000 02622cam a2200313 4500500
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041 _afre
042 _adc
100 1 0 _aYang, Fanping
_eauthor
700 1 0 _a Chen, Zihua
_eauthor
700 1 0 _a Chen, Sheng-an
_eauthor
700 1 0 _a Zhu, Qinyuan
_eauthor
700 1 0 _a Wang, Lanting
_eauthor
700 1 0 _a Xiong, Hao
_eauthor
700 1 0 _a Fu, Haijun
_eauthor
700 1 0 _a Luo, Xiaoqun
_eauthor
245 0 0 _aClinical profile of cutaneous adverse drug reactions: a retrospective study of 1883 hospitalized patients from 2007 to 2016 in Shanghai, China
260 _c2020.
500 _a44
520 _aBackground: Cutaneous adverse drug reactions (CADRs) are drug-induced skin reactions with or without systemic involvement, ranging from mild maculopapular exanthema (MPE) to life-threatening severe CADRs (S-CADRs). Due to their unpredictability and severity, early recognition of suspected causative drugs is highly recommended. However, the profile of CADRs remains unknown in China. Objectives: To assess the clinical profile, predominant causative drugs, and cost associated with CADRs in Shanghai, China. Materials and Methods: Clinical records of inpatients admitted with a diagnosis of CADRs to the dermatology ward of Huashan Hospital from January 2007 to December 2016 were retrospectively studied. Results: A total of 1,883 patients (1,231 female and 652 male), admitted with a diagnosis of CADR, were investigated. S-CADRs made up 21.99% of all cases ( n=414), and urticaria (27.19%) was the most frequent reaction. Of the patients, 53.43% suffered from multiple drug-induced drug eruptions and the rest (45.83%) from single drug-induced drug eruptions. Overall, antimicrobials (28.85%) was the main drug group involved, and for S-CADRs, this was antiepileptic drugs (36.15%). The total cost for CADRs was RMB23,718,788.83 ($3,588,319.04). Both age and sex were related to admission cost ( p=0.005 and p=7.84E-8, respectively). Antimicrobials were the most common treatment causing CADRs. Conclusion: The management of CADRs requires considerable medical cost. CADRs are not only a health problem but also a significant financial burden for affected individuals.
690 _acosts
690 _amedicine
690 _aChinese traditional
690 _acausative drugs
690 _aanti-bacterial agents
690 _adrug eruptions
786 0 _nEuropean Journal of Dermatology | 30 | 1 | 2020-01-01 | p. 24-31 | 1167-1122
856 4 1 _uhttps://shs.cairn.info/revue-european-journal-of-dermatology-2020-1-page-24?lang=en&redirect-ssocas=7080
999 _c602448
_d602448