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三级护理医院中的美容医疗监测:一项前瞻性观察研究。

Cosmetovigilance in a tertiary care hospital: A prospective observational study.

作者信息

Jyrwa Serika, Sebastian Juny, Shastry Veeranna

机构信息

JSS College of Pharmacy, JSS Academy of Higher Education and Research, Mysuru, India.

JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysuru, India.

出版信息

J Cosmet Dermatol. 2021 Mar;20(3):804-811. doi: 10.1111/jocd.13646. Epub 2020 Aug 17.

Abstract

BACKGROUND

Cosmetovigilance is a term used for the activities related to the collection, evaluation, and monitoring of reporting of undesirable events observed during or after normal or reasonably foreseeable use of a cosmetic product.

AIM

The study was conducted to assess the adverse cosmetic events from a tertiary care hospital.

PATIENTS/METHODS: The patients visiting the study site was reviewed and those who met the study criteria are enrolled in the study after administration of the informed consent. Study participants were followed on regular intervals either telephonically or hospital visits in order to determine the outcome. The causality assessment of the reported event was performed using Colipa and PLM method.

RESULTS

During the study period 22,893 patients visited the dermatology department, in which 87 subjects were enrolled in the study. The incidence of adverse cosmetic event was 0.38%. Hair care products caused more events than body care products. In 73.56% of cases, the suspected cosmetic was withdrawn and all the study population received symptomatic treatment for the adverse events. Causality assessment of Using Colipa method, categorized 49.43% events as likely and using PLM method, 64.37% events were probable. Study couldn't identify any predictors of adverse cosmetic events. Median cost associated with the management of ACRs for hair care products and body care products were 716.62 (IQR: 1011.36-470) and 557.4 (IQR: 711.63-373.8).

CONCLUSION

The study suggest need for approaches such as awareness programs among the cosmetic sellers, consumers and other stakeholders on cosmetovigilance needs to be developed and implemented.

摘要

背景

化妆品警戒是一个术语,用于描述与收集、评估和监测在正常或合理可预见的化妆品使用期间或之后观察到的不良事件报告相关的活动。

目的

本研究旨在评估一家三级护理医院的不良化妆品事件。

患者/方法:对访问研究地点的患者进行了审查,符合研究标准的患者在签署知情同意书后纳入研究。研究参与者定期通过电话或医院随访进行跟踪,以确定结果。使用Colipa和PLM方法对报告事件进行因果关系评估。

结果

在研究期间,22893名患者前往皮肤科就诊,其中87名受试者纳入研究。不良化妆品事件的发生率为0.38%。护发产品引起的事件比身体护理产品更多。在73.56%的病例中,可疑化妆品被停用,所有研究人群均接受了不良事件的对症治疗。使用Colipa方法进行因果关系评估,49.43%的事件被归类为可能;使用PLM方法,64.37%的事件被归类为很可能。研究未能确定任何不良化妆品事件的预测因素。护发产品和身体护理产品的急性化妆品反应管理相关的中位数成本分别为716.62(四分位间距:1011.36 - 470)和557.4(四分位间距:711.63 - 373.8)。

结论

该研究表明需要制定并实施一些方法,如针对化妆品销售商、消费者和其他利益相关者开展化妆品警戒意识项目。

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