LIU Renfeng, ZHOU Lifang, JIANG Yun, et al. Retrospective Analysis of 927 Children with Adverse Drug Reaction[J]. 2020,20(6):749-751. DOI: 10.14009/j.issn.1672-2124.2020.06.029.
927例儿童药品不良反应回顾性分析
摘要
目的:了解苏州大学附属儿童医院(以下简称"我院")儿童药品不良反应(adverse drug reaction
OBJECTIVE: To investigate the characteristics and laws of adverse drug reaction( ADR) in children in Children’s Hospital of Soochow University( hereinafter referred to as "our hospital")
so as to provide reference for children’s safe medication in clinic. METHODS: Retrospective analysis method was adopted
statistical analysis was conducted on 927 reports of ADR collected in our hospital from 2017 to 2018
including gender
age
route of administration
primary disease
type of drugs involved
ADR involvement of organs and( or) systems
clinical manifestations and clinical outcomes. RESULTS: Of the 927 children who developed ADR
623 cases were male( 67. 21%) and 304 cases were female( 32. 79%). There were more infants and young children
with a total of579 cases( 62. 46%). ADR caused by intravenous administration was the most
totally 607 cases( 65. 48%)
including 346 infants and young children( 37. 32%). Respiratory system drugs caused the most ADR
totally 588 cases( 63. 43%)
and the primary disease of infants and young children who developed ADR was mainly respiratory disease. The number of ADR cases caused by chemical drugs ranked first
with a total of 796 cases( 85. 87%). There were 974 case-times of ADR involving organs and( or) systems
mainly involving skin and its accessories( 632 casetimes
64. 89%)
and the clinical manifestations of infants and young children were mostly skin rash. The clinical outcome of ADR was good and there were no deaths. CONCLUSIONS: In clinical practice
it is necessary to strengthen the monitoring and reporting of ADR in children
so as to promote rational drug use in children and further reduce and prevent the occurrence of ADR.