某三级教学医院皮肤科药物-实验室相互作用检测的研究

M. Sreenivasulu, K. Sivaiah, V. Naik
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摘要

背景:当一种药物的效果因另一种药物、草药、食物、饮料或某些环境化学剂的存在而改变时,所谓相互作用就发生了。根据美国心理学协会的说法,药物相互作用被定义为两种不同的药物一起服用时可能发生的化学或生理反应。目的:对某三级教学医院皮肤科各种药物相互作用进行检测。方法:对Nandyal Santhiram医学院和总医院皮肤科的108例患者进行为期6个月(2017年7月至2017年12月)的观察性前瞻性研究。结果:共纳入108例患者。其中男性63例(58.3%),女性45例(41.7%)。在108张处方中,42张(38.9%)存在严重的药物相互作用。中度药物相互作用14张(13%),无药物相互作用52张(52%)。研究发现,潜在的药物相互作用与年龄、性别、每份处方的药物数量有关。多种用药与药物相互作用之间存在直接联系。为了降低潜在相互作用的频率,可能有必要仔细选择治疗方案,在没有其他选择的情况下,应持续监测患者以确定不良事件。结论:教育干预可以减少药物相互作用的发生。
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A Study on Detection of Drug-Laboratory interactions in Dermatology, in a Tertiary Care Teaching Hospital
Background: An interaction is alleged to occur once the consequences of one drug is changed by the presence of another drug, herbal medicine, food, drink or by some environmental chemical agents. As per American psychological association drug interaction is defined as chemical or physiological reaction that can occur when two different drugs are taken together. Objective: This study was conducted for the detection of various drug interactions in dermatology in a tertiary care teaching hospital. Methods: An observational, prospective study was conducted for a period of six months (July 2017 to December 2017) among 108 patients in dermatology department of Santhiram Medical College and General Hospital, Nandyal. Results: A total of 108 patients were included in the study. Among them, 63 (58.3%) were males and 45(41.7%) were females. Of total 108 prescriptions, sever drug-drug interactions were present in 42 (38.9 %) prescriptions. Whereas, moderate drug-drug interactions were found in 14 (13%) and 52 prescriptions doesn’t have drug-drug interactions respectively. The study found the associations of potential drug interactions with age, sex, number of drugs per prescription. There was a direct link between polypharmacy and occurrence of drug interactions. To lower the frequency of potential interactions it could be necessary to make a careful selection of therapeutic alternatives, and in cases without other options, patients should be continuously monitored to identify adverse events. Conclusion: we concluded that educational interventions can minimize the incidence of drug interactions.
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