{"title":"COVID-19 粘液瘤病患者药物不良反应的可预防性和可控性:观察研究。","authors":"Sajal Dhingra, Raj Hanjong, Khushboo Bisht, Puneet Dhamija, Minakshi Dhar","doi":"10.4103/jfmpc.jfmpc_1691_23","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In the intricate landscape of healthcare amid the COVID-19 pandemic, the emergence of mucormycosis as a severe complication posed a significant challenge to primary healthcare. This study delved into the complexities of adverse drug reactions (ADRs) in COVID-19 patients with mucormycosis undergoing treatment with conventional amphotericin B.</p><p><strong>Methods: </strong>Ethically approved and meticulously conducted, the study scrutinized 154 ADRs in depth, shedding light on their classification, outcomes, and interventions in COVID patients with mucormycosis. A descriptive analysis was carried out to report the findings of this study.</p><p><strong>Results: </strong>The findings revealed that a substantial proportion (85.6%) of these ADRs were manageable, emphasizing the need for vigilant monitoring and timely interventions. Notably, gender disparities surfaced, indicating potential gender-specific responses to amphotericin B. Causality assessments based on the WHO-UMC scale classified the majority of ADRs as certain, providing a robust foundation for understanding the intricate relationships between amphotericin B and the observed adverse events.</p><p><strong>Conclusion: </strong>This research not only categorizes ADRs as preventable and manageable but also offers practical insights into their nature and the diverse strategies employed for their management. The study's outcomes underline the importance of personalized healthcare approaches that can be adopted by primary care physicians for effective patient care.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504753/pdf/","citationCount":"0","resultStr":"{\"title\":\"Preventability and manageability of adverse drug reactions in COVID-19 with mucormycosis: An observational study.\",\"authors\":\"Sajal Dhingra, Raj Hanjong, Khushboo Bisht, Puneet Dhamija, Minakshi Dhar\",\"doi\":\"10.4103/jfmpc.jfmpc_1691_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>In the intricate landscape of healthcare amid the COVID-19 pandemic, the emergence of mucormycosis as a severe complication posed a significant challenge to primary healthcare. 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Causality assessments based on the WHO-UMC scale classified the majority of ADRs as certain, providing a robust foundation for understanding the intricate relationships between amphotericin B and the observed adverse events.</p><p><strong>Conclusion: </strong>This research not only categorizes ADRs as preventable and manageable but also offers practical insights into their nature and the diverse strategies employed for their management. 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引用次数: 0
摘要
背景:在COVID-19大流行期间错综复杂的医疗保健环境中,粘孢子菌病作为一种严重并发症的出现给初级医疗保健带来了巨大挑战。本研究探讨了接受常规两性霉素 B 治疗的 COVID-19 粘孢子菌病患者药物不良反应(ADRs)的复杂性:该研究在伦理上获得了批准,并经过了严格的审查,对 154 例 ADR 进行了深入研究,揭示了 COVID-19 型粘孢子菌病患者的药物不良反应分类、结果和干预措施。研究采用描述性分析方法报告研究结果:结果:研究结果表明,这些不良反应中有很大一部分(85.6%)是可控的,这强调了警惕监测和及时干预的必要性。值得注意的是,性别差异浮出水面,这表明两性对两性霉素 B 的反应可能存在性别差异。根据世界卫生组织-UMC 标准进行的因果关系评估将大多数 ADRs 归类为确定性,为理解两性霉素 B 与所观察到的不良事件之间错综复杂的关系提供了坚实的基础:这项研究不仅将 ADRs 归类为可预防和可管理的不良反应,还提供了关于其性质和各种管理策略的实用见解。研究结果凸显了个性化医疗保健方法的重要性,初级保健医生可采用这些方法对患者进行有效护理。
Preventability and manageability of adverse drug reactions in COVID-19 with mucormycosis: An observational study.
Background: In the intricate landscape of healthcare amid the COVID-19 pandemic, the emergence of mucormycosis as a severe complication posed a significant challenge to primary healthcare. This study delved into the complexities of adverse drug reactions (ADRs) in COVID-19 patients with mucormycosis undergoing treatment with conventional amphotericin B.
Methods: Ethically approved and meticulously conducted, the study scrutinized 154 ADRs in depth, shedding light on their classification, outcomes, and interventions in COVID patients with mucormycosis. A descriptive analysis was carried out to report the findings of this study.
Results: The findings revealed that a substantial proportion (85.6%) of these ADRs were manageable, emphasizing the need for vigilant monitoring and timely interventions. Notably, gender disparities surfaced, indicating potential gender-specific responses to amphotericin B. Causality assessments based on the WHO-UMC scale classified the majority of ADRs as certain, providing a robust foundation for understanding the intricate relationships between amphotericin B and the observed adverse events.
Conclusion: This research not only categorizes ADRs as preventable and manageable but also offers practical insights into their nature and the diverse strategies employed for their management. The study's outcomes underline the importance of personalized healthcare approaches that can be adopted by primary care physicians for effective patient care.