Analysis on 7 417 ADR Reports Induced by Antineoplastic Drugs from 91 Hospitals
10.6039/j.issn.1001-0408.2015.20.16
- VernacularTitle:91家医院抗肿瘤药致不良反应7417例报告分析Δ
- Author:
Weilan WANG
;
Suyu ZHAO
;
Daihong GUO
;
Chao CHEN
;
Liang MA
;
Yuanjie XU
;
Pengzhi ZHAO
;
Liang ZHAO
- Publication Type:Journal Article
- Keywords:
Antineoplastic drugs;
ADR;
Analysis;
Rational drug use
- From:
China Pharmacy
2015;(20):2784-2786,2787
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate characteristics and regularity of ADR induced by antineoplastic drugs and provide ref-erence for the safe drug use. METHODS:7 417 ADR reports induced by antineoplastic drugs from 91 hospitals from 2009 to 2013 were collected in the ADR monitoring center of PLA. According to the classification in national ADR monitoring cencer,Excel soft-ware was performed to statistically analyze the data. RESULTS:Among 7 417 ADR reports,1 475 were severe ADR(19.89%), 196 were the new and general ADR(2.64%),and 44 were new and severe ADR(0.59%);the elderly patients aged from 45-59 years accounted for the highest proportion (41.01%);intravenous administration was the main administration route causing ADR (88.96%);the incidence of antineoplastic drugs was higher in plant-derived drugs(26.55%),platinum drugs(24.86%)and an-ti-metabolism drugs (19.46%);ADR mostly manifested as lesions of digestive system (38.80%),blood system (16.53%) and general system(12.79%);43.60%ADR occurred within 12 hours after administration. CONCLUSIONS:Highly poisonous,nar-row-range security antineoplastic drugs could easily induce ADR. Risk prevention of antineoplastic drugs should be strengthened to undertake monitoring for high-risk patients and antineoplastic drugs,and severe ADR. More attention should be attached to the reac-tions after 12 h administration to reduce ADR incidence as much as possible.