Safety of omalizumab in the treatment of children with allergic diseases / 中国药房

OBJECTIVE To analyze the safety of omalizumab in the treatment of allergic diseases in children. METHODS Clinical data of children with allergic diseases who were prescribed omalizumab therapy were collected from our hospital during February 2019 to July 2023， including the children’s basic conditions， allergen test results， serum levels of total immunoglobulin E （IgE）， omalizumab application and the occurrence of adverse events. The information on telephone follow-up was collected among the children who had completed treatment 12th month after drug withdrawal. At the same time， the causal relationship between adverse events and omalizumab was also evaluated by using the Naranjo assessment scale. RESULTS A total of 30 children were enrolled and received subcutaneous injections of omalizumab 245 times， accumulating 473 times. Four children suffered from four times of immediate-type hypersensitivity reactions （degree Ⅰ and Ⅱ every two times）， with an incidence of 13.3%； among them， two cases occurred after the first injection， one after the third injection， and one after the fifth injection； the results of the causality evaluation showed that two cases were “very likely” and two cases were “likely”. The telephone follow-up of 21 children showed that the children were in good health and there were no adverse events， such as malignant tumors， worm infections， serum disease- like reactions and arterial thromboembolism. CONCLUSIONS Omalizumab in children with allergic diseases is of good safety with a low incidence of adverse reactions， which are mainly mild immediate-type hypersensitivity reactions with a high long-term safety profile.

Drug monitoring of omalizumab in treatment of 2 children with high level IgE allergic asthma / 药学实践杂志

Objective To explore the clinical efficacy and safety of the omalizumab treatment in children with high level IgE allergic asthma. Methods The clinical data of 2 children with allergic asthma treated with omalizumab in the Departemnt of Respiratory Medicine of Shanghai Children’s Hospital from August 2020 to May 2021 were retrospectively analyzed, and they had regular follow-up after end of treatment. The dosage and course of treatment, therapeutic effect and adverse drug reactions of omalizumab were analyzed. Results After receiving omalizumab treatment, asthma symptoms were well controlled, the dosage of inhaled corticosteroids during asthma treatment were reduced and nasal symptoms were relieved. 20 subcutaneous injections were received by 2 children, and no adverse reactions were found. After the treatment, regular pharmaceutical follow-up showed that the children were in good health. Conclusion Omalizumab is suitable for high level IgE allergic asthma and can improve asthma control symptoms with good long-term safety. However, the appropriate dosage and course of treatment still need further experience accumulation.

Recommendations for prescription review of antipyretic-analgesics in symptomatic treatment of children with fever / 中华实用儿科临床杂志

Antipyretic-analgesics are currently one of the most prescribed drugs in children.The clinical application of antipyretic-analgesics for children in our country still have irrational phenomenon, which affects the therapeutic effect and even poses hidden dangers to the safety of children.In this paper, suggestions were put forward from the indications, dosage form/route, dosage suitability, pathophysiological characteristics of children with individual differences and drug interactions in the symptomatic treatment of febrile children, so as to provide reference for the general pharmacists when conducting prescription review.

Analysis of the practical effect of deep cooperation on hospital pharmacy supply chain / 药学实践杂志

Under the background of a series of reform policy, more and more hospitals chose the depth mode of drug supply chain to reform the drug procurement and management.The concept of depth of drug supply chain cooperation, and practice of cooperative effect of the multi-angle analysis were summarized in the paper, which offered references to other hospitals.

Study on the preventive use of antibiotics in removal surgery for internal fixation / 药学实践杂志

Objective To investigate the preventive use of antibiotics for internal fixation as selective removal surgery during perioperative period.Methods The sex, age, routine blood examination data, preventive medications, secondary incision infection and postoperative hospital stay for the patients underwent selective removal surgery for internal fixation from July2015to June 2017were analyzed.Results The average postoperative hospitalization time for the preventive medication group (n=71) and the untreated group (n=350) were (1.80±1.24) days and (1.27±0.61) days.This difference was statistically significant (P＜0.05).Conclusion Preventive antibiotics use is not related to incision infections.It is recommended to correct the current behavior of the preventive drug use.The preventive antibiotics use in selective removal surgery for internal fixation in the Department of orthopedics needs to be reduced.

Studies on the chemical constituents from marine sponge Agelas sp / 药学实践杂志

Objective To investigate the chemical constituents from marine sponge Agelas sp.Methods Multi-chromatographic methods including silica gel column chromatography, Sephadex-LH20 gel permeation and HPLC were employed for the isolation and purification.The structures were identified on the basis of chemical evidence and NMR spectra data.Results Nine compounds were isolated and identified as: 4,5-dibromo-1H-pyrrole-2-carboxylic acid amide (1), 4,5-dibromo-1H-pyrrole-2-carboxylic acid (2), 4,5-dibromo-1H-pyrrole-2-carboxylic acid methyl ester (3), N-(4,5-dibromopyrrole-2-carbonyl) glycine methyl ester (4), 3-{[1-(4,5-dibromopyrrole-2-yl)-methanoyl]-amino}-propionic acid methyl ester (5), 3-{[1-(4,5-dibromopyrrole-2-yl)-methanoyl]-amino}-propionic acid ethyl ester (6),isoindole-1,3-dione (7), 2 (3H)-benzothiazolone (8), and manzacidin C (9).Conclusion Compounds 4～9 were isolated from the sponge of Agelas sp.for the first time,and compounds 4～6 were new natural products.

