Stevens-Johnson syndrome and toxic epidermal necrolysis: epidemiological and clinical outcomes analysis in public hospitals

Adverse drug reactions are harmful and involuntary responses to drugs that occur at doses normally used for a given condition. Among them are Stevens-Johnson syndrome and toxic epidermal necrolysis, both rare and potentially fatal conditions. To analyze the epidemiological and clinical characteristi...

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Published in:Anais brasileiros de dermatología Vol. 92; no. 5; pp. 661 - 667
Main Authors: Arantes, Luana Bernardes, Reis, Carmélia Santiago, Novaes, Alice Garbi, Carvalho, Marta Rodrigues de, Göttems, Leila Bernarda Donato, Novaes, Maria Rita Carvalho Garbi
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Language:English
Published: Brazil Sociedade Brasileira de Dermatologia 01-09-2017
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Abstract Adverse drug reactions are harmful and involuntary responses to drugs that occur at doses normally used for a given condition. Among them are Stevens-Johnson syndrome and toxic epidermal necrolysis, both rare and potentially fatal conditions. To analyze the epidemiological and clinical characteristics related to patients diagnosed with Stevens-Johnson syndrome and toxic epidermal necrolysis in public hospitals in the Federal District - Brazil. Retrospective, cross-sectional and descriptive study, in which data were collected referring to patients hospitalized in the public healthcare system of the Federal District from 1999 to 2014. Results: Between 1999 and 2014, 86 cases of hospitalized patients with diagnosis of Stevens-Johnson syndrome and toxic epidermal necrolysis in the Federal District were reported. The majority of patients were women; the most affected age group was 0 to 10 years. Patients older than 60 years (elderly) represent 6.98% of the cases. Most patients admitted to the referral hospital were discharged. However, occurrence of deaths exceeded that of discharge in elderly patients. There is fragility in the registry of hospitalization of patients, both in the hospital information system and in the medical records of the reference hospital. There is a need for greater production and better dissemination of information on the incidence of adverse drug reactions.
AbstractList Adverse drug reactions are harmful and involuntary responses to drugs that occur at doses normally used for a given condition. Among them are Stevens-Johnson syndrome and toxic epidermal necrolysis, both rare and potentially fatal conditions. To analyze the epidemiological and clinical characteristics related to patients diagnosed with Stevens-Johnson syndrome and toxic epidermal necrolysis in public hospitals in the Federal District - Brazil. Retrospective, cross-sectional and descriptive study, in which data were collected referring to patients hospitalized in the public healthcare system of the Federal District from 1999 to 2014. Results: Between 1999 and 2014, 86 cases of hospitalized patients with diagnosis of Stevens-Johnson syndrome and toxic epidermal necrolysis in the Federal District were reported. The majority of patients were women; the most affected age group was 0 to 10 years. Patients older than 60 years (elderly) represent 6.98% of the cases. Most patients admitted to the referral hospital were discharged. However, occurrence of deaths exceeded that of discharge in elderly patients. There is fragility in the registry of hospitalization of patients, both in the hospital information system and in the medical records of the reference hospital. There is a need for greater production and better dissemination of information on the incidence of adverse drug reactions.
BACKGROUNDAdverse drug reactions are harmful and involuntary responses to drugs that occur at doses normally used for a given condition. Among them are Stevens-Johnson syndrome and toxic epidermal necrolysis, both rare and potentially fatal conditions. OBJECTIVESTo analyze the epidemiological and clinical characteristics related to patients diagnosed with Stevens-Johnson syndrome and toxic epidermal necrolysis in public hospitals in the Federal District - Brazil. METHODSRetrospective, cross-sectional and descriptive study, in which data were collected referring to patients hospitalized in the public healthcare system of the Federal District from 1999 to 2014. Results: Between 1999 and 2014, 86 cases of hospitalized patients with diagnosis of Stevens-Johnson syndrome and toxic epidermal necrolysis in the Federal District were reported. The majority of patients were women; the most affected age group was 0 to 10 years. Patients older than 60 years (elderly) represent 6.98% of the cases. Most patients admitted to the referral hospital were discharged. However, occurrence of deaths exceeded that of discharge in elderly patients. LIMITATIONS OF THE STUDYThere is fragility in the registry of hospitalization of patients, both in the hospital information system and in the medical records of the reference hospital. CONCLUSIONThere is a need for greater production and better dissemination of information on the incidence of adverse drug reactions.
