注射用加替沙星不良反应及临床用药评价  

Evaluation of clinical medication and drug adverse reactions induced by gatifloxacin injection

作　　者：袁进[1] 梁虹艺[2] 季波[1] 

机构地区：[1]广州军区广州总医院药剂科,广东广州510010 [2]广东药学院药学系,广东广州510006

出　　处：《中华医院感染学杂志》2011年第23期5052-5054,共3页Chinese Journal of Nosocomiology

摘　　要：目的从药品不良反应(ADR)角度对注射用加替沙星临床应用进行评价,旨在为临床合理用药提供参考。方法对医院2009年6月-2010年9月注射用加替沙星发生的566例不良反应报告进行统计分析。结果 566例患者中,男性247例,女性319例,ADR以皮肤、循环系统以及消化系统症状为主,其发生率分别为48.94%、48.41%、27.39%,有93.64%发生在用药1h内,83.22%的患者在1h内ADR症状得到缓解;84.63%超适应证用药,3.71%给药剂量与频次与说明书完全相符,9例存在用药禁忌。结论医院注射用加替沙星存在超适应证、滴注速度偏快等现象,绝大多数ADR可通过合理用药予以避免,今后应加大对注射用加替沙星合理用药干预力度。OBJECTIVE To evaluate adverse drug reaction（ADR）,of gatifloxacin injection and provide reference for clinical medication. METHODS A total of 566 cases of adverse reaction induced by gatifloxacin during Jun 2009 to Dec 2010 in hospital were calculated and analyzed. RESULTS Adverse reaction induced by gatifloxacin occurred in 247 males and 319 females,which were mainly caused skin and appendages disorders（48.94%） and symptoms of circulation（48.41%） and digestive system（27.39%）,medication within 1 hour（93.64%）,ADR of 83.22% of the patients were recovered within one hour;84.63% of the patients were with expanded indication medication;the dose and the medication intervals of 3.71% of the patients were completely,consistent with the instructions,9 cases were contraindication medication. CONCLUSION Gatifloxacin used in our hospital has some problems such as expansion of indication and too fast infusion et al,most ADR can be avoided by rational administration,further interventions should be taken for rational use of gatifloxacin in the future.

关 键 词：加替沙星 静脉滴注 不良反应 适应证 

分 类 号：R978.1[医药卫生—药品]