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Octagam® 10%(一种经溶剂去污剂灭活病毒的静脉注射免疫球蛋白)的临床经验:加拿大使用情况的回顾性研究

Clinical Experience with Octagam® 10 %, a solvent detergent virus inactivated intravenous immunoglobulin: a Canadian retrospective review of utilization.

作者信息

Betschel Stephen D, Warrington Richard J, Schellenberg Robert

机构信息

St Michael's Hospital and the University of Toronto, 30 Bond St, Toronto, ON M5B 1W8 Canada.

Head, Section of Allergy & Immunology, Department of Internal Medicine, University of Manitoba, Winnipeg Health Science Center, GC319 820 Sherbrook St, Winnipeg, MB R3A 1R9 Canada.

出版信息

Allergy Asthma Clin Immunol. 2016 Jul 27;12:32. doi: 10.1186/s13223-016-0138-9. eCollection 2016.

DOI:10.1186/s13223-016-0138-9
PMID:27468299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4962395/
Abstract

In Canada, intravenous immune globulin (IVIg) products are licensed for six disease indications, however it has been demonstrated that patients with a number of other conditions also benefit from IVIg. Here we report the routine clinical use of Octagam(®) 10 % across three Canadian institutions. A total of 135 patients were treated with Octagam(®), for conditions represented by five distinct indication groups. The results of this review indicate that Octagam(®) has been well adopted and is prescribed to Canadian patients similar to other IVIg products. In alignment with current practices, 85 % of Octagam's utilization was classified as appropriate based on Canadian IVIg guidelines.

摘要

在加拿大,静脉注射免疫球蛋白(IVIg)产品有六种疾病适应症获得许可,然而已证明许多其他病症的患者也能从IVIg中获益。在此,我们报告Octagam(®) 10%在加拿大三个机构的常规临床应用情况。共有135例患者接受了Octagam(®)治疗,涉及五个不同适应症组所代表的病症。本综述结果表明,Octagam(®)已被广泛采用,并且与其他IVIg产品一样被开给加拿大患者。根据加拿大IVIg指南,与当前做法一致,Octagam使用的85%被归类为适当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da1/4962395/668623ce6850/13223_2016_138_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da1/4962395/75839bdbda9a/13223_2016_138_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da1/4962395/668623ce6850/13223_2016_138_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da1/4962395/75839bdbda9a/13223_2016_138_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da1/4962395/668623ce6850/13223_2016_138_Fig2_HTML.jpg

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本文引用的文献

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Immediate infusion-related adverse reactions to intravenous immunoglobulin in a prospective cohort of 1765 infusions.在一个包含1765次输注的前瞻性队列中,静脉注射免疫球蛋白的即时输注相关不良反应。
Int Immunopharmacol. 2014 Dec;23(2):442-6. doi: 10.1016/j.intimp.2014.09.015. Epub 2014 Sep 22.
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[Adverse events in 1395 infusions with different intravenous gammaglobulin products].[1395次使用不同静脉注射免疫球蛋白产品的输液中的不良事件]
Medicina (B Aires). 2013;73(5):433-7.
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In vitro and in vivo properties differ among liquid intravenous immunoglobulin preparations.
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Vox Sang. 2013 Feb;104(2):115-26. doi: 10.1111/j.1423-0410.2012.01648.x. Epub 2012 Sep 25.
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Postgrad Med. 2010 Sep;122(5):176-84. doi: 10.3810/pgm.2010.09.2214.
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Not all intravenous immunoglobulin preparations are equally well tolerated.并非所有静脉注射用免疫球蛋白制剂都具有同样的良好耐受性。
Acta Derm Venereol. 2010 Sep;90(5):494-7. doi: 10.2340/00015555-0900.
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Relevant criteria for selecting an intravenous immunoglobulin preparation for clinical use.用于临床使用的静脉注射用免疫球蛋白制剂的相关选择标准。
BioDrugs. 2010 Aug 1;24(4):211-23. doi: 10.2165/11537660-000000000-00000.
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The use of immunoglobulin therapy for patients undergoing solid organ transplantation: an evidence-based practice guideline.免疫球蛋白治疗在实体器官移植患者中的应用:基于证据的实践指南。
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The use of immunoglobulin therapy for patients with primary immune deficiency: an evidence-based practice guideline.原发性免疫缺陷患者免疫球蛋白治疗的应用:循证实践指南。
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