2005, Número 6
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Rev Invest Clin 2005; 57 (6)
Incidencia y factores de riesgo en las reacciones adversas medicamentosas de tipo cutáneo en la unidad de cuidados intensivos
Campos-Fernández MM, Ponce-de-León-Rosales S, Archer-Dubon C, Orozco-Topete R
Idioma: Ingles.
Referencias bibliográficas: 35
Paginas: 770-774
Archivo PDF: 53.16 Kb.
RESUMEN
Se realizó un estudio de cohorte en la Unidad de Terapia Intensiva (UTI) de un hospital de tercer nivel para evaluar la incidencia de reacciones cutáneas adversas a drogas. Se exa-minaron todos los pacientes internados en dicha unidad durante un periodo consecutivo de ocho meses. Observamos una incidencia de reacciones adversas a medicamentos de 11.6%. Los factores de riesgo asociados fueron sexo femenino, obesidad, edad mayor a 60 años y alteraciones inmunológicas (lupus eritematoso sistémico, distiroidismo y síndrome de antifosfolípido). Los antimicrobianos fueron los principales medicamentos involucrados. La erupción morbili-forme y la urticaria fueron las reacciones más frecuentes. Un hallazgo interesante fue que más de 50% de los pacientes con anasarca fallecieron. Concluimos que los pacientes internados en la UTI son particularmente susceptibles para desa-rrollar una reacción adversa cutánea a medicamentos.
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