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[Retrospective analysis of perioperative anaphylactic shock induced by cefuroxime].
Chen, M F; Zhang, J F; Ren, X L; Liu, Y; Huang, L.
Afiliación
  • Chen MF; Department of Infectious Disease, Peking University People's Hospital, Beijing 100044,China.
  • Zhang JF; Department of Pharmacy, Peking University People's Hospital, Beijing 100044, China Department of Pharmacy, Tongliao Hospital, Tongliao 028000, China.
  • Ren XL; Department of Pharmacy, Peking University People's Hospital, Beijing 100044, China.
  • Liu Y; Department of Pharmacy, Peking University People's Hospital, Beijing 100044, China.
  • Huang L; Department of Pharmacy, Peking University People's Hospital, Beijing 100044, China.
Zhonghua Nei Ke Za Zhi ; 63(4): 406-411, 2024 Apr 01.
Article en Zh | MEDLINE | ID: mdl-38561287
ABSTRACT
This study investigated the characteristics and frequency of perioperative anaphylactic shock induced by cefuroxime, so as to provide a reference for the safe and rational use of cefuroxime in the perioperative period. Cases of perioperative anaphylactic shock caused by cefuroxime in our hospital from 2011 to 2021 were extracted from the Adverse Drug Reaction Monitoring System. Literature reporting adverse drug reactions (ADR) including cefuroxime-induced anaphylactic shock in perioperative settings was collected from the CNKI, VIP, Wanfang, PubMed, and Web of Science databases from their respective inception to May 2022. Statistical analysis was performed for all cases of cefuroxime-induced perioperative anaphylactic shock. A total of 31 patients were included [13 men (48.1%) and 14 women (51.9%)], most of whom were over 60 years old (n=16, 59.3%); 9 (29.0%) patients had a history of drug allergy; 5 (16.1%) patients had received skin tests, but with negative results; 28 (90.3%) patients received treatment intravenously; 22 (71.0%) patients were treated after anesthesia. For 20 (64.5%) patients the ADR occurred within 10 minutes after anesthesia. The main manifestations were hypotension, dyspnea, rash, and tachycardia. For all patients, symptoms resolved after withdrawal of the drug and active rescue, and there were no deaths. A history of allergy and skin test findings may have limitations in predicting perioperative anaphylactic shock caused by cefuroxime; greater vigilance should be exercised when using cefuroxime in the perioperative period. Close monitoring is recommended for patients undergoing treatment with cefuroxime. Rescue therapy should be administered for allergic shock, and suitable response measures must be taken in a timely manner to ensure the safety of patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipersensibilidad a las Drogas / Anafilaxia Límite: Female / Humans / Male / Middle aged Idioma: Zh Revista: Zhonghua Nei Ke Za Zhi Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: China
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipersensibilidad a las Drogas / Anafilaxia Límite: Female / Humans / Male / Middle aged Idioma: Zh Revista: Zhonghua Nei Ke Za Zhi Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: China