Background: Adverse drug reactions are harmful and involuntary responses to drugs that occur at doses normally used for a given condition. Among them are Stevens-Johnson syndrome and toxic epidermal necrolysis, both rare and potentially fatal conditions. Objectives: To analyze the epidemiological and clinical characteristics related to patients diagnosed with Stevens-Johnson syndrome and toxic epidermal necrolysis in public hospitals in the Federal District - Brazil. Methods: Retrospective, cross-sectional and descriptive study, in which data were collected referring to patients hospitalized in the public healthcare system of the Federal District from 1999 to 2014. Results: Between 1999 and 2014, 86 cases of hospitalized patients with diagnosis of Stevens-Johnson syndrome and toxic epidermal necrolysis in the Federal District were reported. The majority of patients were women; the most affected age group was 0 to 10 years. Patients older than 60 years (elderly) represent 6.98% of the cases. Most patients admitted to the referral hospital were discharged. However, occurrence of deaths exceeded that of discharge in elderly patients. Limitations of the study: There is fragility in the registry of hospitalization of patients, both in the hospital information system and in the medical records of the reference hospital. Conclusion: There is a need for greater production and better dissemination of information on the incidence of adverse drug reactions.
Author Novaes, Alice Garbi
Arantes, Luana Bernardes
Carvalho, Marta Rodrigues de
Reis, Carmélia Santiago
Novaes, Maria Rita Carvalho Garbi
Göttems, Leila Bernarda Donato
AuthorAffiliation 5 Research and Scientific Communication of College of Health Sciences (ESCS/FEPECS) - Brasília (DF), Brazil
1 Burn sector of Hospital Regional da Asa Norte - Secretaria de Saúde do Distrito Federal (SES-DF) - Brasília (DF), Brazil
2 Department of Dermatology of Hospital Regional da Asa Norte - Secretaria de Estado de Saúde do Distrito Federal (SES-DF) - Brasília (DF), Brazil
6 Universidade Católica de Brasília (UCB) - Brasília (DF), Brazil
4 College of Health Sciences (ESCS/FEPECS) - Brasília (DF), Brazil
3 Stricto Sensu Postgraduate Program In Health Sciences of Fundação de Ensino e Pesquisa em Ciências da Saúde (FEPECS) - Brasília (DF), Brazil
AuthorAffiliation_xml – name: 2 Department of Dermatology of Hospital Regional da Asa Norte - Secretaria de Estado de Saúde do Distrito Federal (SES-DF) - Brasília (DF), Brazil
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  surname: Arantes
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  organization: Burn sector of Hospital Regional da Asa Norte - Secretaria de Saúde do Distrito Federal (SES-DF) - Brasília (DF), Brazil
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  givenname: Carmélia Santiago
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  givenname: Marta Rodrigues de
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  givenname: Maria Rita Carvalho Garbi
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  fullname: Novaes, Maria Rita Carvalho Garbi
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Issue 5
Keywords Drug eruptions
Stevens-Johnson syndrome
Epidemiology
Language English
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Snippet Adverse drug reactions are harmful and involuntary responses to drugs that occur at doses normally used for a given condition. Among them are Stevens-Johnson...
BACKGROUNDAdverse drug reactions are harmful and involuntary responses to drugs that occur at doses normally used for a given condition. Among them are...
Background: Adverse drug reactions are harmful and involuntary responses to drugs that occur at doses normally used for a given condition. Among them are...
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StartPage 661
SubjectTerms Adolescent
Adult
Aged
Brazil - epidemiology
Child
Child, Preschool
Cross-Sectional Studies
DERMATOLOGY
Drug eruptions
Epidemiology
Female
Hospitals, Public
Humans
Infant
Infant, Newborn
Investigation
Male
Middle Aged
Retrospective Studies
Stevens-Johnson syndrome
Stevens-Johnson Syndrome - drug therapy
Stevens-Johnson Syndrome - epidemiology
Stevens-Johnson Syndrome - etiology
Young Adult
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Title Stevens-Johnson syndrome and toxic epidermal necrolysis: epidemiological and clinical outcomes analysis in public hospitals
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