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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.29.Ph.D.2021.Ma.P
100 0 _aMaiada Mohamed Helaly
245 1 2 _aA pharmacovigilance study on antimicrobial drugs with assessment of adverse drug events -a prospective observational study among medical intensive care unit patients /
_cMaiada Mohamed Helaly ; Supervised Soheir Ali Abdelwahed , Eman Abdelmonem Abdelrasheed , Afaf Sayed Osman
246 1 5 _aدراسة اليقظة الدوائية لمضادات الميكروبات مع تقييم الأحداث الجانبيه لها :
_bدراسة رصدية بين مرضى وحدة الحالات الحرجه
260 _aCairo :
_bMaiada Mohamed Helaly ,
_c2021
300 _a157 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pharmacology
520 _aBackground and aim: Antibiotic resistance is on the rise. A contributing factor to antibiotic resistance is the misuse of antibiotics in hospitals. The aim of the present study was to describe the use of antimicrobials and ADEs associated with their use in intensive care unit patients.Methods: The present work is a prospective observational study that was conducted in the critical care unit, Kasr-Alainy, Cairo University Hospitals. One hundred and thirty three patients were included in the study and were divided into five groups according to the suspected primary infection on admission; group (1) chest infection, group (2) mixed chest infection with either urinary tract infections or skin infections, group (3) urinary tract infections, group (4 septic shock, group (5) other infections.Results: The study revealed, high incidence of broad-spectrum antibiotics, medication errors, and potential drug interactions. Inappropriate dosing was the top prevalent type. Hematopoietic was the most prevalent adverse drug reaction followed by gastrointestinal, acute kidney injury, central nervous system, and cardiac adverse drug reactions while liver impairment was the least prevalent in. Presence of sepsis on admission, failure of first empirical treatment, combination of therapy and presence of ADR were the independent factors that significantly affecting length of hospital stay. The independent factor that significantly affected the occurrence of adverse drug events was the presence of hypertension
530 _aIssued also as CD
653 4 _aAdverse drug events (ADEs)
653 4 _aAdverse drug reactions (ADRs)
653 4 _aMedication errors (MEs)
700 0 _aAfaf Sayed Osman ,
_eSupervisor
700 0 _aEman Abdelmonem Abdelrasheed ,
_eSupervisor
700 0 _aSoheir Ali Abdelwahed ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c82422
_d82422