Karande Sunil, Gogtay Nithya J, Kshirsagar Nilima A
Department of Pediatrics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai 400022, India.
Indian Pediatr. 2003 Dec;40(12):1167-75.
Drug safety monitoring is important in children. Young age, polypharmacy, prolonged hospitaliza-tion, being critically ill and use of unlicensed and off-label drugs have been identified as risk factors which predispose a child to experience an adverse drug reaction. In our country, the HIV/AIDS epidemic, setting up of intensive care units, increasing availability of imaging studies, and the introduction of several new drugs and vaccines have accentuated the need for improving drug safety monitoring in children. To achieve this aim, establishing in-hospital computerized event monitoring program in major hospitals and an effective national post- marketing drug surveillance network are the need of the hour.
药物安全监测在儿童中至关重要。低龄、联合用药、长期住院、危重症以及使用未获许可和超说明书用药已被确定为使儿童易发生药物不良反应的风险因素。在我国,艾滋病毒/艾滋病流行、重症监护病房的设立、影像检查可及性增加以及多种新药和疫苗的引入,都凸显了改善儿童药物安全监测的必要性。为实现这一目标,当下急需在各大医院建立院内计算机化事件监测项目以及有效的全国上市后药物监测网络。