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[变应性疾病患者舌下免疫治疗的多中心药物监测]

[Multicenter drug surveillance of sublingual immunotherapy in allergic patients].

作者信息

Almagro E, Asensio O, Bartolomé J M, Bosque M, de la Hoz B, Dolz I, Elorza J, Ferreiro M, García J M, Losada E

机构信息

Departamento Médico, Alergia e Inmunología, Abelló, S.A. Madrid, España.

出版信息

Allergol Immunopathol (Madr). 1995 Jul-Aug;23(4):153-9.

PMID:8553989
Abstract

A study of pharmacovigilance has been performed in 522 patients suffering from allergic rhinitis and/or asthma. Sensitization was due to pollens and mites in ther majority of cases. The treatment consisted in biologically standardized glycerinated allergenic extracts for specific sublingual immunotherapy (SLIT) and, major allergens were also quantified, depending on the allergenic composition. The aims of the study were to assay the effect of the SLIT in a short-and-medium-term course and to know the adverse reactions most frequently appearing, as well as the unexpected side effects that are only possible to know through the study of a numerous sample of patients. We also evaluated the factors that can modify the tolerance of the treatment, such as the onset of patient's disease and its severity. All the patients had a clinical history of, at least, two years of evolution and positive skin-prick test to the allergen/s cause of their atopic disorder. Exclusion criteria were immunotherapy in the last two years, pregnancy and those situations in which the immunotherapy is contraindicated according to the EAACI requirements. In order to carry out the daily record of the SLIT as well as the possible appearance of symptoms, two diaries were given to each patient. Tolerance was evaluated by the physician at the end of the build-up phase (3 months) and when the maintenance phase finished (5 months later). Total administered doses were 44.021, the final number of patients who registered any adverse reaction in relation with SLIT was 41 (7.9%), with a number of 67 adverse reactions that means a 0.15% over the total administered doses.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对522例过敏性鼻炎和/或哮喘患者进行了药物警戒研究。在大多数病例中,致敏原是花粉和螨虫。治疗采用生物标准化甘油化变应原提取物进行特异性舌下免疫治疗(SLIT),并根据变应原组成对主要变应原进行定量。该研究的目的是测定SLIT在短期和中期疗程中的效果,了解最常出现的不良反应以及只有通过对大量患者样本进行研究才能知晓的意外副作用。我们还评估了可能改变治疗耐受性的因素,如患者疾病的发作及其严重程度。所有患者都有至少两年的疾病演变临床病史,且对其特应性疾病的变应原皮肤点刺试验呈阳性。排除标准为过去两年内接受过免疫治疗、怀孕以及根据欧洲变态反应和临床免疫学会(EAACI)要求免疫治疗禁忌的情况。为了记录SLIT的日常情况以及症状的可能出现,给每位患者发放了两本日记。在累积期结束时(3个月)和维持期结束时(5个月后),由医生评估耐受性。总给药剂量为44,021次,记录到与SLIT相关的任何不良反应的最终患者人数为41例(7.9%),出现了67次不良反应,占总给药剂量的0.15%。(摘要截断于250字)

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