Hospitalization for Severe Bacterial Infections in Children after Exposure to NSAIDs
| Autor: | Martin Chalumeau, Elisabeth Marc, Françoise Bavoux, Gérard Pons, Jean-Marc Tréluyer, Sandrine Leroy, Gérard Bréart, Dominique Gendrel |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Hospitals General law.invention Pharmacotherapy law Streptococcal Infections Internal medicine Intensive care Pharmacovigilance medicine Adverse Drug Reaction Reporting Systems Humans Pharmacology (medical) Prospective Studies Child Intensive care medicine Adverse effect business.industry Anti-Inflammatory Agents Non-Steroidal Infant Bacterial Infections General Medicine Staphylococcal Infections medicine.disease Intensive care unit Empyema Hospitalization Child Preschool Cellulitis Female business Adverse drug reaction |
| Zdroj: | Clinical Drug Investigation. 30:179-185 |
| ISSN: | 1173-2563 |
| DOI: | 10.2165/11532890-000000000-00000 |
| Popis: | Background: NSAIDs are widely used to treat fever and pain in children, but their possible role in the progression of some bacterial infections is controversial. Objective: This study was performed to analyse reported cases of severe bacterial infection associated with NSAID exposure in children admitted for this reason to a general paediatric department. Methods: This study was based on the reporting system of hospital admissions for severe bacterial infections in children after NSAID exposure, and followed the recommendations of the European Guidelines of Pharmacovigilance for medicines used in a paediatric population. Data were prospectively collected and reported by active daily surveillance in the department from November 2002 to November 2005. Results: Thirty-two cases of severe bacterial infections (cellulitis, soft tissue abscesses, parapneumonic empyema, necrotizing pneumonia, adenophlegmon [fever and a tender, warm and easily compressible neck mass] and lateral or retropharyngeal abscesses) were identified in children who had received NSAIDs, principally ibuprofen, in an exposure window of 15 days before the beginning of the signs of infection. Staphylococcus aureus, group A streptococci and Streptococcus pneumoniae were identified. Seven (22%) children required surgical treatment, and four (13%) were hospitalized in an intensive care unit. The frequency of hospitalization for severe bacterial infection as a possible adverse effect of NSAID use was 0.6% (95% CI 0.4, 0.9) of all admissions during the study period. Conclusions: The frequency of severe bacterial infections after exposure to NSAIDs was elevated (one case per month) in the department studied. Further work is necessary to confirm these findings, given the potential for recruitment and protopathic biases in our study. |
| Databáze: | OpenAIRE |
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