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 |
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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. |
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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 – name: 4 College of Health Sciences (ESCS/FEPECS) - Brasília (DF), Brazil – name: 5 Research and Scientific Communication of College of Health Sciences (ESCS/FEPECS) - Brasília (DF), Brazil – name: 3 Stricto Sensu Postgraduate Program In Health Sciences of Fundação de Ensino e Pesquisa em Ciências da Saúde (FEPECS) - Brasília (DF), Brazil – name: 6 Universidade Católica de Brasília (UCB) - Brasília (DF), Brazil – name: 1 Burn sector of Hospital Regional da Asa Norte - Secretaria de Saúde do Distrito Federal (SES-DF) - Brasília (DF), Brazil – name: Secretaria de Estado de Saúde do Distrito Federal (SES-DF) – name: Fundação de Ensino e Pesquisa em Ciências da Saúde (FEPECS) – name: Universidade Católica de Brasília – name: College of Health Sciences (ESCS/FEPECS) – name: Secretaria de Saúde do Distrito Federal (SES-DF) |
Author_xml | – sequence: 1 givenname: Luana Bernardes surname: Arantes fullname: Arantes, Luana Bernardes organization: Burn sector of Hospital Regional da Asa Norte - Secretaria de Saúde do Distrito Federal (SES-DF) - Brasília (DF), Brazil – sequence: 2 givenname: Carmélia Santiago surname: Reis fullname: Reis, Carmélia Santiago organization: Stricto Sensu Postgraduate Program In Health Sciences of Fundação de Ensino e Pesquisa em Ciências da Saúde (FEPECS) - Brasília (DF), Brazil – sequence: 3 givenname: Alice Garbi surname: Novaes fullname: Novaes, Alice Garbi organization: Universidade Católica de Brasília (UCB) - Brasília (DF), Brazil – sequence: 4 givenname: Marta Rodrigues de surname: Carvalho fullname: Carvalho, Marta Rodrigues de organization: College of Health Sciences (ESCS/FEPECS) - Brasília (DF), Brazil – sequence: 5 givenname: Leila Bernarda Donato surname: Göttems fullname: Göttems, Leila Bernarda Donato organization: College of Health Sciences (ESCS/FEPECS) - Brasília (DF), Brazil – sequence: 6 givenname: Maria Rita Carvalho Garbi surname: Novaes fullname: Novaes, Maria Rita Carvalho Garbi organization: Research and Scientific Communication of College of Health Sciences (ESCS/FEPECS) - Brasília (DF), Brazil |
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Cites_doi | 10.1590/0034-7167.2014670606 10.1124/pr.113.007450 10.4103/0378-6323.102367 10.1111/j.1365-4632.2010.04785.x 10.1056/NEJM199411103311906 10.1586/eci.11.66 10.1016/j.jaip.2014.10.002 10.1001/archderm.136.3.323 10.2217/pgs.15.128 10.1016/j.jaad.2015.08.008 10.1111/j.1398-9995.2006.01295.x 10.1007/s40257-015-0158-0 10.2340/00015555-0143 10.4103/0019-5154.117319 10.1186/1750-1172-5-39 10.1016/j.amjsurg.2015.12.011 10.1590/S0034-71672010000100023 10.4103/0253-7613.99344 |
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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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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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