頁籤選單縮合
題 名 | 再度藥物不良反應之省思與改善方針之探討=A Lesson from Resuffering Adverse Drug Reaction and Improving Methods |
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作 者 | 劉千慈; 李均倩; 謝坤屏; 蔡斌智; 周鳳雄; | 書刊名 | 藥學雜誌 |
卷 期 | 27:3=108 2011.09[民100.09] |
頁 次 | 頁127-132 |
分類號 | 418.1 |
關鍵詞 | 藥物不良反應; 毒性表皮溶解症; 史帝芬強森症候群; Adverse drug reactions; ADR; Sulfonamides; Toxic Epidermal Necrolysis; Stevens-Johnson Syndrome; HLA-B*1502; |
語 文 | 中文(Chinese) |
中文摘要 | 史帝芬強森症候群 (Stevens-Johnson Syndrome)及毒性表皮溶解症 (Toxic Epidermal Necrolysis)雖罕見,但會對生命造成嚴重的威脅,醫療人員實不容忽視。本案例為一外院轉入之病患,其有 sulfonamides過敏之歷史。時因泌尿道感染而至 A院就診,當時曾與醫師提及其過敏歷史但醫師未注意又讓病患服用兩種 sulfonamides,造成病患再次發生嚴重藥物不良反應。目前除藥物與 HLA types之相關性陸續被研究發表與建議作基因篩檢 (如使用 carbamazepine的病患可以做 HLA-B*1502基因篩檢 )外,仍有其他藥物無法明確在給藥前篩檢,故在給予病患使用時避免病患再次發生更嚴重的 Adverse drug reactions (ADR)是醫療人員可努力的方向。 |
英文摘要 | Although the Stevens-Johnson Syndrome and the Toxic Epidermal Necrolysis are not common, they are life threatening and should not be overlooked. The present case is that a patient who was suffered Adverse Drug Reaction by using Sulfonamides drug. He went to a local hospital because of Urinary Tract Infection. The doctor ignored the Sulfonamides allergic history of the patient and prescribed Sulfonamides drug for the patient. Therefore, the patient suffered ADR again. Researchers have studied the relationship between drugs and HLA types and suggested to execute genetic filtering before the administration (ex: carbamazepine). Most ADR can't be known before using drugs. The prevention of future adverse drug reactions is an area the medical staff should achieve. |
本系統中英文摘要資訊取自各篇刊載內容。