단일 3차 의료기관에서 수집한 약물 유해반응의 양상 분석
Clinical Features of Adverse Drug Reactions in a Tertiary Care Hospital in Korea
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Background: Clinical features of adverse drug reactions (ADR) are different and the incidence is increasing. However, there have been only a few data on the clinical features of ADR in Korea. Method: We prospectively collected ADR cases at Severance Hospital between October 2003 and April 2006, analyzed the clinical features. Result: Three hundred and fifty-seven ADR cases were reported. The most common causative drugs were radiocontrast media and nonsteroidal anti-inflammatory drugs (NSAIDs), followed by anticonvulsants, such as lamotrigine, carbamazepine, theophyllines and cephalosporins. Most of the causative radiocontrast media were nonionic, low molecular and iodinated. The leading clinical features were skin eruptions and urticaria. Nine cases of serious ADR were induced by general medication, including 1 case of mortality due to allopurinol-induced toxic epidermal necrolysis. ADR cases induced by contrast media were 245. Conclusion: The most common causative drugs which induced adverse drug reactions were NSAIDs and radiocontrast media. The leading clinical features were skin eruptions and urticaria. Among radiocontrast media, nonionic low molecular iodinated contrast media mainly induced adverse drug reactions. Further epidemiologic studies will validate our study and help reveal the incidence of ADR in Korea. (Korean J Asthma Allergy Clin Immunol 2008;28:35-39)
Abstract
Background: Clinical features of adverse drug reactions (ADR) are different and the incidence is increasing. However, there have been only a few data on the clinical features of ADR in Korea. Method: We prospectively collected ADR cases at Severance Hospital between October 2003 and April 2006, analyzed the clinical features. Result: Three hundred and fifty-seven ADR cases were reported. The most common causative drugs were radiocontrast media and nonsteroidal anti-inflammatory drugs (NSAIDs), followed by anticonvulsants, such as lamotrigine, carbamazepine, theophyllines and cephalosporins. Most of the causative radiocontrast media were nonionic, low molecular and iodinated. The leading clinical features were skin eruptions and urticaria. Nine cases of serious ADR were induced by general medication, including 1 case of mortality due to allopurinol-induced toxic epidermal necrolysis. ADR cases induced by contrast media were 245. Conclusion: The most common causative drugs which induced adverse drug reactions were NSAIDs and radiocontrast media. The leading clinical features were skin eruptions and urticaria. Among radiocontrast media, nonionic low molecular iodinated contrast media mainly induced adverse drug reactions. Further epidemiologic studies will validate our study and help reveal the incidence of ADR in Korea. (Korean J Asthma Allergy Clin Immunol 2008;28:35-39)
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