Use of Epinephrine in Patients with Drug-Induced Anaphylaxis: An Analysis of the Beijing Pharmacovigilance Database

International Archives of Allergy and Immunology
Tiansheng WangSuodi Zhai

Abstract

Few studies assessing the use of epinephrine in drug-induced anaphylaxis (DIA) in the hospital setting are available. We utilized the Beijing Pharmacovigilance Database (BPD) to evaluate the appropriateness of epinephrine for DIA management. DIA cases collected in the BPD from January 2004 to December 2014 were adjudicated and analyzed for demographics, causative drugs, clinical signs, outcomes, initial treatment, route, dosing, and cardiovascular adverse events (CAE) of epinephrine. DIA was primarily caused by antibiotics (38.4%), radiocontrast agents (11.9%), traditional Chinese medicine injections (10.9%), and chemotherapeutic drugs (10.3%). Only 708 (59.5%) patients received epinephrine treatment. Patients who received epinephrine were more likely to experience wheezing (p < 0.001) and respiratory arrest (p < 0.001). Among 518 patients with a complete record of the epinephrine administration route, the percentage of patients receiving it by intramuscular (IM) injection, subcutaneous (SC) injection, intravenous (IV) bolus injection, or IV continuous infusion was 16.9, 31.5, 43.5, and 8.1%, respectively. Among the 427 patients with a record of both the administration route and the dosing, an overdose was more likely with IV b...Continue Reading

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Citations

Jul 19, 2018·Current Opinion in Allergy and Clinical Immunology·Marcelo V AunPedro Giavina-Bianchi
Nov 1, 2017·International Journal of Clinical Pharmacy·Ying ZhaoTiansheng Wang
Jul 28, 2018·International Journal of Clinical Pharmacy·Ying ZhaoShusen Sun
Jul 28, 2018·International Journal of Clinical Pharmacy·Xiaotong LiTiansheng Wang
Nov 7, 2018·International Archives of Allergy and Immunology·Dagmar Simon

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