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頁籤選單縮合
題 名 | Cefepime引起神經毒性=Cefepime Induced Neurotoxicity |
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作 者 | 林聖茹; 曹百印; 謝政智; | 書刊名 | 藥學雜誌 |
卷 期 | 32:2=127 2016.06[民105.06] |
頁 次 | 頁89-93 |
分類號 | 418.281 |
關鍵詞 | 神經毒性; Cefepime; Neurotoxicity; |
語 文 | 中文(Chinese) |
中文摘要 | Cefepime 是一種第四代頭孢菌素類抗生素,通常被用來做為肺炎或敗血症之第一 線經驗性治療藥物。有文獻指出約3%的病人曾因為使用 cefepime 而發生神經毒性1,2, 其臨床表現包含意識混亂、完全性失語症、震顫、肌陣攣、抽搐或非抽搐性癲癇重積 狀態。它所引起的神經毒性與病人腎功能不良使用藥品劑量過高以及高齡有關,經由 停藥、血液透析和/或抗癲癇藥物治療症狀都可以獲得改善。本院感染科加護病房,於 104年7-9月份共有四位病人年齡都大於65歲,有慢性腎臟病病史未洗腎,皆因為使用 cefepime 治療後而引起全身性癲癇發作,本文就案例分析進一步了解疾病之致病機轉、 治療處置方式,以提供臨床醫療人員在使用藥物時之警惕。 |
英文摘要 | Cefepime is a fourth-generation cephalosporin commonly used as a first-line empirical treatment for severe infections such as pneumonia or septicaemia. Cefepime-related neurotoxicity reportedly affects 3% of treated patients. Cefepime neurotoxicity presents as confusion, global aphasia, tremors, myoclonus, seizures, nonconvulsive status epilepticus.Cefepime has been mainly reported in patients treated with high dosages with renal failure and elderly patients. Neurotoxicity typically resolved after drug discontinuation, hemodialysis, and/ or administration of anticonvulsants. Our hospital's infection Intensive care unit, in the Republic 104 Year July-September total of four patients aged greater than 65 years old, have a history of chronic kidney disease not on dialysis, because the use of cefepime therapy are causing systemic seizures. On case studies, we learn more about diseases pathogenesis and treatment disposal to provide clinicians with vigilance. |
本系統中英文摘要資訊取自各篇刊載內容。