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抗菌药物致药热12例临床分析 被引量:3

Clinical analysis of 12 cases with drug - fever induced by antimicrobial agents
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摘要 目的:探讨抗菌药物产生药物热的一般规律。方法:收集本院1998年6月~1999年9月间住院患者抗感染治疗中出现的持续高热,经临床证实为药物热的12例患者进行讨论分析。结果:12例患者分别对氧哌嗪青霉素等抗菌药物产生了药物热,其中6例对多种抗菌药产生药物热。9例经停用抗生素,体温于停药后的第2~3天降至正常,3例经改用乳酸环丙沙星后,则体温迅速下降。结论:β内酰胺类抗生素如氧哌嗪青霉素产生药物热较多见。有时较难鉴别易误诊,故请临床医生加以注意。 Objective: To profile the drug- fever due to antimicrobial agents.Methods: In this study 12 hospitalized cases between June 1998 and September 1999 were enrolled who had drug - fever confirmed during antiinfective treatment. Results: More antimicrobials resulted in fever in 12 patients, even more than one drug responsible for the fever in 6 cases. The temperature was back to normal 2-3 days after withdrawal of the drug (9 cases) while it was down pretty soon with another suitable drug substituted (3 cases) .Conclusion: Drug- fever is mainly caused by β- lactam antibiotics like piperacillin sodium. It is important that doctors should bear the ADR of drug - fever in mind to avoid misdiagnosis.
作者 谭次娥
机构地区 解放军总医院
出处 《药物不良反应杂志》 2001年第3期151-154,共4页 Adverse Drug Reactions Journal
关键词 抗菌药物 药物热 临床分析 drug-fever antimicrobial agents clinical analysis.
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