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Analysis of spontaneous reports from a pediatric population: Stevens–Johnson syndrome and toxic epidermal necrolysis induced by antibacterial drugs

https://doi.org/10.37489/2588-0519-2024-3-37-39

EDN: RFDIXW

Abstract

Relevance. Stevens–Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are cutaneous hypersensitivity reactions that can be induced by drugs and are particularly severe in children.

Objective. To study the structure of antibacterial drugs (ABs) involved in the development of SJS and TEN in pediatric populations.

Methods. Retrospective pharmacoepidemiologic study of spontaneous reports (SRs) entered into the Russian National Pharmacovigilance database during the period 01.04.2019 – 31.12.2023.

Results. The majority of suspected drugs were β-lactams (76.0%), with penicillin accounting for 47.4% and cephalosporins — for 52.6%. Amphenicols (12.0%), macrolides (8.0%), and fluoroquinolones (4.0%) were less frequently reported.

Conclusion. The most common group of ABs that induce SJS and TEN in children is the group of β-lactam antibiotics.

About the Authors

Yu. O. Kustov
Peoples' Friendship University of Russia named after Patrice Lumumba
Russian Federation

Yury O. Kustov — Sixth year student of the Faculty of Medicine

Moscow



E. N. Terekhina
Peoples' Friendship University of Russia named after Patrice Lumumba; Information and Methodological Center for Examination, Accounting and Analysis of Circulation of Medical Products of Roszdravnadzor
Russian Federation

Elizaveta  N.  Terekhina  — 1-year resident of the Department of General and Clinical Pharmacology; Leading Specialist

Moscow



I. L. Asetskaya
Peoples' Friendship University of Russia named after Patrice Lumumba
Russian Federation

Irina L. Asetskaya — PhD, Cand. Sci. (Med), Associate Professor of the Department of General and Clinical Pharmacology

Moscow



O. I. Butranova
Peoples' Friendship University of Russia named after Patrice Lumumba
Russian Federation

Olga I. Butranova — PhD, Cand. Sci. (Med), Associate Professor of the Department of General and Clinical Pharmacology

Moscow



References

1. Charlton OA, Harris V, Phan K, et al. Toxic Epidermal Necrolysis and Steven-Johnson Syndrome: A Comprehensive Review. Adv Wound Care (New Rochelle). 2020;9(7):426-439. doi: 10.1089/wound.2019.0977.


Review

For citations:


Kustov Yu.O., Terekhina E.N., Asetskaya I.L., Butranova O.I. Analysis of spontaneous reports from a pediatric population: Stevens–Johnson syndrome and toxic epidermal necrolysis induced by antibacterial drugs. Kachestvennaya Klinicheskaya Praktika = Good Clinical Practice. 2024;(3):37-39. (In Russ.) https://doi.org/10.37489/2588-0519-2024-3-37-39. EDN: RFDIXW

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ISSN 2588-0519 (Print)
ISSN 2618-8473 (Online)