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克林霉素相关性急性肾衰竭信号的鉴定:一项不稳定性分析。

Identification of Signal of Clindamycin Associated Renal Failure Acute: A Disproportionality Analysis.

机构信息

Department of Clinical Research, Delhi Pharmaceutical Sciences and Research University (DPSRU), New Delhi, 110017, India.

Department of Pharmacology, Delhi Pharmaceutical Sciences and Research University (DPSRU), New Delhi, 110017, India.

出版信息

Curr Drug Saf. 2024;19(1):123-128. doi: 10.2174/1574886318666230228142856.

Abstract

BACKGROUND

Early signal detection from post-marketing studies play a vital role in the safety of patients. Recent case reports have indicated the association of clindamycin with renal failure acute. However, renal failure acute is not known to be associated with clindamycin. The aim of the study was the identification of the potential signal of clindamycin-associated renal failure acute.

METHODS

The OpenVigil 2.1-MedDRA-v24 was used to query the FAERS database. The Reporting Odds Ratio (ROR) with a 95% confidence interval, was used to assess the association between clindamycin and renal failure acute.

RESULTS

A total of 22326 cases associated with renal failure acute were found in OpenVigil 2.1- MedDRA-v24. Among these 125 were associated with clindamycin. The ROR was found to be 3.2 (2.7, 3.8) which indicates a statistically significant association between clindamycin and renal failure acute reporting. The signal strength was decreased after removing the cases of concomitantly administered drugs, however, the association of clindamycin with renal failure acute reporting remains statistically significant. The subgroup analysis results have also shown a positive signal of clindamycin with renal failure acute.

CONCLUSION

The current study identified a positive signal of clindamycin as renal failure acute. However, further validation and causality assessment are required.

摘要

背景

从上市后研究中早期发现信号对于患者的安全至关重要。最近的病例报告表明克林霉素与急性肾衰竭有关。然而,目前还不知道克林霉素与急性肾衰竭有关。本研究的目的是确定克林霉素相关急性肾衰竭的潜在信号。

方法

使用 OpenVigil 2.1-MedDRA-v24 来查询 FAERS 数据库。使用报告比值比(ROR)及其 95%置信区间来评估克林霉素与急性肾衰竭之间的关联性。

结果

在 OpenVigil 2.1-MedDRA-v24 中发现了 22326 例与急性肾衰竭相关的病例。其中 125 例与克林霉素相关。ROR 为 3.2(2.7,3.8),表明克林霉素与急性肾衰竭报告之间存在统计学显著关联。在去除同时使用的药物的病例后,信号强度有所降低,但克林霉素与急性肾衰竭报告之间的关联仍然具有统计学意义。亚组分析结果也显示了克林霉素与急性肾衰竭之间存在阳性信号。

结论

本研究确定了克林霉素与急性肾衰竭之间存在阳性信号。然而,需要进一步的验证和因果关系评估。

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