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[社区药房中新冠疫苗的药物警戒。首剂接种结果]

[Pharmacovigilance of vaccines against COVID-19 in community pharmacies. Results with the first dose].

作者信息

Mera-Gallego Rocío, León-Rodríguez Laura, González-Blanco Mónica, Mera-Gallego Inés, García-Rodríguez Patricia, López-Cantorna Diego, Fornos-Pérez José Antonio, Andrés-Rodríguez N Floro

机构信息

Farmacéutica comunitaria en Vigo (Pontevedra). Grupo Berbés de Investigación y Docencia Grupo Berbés de Investigación y Docencia España.

Doctora en Farmacia. Farmacéutica comunitaria en Ourense. Grupo Berbés de Investigación y Docencia. Grupo Berbés de Investigación y Docencia España.

出版信息

Farm Comunitarios. 2023 Jan 2;15(1):22-40. doi: 10.33620/FC.2173-9218.(2023).04.

Abstract

AIM

Detection, reporting and monitoring of suspected Adverse Drug Reactions (ADR) in users of community pharmacies and their impact on health and daily life.

METHODS

Design: prospective observational. Subjects: people vaccinated against COVID-19, of legal age, who signed informed consent. Variables: number and percentage of participants who had at least one ADR. Number, type and frequency of possible reactivity. Impact on your daily life. The study was approved by CEIm-G (Exp. 2021-007).

RESULTS

10 pharmacies from Pontevedra and 2 from Ourense collaborated. 781 cases, 488 (62.5%) women. Age 56.8 (SD=17.9) years. 389 (49.8%) in risk group.495 (63.4%) vaccinated, 321 women (65.8%) and 174 (59.4%) men, reported at least one ADR: 236 (53.0%) Comirnaty®, 157 (82.6%) Vaxzevria®, 69 (66.3%) Spikevax® and 33 (80.5) Janssen®.1,367 ADR were recorded. The most prevalent: pain at the injection point 375 (48.0%), tiredness/fatigue 170 (21.8%), chills 118 (15.1%), headache 117 (15.0%), muscle pain 112 (14.3%) and fever 98 (12.5%).Of the 495 respondents with ADR, 77 (15.6%) needed professional help: from the family doctor 30 (39.0%), 9 (11.7%) in the emergency department, 1 (1.3%) in the hospital and 37 (48.1%) in the pharmacy. 118 (15.1%) were unable to carry out their daily activity.ADR were reported from 264 (53.3%) vaccinated.

CONCLUSIONS

The number of vaccinated people who reported having suffered RA was high. Pain at the injection site the most prevalent. Half were treated at the pharmacy. Although they were generally mild, they markedly affected his daily life.

摘要

目的

检测、报告和监测社区药房使用者中疑似药物不良反应(ADR)及其对健康和日常生活的影响。

方法

设计:前瞻性观察研究。研究对象:接种新冠疫苗的法定年龄人群,签署知情同意书。变量:至少发生一次ADR的参与者数量及百分比。可能的反应性的数量、类型和频率。对日常生活的影响。本研究经CEIm-G批准(实验编号2021-007)。

结果

来自蓬特韦德拉的10家药房和奥伦塞的2家药房参与合作。共781例,其中488例(62.5%)为女性。年龄56.8岁(标准差=17.9)。389例(49.8%)属于风险组。495例(63.4%)接种疫苗者报告至少发生一次ADR:236例(53.0%)使用辉瑞新冠疫苗Comirnaty®,157例(82.6%)使用阿斯利康新冠疫苗Vaxzevria®,69例(66.3%)使用莫德纳新冠疫苗Spikevax®,33例(80.5%)使用杨森新冠疫苗Janssen®。共记录到1367例ADR。最常见的有:注射部位疼痛375例(48.0%)、疲倦/乏力170例(21.8%)、寒战118例(15.1%)、头痛117例(15.0%)、肌肉疼痛112例(14.3%)和发热98例(12.5%)。在495例有ADR的受访者中,77例(15.6%)需要专业帮助:30例(39.0%)求助于家庭医生,9例(11.7%)求助于急诊科,1例(1.3%)求助于医院,37例(48.1%)求助于药房。118例(15.1%)无法进行日常活动。264例(53.3%)接种疫苗者报告了ADR。

结论

报告发生药物不良反应的接种者数量较多。注射部位疼痛最为常见。半数在药房接受治疗。尽管这些反应通常较轻,但明显影响了他们的日常生活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d32d/11326691/13ca0296d8e9/FC15-01-04_gf01.jpg

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