs involved in ADR, and the main clinical manifestations analysis. Results: Among the 123 ADR cases, the highest proportion of children aged 0-3 years was 54.47% (67 cases), 80 cases (68.04%) were related to anti-infective drugs, of which 16 cases were vancomycin, and the anti-tumor drugs Among them, 18 cases had asparaginase in 14 cases. The system or organ involved in ADR was mainly skin and its accessory system (93 cases, 75.61%). Conclusion: The hospital should strengthen the monitoring of children with ADR and related knowledge of publicity, rational use of antimicrobial agents, reduce the frequency of intravenous injection in order to ensure drug safety.