氟喹诺酮类药物的中枢神经系统不良反应(2)
综上所述,喹诺酮类药物以其广谱、高效、安全、使用方便的特点广泛应用于临床,但为了避免中枢神经系统不良反应,临床应用中应严格控制用药指征,合理选用药物、剂量、给药途径,在用药过程中,注意观察,尤其在用药初期,尽早发现氟喹诺酮类药物的中枢神经系统毒性,避免严重不良反应发生。
参考文献:
[1]File TM Jr, Tillotson GS. Gemifloxacin: a new, potent fluoroquinolone for the therapy of lower respiratory tract infections[J]. Expert Rev Anti Infect Ther,2004 ,2(6):831-843.
[2]Leone R, Venegoni M, Motola D, et al. Adverse drug reactions relatedto the use of fluoroquinolone a ntimicrobials: an analysis of spontaneous reports and fluoroquinolone consumption data from three Italian regions[J].Drug Saf,2003,26:109-120.
[3]Bowie WR, Willetts V,Megran DW. Dose-ranging study of fleroxacin for treatment of uncomplicated Chlamydia trachomatis genital infections[J].Antimicrob Agents Chemother 1989,33:1774-1777.
[4]操银针.喹诺酮类药物引起神经系统不良反应358例分析[J].医药导报,2007,26(10):1246.
[5]Robert C, Owens Jr, Paul G. Ambrose. Antimicrobial Safety: Focus on Fluoroquinolones[J]. Clinical Infectious Diseases, 2005, 41:S144-157.
[6]Quigley CA,Lederman JR.Possible gatifloxacin-induced seizure[J]. Ann Pharmacother,2004,38:235-237.
[7]Shi XH, Zheng Y, Ma WS, et al. Possible involvement of DEC1 on the adverse effects of quinolone antibiotics[J].Toxicology,2010,271:1-4.
[8]李旭东.喹诺酮类药物不良反应和药物相互作用探讨[J].临床合理用药杂志,2011,4(2A):90.编辑/张燕, 百拇医药(吴燕)
参考文献:
[1]File TM Jr, Tillotson GS. Gemifloxacin: a new, potent fluoroquinolone for the therapy of lower respiratory tract infections[J]. Expert Rev Anti Infect Ther,2004 ,2(6):831-843.
[2]Leone R, Venegoni M, Motola D, et al. Adverse drug reactions relatedto the use of fluoroquinolone a ntimicrobials: an analysis of spontaneous reports and fluoroquinolone consumption data from three Italian regions[J].Drug Saf,2003,26:109-120.
[3]Bowie WR, Willetts V,Megran DW. Dose-ranging study of fleroxacin for treatment of uncomplicated Chlamydia trachomatis genital infections[J].Antimicrob Agents Chemother 1989,33:1774-1777.
[4]操银针.喹诺酮类药物引起神经系统不良反应358例分析[J].医药导报,2007,26(10):1246.
[5]Robert C, Owens Jr, Paul G. Ambrose. Antimicrobial Safety: Focus on Fluoroquinolones[J]. Clinical Infectious Diseases, 2005, 41:S144-157.
[6]Quigley CA,Lederman JR.Possible gatifloxacin-induced seizure[J]. Ann Pharmacother,2004,38:235-237.
[7]Shi XH, Zheng Y, Ma WS, et al. Possible involvement of DEC1 on the adverse effects of quinolone antibiotics[J].Toxicology,2010,271:1-4.
[8]李旭东.喹诺酮类药物不良反应和药物相互作用探讨[J].临床合理用药杂志,2011,4(2A):90.编辑/张燕, 百拇医药(吴燕)