Safety evaluation of ceftazidime/avibactam based on FAERS database: Safety evaluation of ceftazidime/avibactam: Zhang et al.

Objective: To explore adverse event (AE) signals of Ceftazidime/avibactam (CZA) based on the FDA Adverse Event Reporting System (FAERS) database. Methods: AE reports primarily associated with CZA were retrieved from the FAERS database from the second quarter of 2015 to the second quarter of 2023. Si...

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Publicado en:Infection Vol. 52; no. 6; pp. 2195 - 2206
Autores principales: Zhang, Xiuhong, Jiang, Ying, Guo, Yating, Zhou, Wenbo, Qiao, Weizhen, Zhu, Haohao, Qi, Zhigang
Formato: research tables/charts Journal Article
Publicado: Springer Nature Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s15010-024-02248-3
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        atl: Safety evaluation of ceftazidime/avibactam based on FAERS database: Safety evaluation of ceftazidime/avibactam: Zhang et al.
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        au:
          Zhang, Xiuhong
          Jiang, Ying
          Guo, Yating
          Zhou, Wenbo
          Qiao, Weizhen
          Zhu, Haohao
          Qi, Zhigang
        affil: Department of Pharmacy, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi Medical Center, Nanjing Medical University, Wuxi, Jiangsu, China
      sug:
        subj:
          Patient Safety Evaluation
          Drug Combinations Therapeutic Use
          Ceftazidime Therapeutic Use
          Drug Combinations Adverse Effects
          Decision Making, Clinical
          Adverse Drug Event Risk Factors
          Risk Assessment
          United States Food and Drug Administration
          Databases, Health
          Human
          Descriptive Statistics
          Odds Ratio
          Confidence Intervals
          Sex Factors
          Age Factors
          Incident Reports
          Funding Source
          Hepatotoxicity
          Anemia, Hemolytic
          Hypernatremia
          Liver Abnormalities
      ab: Objective: To explore adverse event (AE) signals of Ceftazidime/avibactam (CZA) based on the FDA Adverse Event Reporting System (FAERS) database. Methods: AE reports primarily associated with CZA were retrieved from the FAERS database from the second quarter of 2015 to the second quarter of 2023. Signal detection was conducted using the reporting odds ratio (ROR), proportional reporting ratio (PRR), Bayesian Confidence Propagation Neural Network (BCPNN), and Multi-item Gamma Poisson Shrinker (MGPS) methods. Results: A total of 750 AEs reports with CZA as the preferred suspected drug were obtained, identifying 66 preferred terms (PTs) involving 24 system organ classes (SOCs). Besides, the AEs already mentioned in the drug label, this study also revealed some new, clinically valuable potential AEsignals, such as Cholestasis (n = 14, ROR 29.39, PRR 29.15, IC 3.34, EBGM 29.11), Drug-induced liver injury (n = 8, ROR 9.05, PRR 9.01, IC 2.25, EBGM 9.01), Hepatocellular injury (n = 7, ROR 13.90, PRR 13.84, IC 2.41, EBGM 13.63), Haemolytic anaemia (n = 5, ROR 24.29, PRR 24.22, IC 2.42, EBGM 40.53), etc. Additionally, AE signals with higher intensity were identified, such as Hypernatraemia (n = 5, ROR 40.73, PRR 40.61, IC 2.31, EBGM 24.19), Toxic epidermal necrolysis (n = 4, ROR 11.58, PRR 11.55, IC 1.89, EBGM 11.54). Therefore, special vigilance for these potential AEs is warranted when using CZA clinically. Conclusion: This study highlights the potential AEs and risks associated with the clinical use of CZA, particularly the risks related to Cholestasis, Drug-induced liver injury, Haemolytic anaemia, Hypernatraemia, and Toxic epidermal necrolysis.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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