Pharmaceutical Care for Children Based on WeChat / 医药导报

Objective To improve the quality of pharmaceutical care in specialized children ' s hospital, provide convenient on-line medical consultation to parents, create the professional brand of whole-ranged pharmaceutical care by clinical pharmacist. Methods The First WeChat platform named " drugs consultation of Shanghai Children ' s Hospital" was inaugurated in Shanghai. Parents of children could search WeChat code or scan the QR code to join in WeChat friends, and asked questions online. Clinical pharmacists took turns on duty to answer questions online every day. Results During June 2014 to January 2016, number of WeChat friends was more than 8000, total number of medication consultation was 13315, average number of daily effective medication consultation was 26 (the peak was more than 60), 20 original medical articles of popular science were released, 100 other medical articles of popular science were reposted. Peak date of consulting was Tuesday, trough date of consulting was Saturday. Peak time of consulting was 9:00-10:00, while trough time of consulting was 4:00-5:00. For consultation, top ten diseases or symptoms was cough, fever, runny nose, sore throat, coughing phlegm, diarrhea, infection, pneumonia, skin eczema, adverse drug reactions; Top ten drugs was ibuprofen suspension or suspension drops, ambroxol hydrochloride and clenbuterol hydrochloride oral solution, paracetemol, pseudoephedrine hyrochleride, dextromethorphan hyorobromode and chlorpheniramine maleate suspension, pediatric pseudoephedrine hydrochloride and dextromethorphan hydrobromide drops, azithromycin tablets or suspension, vitamin, combined bacillus subtilis and enterococcus faecium granules with multivitamines, live, ambroxol hydrochloride oral solution, montmorillonite powder, loratadine tablets or syrup. Conclusion New mode of internet+pharmaceutical care is recognized by public and official. Clinical pharmacist can ensure the safety of pharmacy in children inside and outside of hospital effectively through WeChat real-time online interaction with parents. Professional brand of full process pharmaceutical care has been made by clinical pharmacists successfully.

Practice of the Pediatric Pharmaceutical Services Based on WeChat Platform / 中国药房

OBJECTIVE:To investigate the effects of WeChat platform online service on the safety of pediatric family medica-tion and the quality of pharmaceutical care. METHODS:The online consultation records of"Qs and As for pediatric medications"were collected and summarized from the WeChat platform(WeChat ID:etyywd)during Jun.1st,2014-Dec.31st,2015 in our hos-pital. Statistical analysis was performed on the consulting time periods,age of pediatric patients with consultation demands,and the systems and mistake types involved in medication consultations. RESULTS:A total of 29 850 dialogue records on WeChat were collected,and 13 315 of these were related to medications(44.61%). The peak time of medication consultation was at 9:00-10:00 in the morning,with an accumulative consultation number of 1 840 cases(13.82%);while the least consultation time pe-riod was at 4:00-5:00 early in the morning,with only 13 cases(0.10%).Pediatric patients in need of consultation were more with-in the age of 1-6 years old,and most of them were preschool children(31.20%)and toddlers(26.32%). The systems consulted mainly involved the respiratory system,immune system and digestive system;in which respiratory system had the most cases (60.28%). There were 1 508 Qs and As records for medication mistakes that were occured or may occure and were corrected in time(11.33%),in which the mistake types were mainly the unsuitable use of antipyretics(3.91%),antibiotics abuse(3.14%), careless use of combination medication and excessive medication(3.04%),excessively large or small doses(0.69%),improper use of nebulized inhalant after discharge(0.41%),and excessive use of vitamins(0.14%). CONCLUSIONS:The WeChat plat-form expands the service scope of clinical pharmacists.As an extension of hospital pharmaceutical care,it reduces the risk of fami-ly medication mistakes due to a patient's or members'wrong recognition to a certain degree,reinforces communication between doctors and patients,and improves the experience of medical services.

Pharmaceutical Care for Children Based on WeChat / 医药导报

Objective To improve the quality of pharmaceutical care in specialized children ' s hospital, provide convenient on-line medical consultation to parents, create the professional brand of whole-ranged pharmaceutical care by clinical pharmacist. Methods The First WeChat platform named " drugs consultation of Shanghai Children ' s Hospital" was inaugurated in Shanghai. Parents of children could search WeChat code or scan the QR code to join in WeChat friends, and asked questions online. Clinical pharmacists took turns on duty to answer questions online every day. Results During June 2014 to January 2016, number of WeChat friends was more than 8000, total number of medication consultation was 13315, average number of daily effective medication consultation was 26 (the peak was more than 60), 20 original medical articles of popular science were released, 100 other medical articles of popular science were reposted. Peak date of consulting was Tuesday, trough date of consulting was Saturday. Peak time of consulting was 9:00-10:00, while trough time of consulting was 4:00-5:00. For consultation, top ten diseases or symptoms was cough, fever, runny nose, sore throat, coughing phlegm, diarrhea, infection, pneumonia, skin eczema, adverse drug reactions; Top ten drugs was ibuprofen suspension or suspension drops, ambroxol hydrochloride and clenbuterol hydrochloride oral solution, paracetemol, pseudoephedrine hyrochleride, dextromethorphan hyorobromode and chlorpheniramine maleate suspension, pediatric pseudoephedrine hydrochloride and dextromethorphan hydrobromide drops, azithromycin tablets or suspension, vitamin, combined bacillus subtilis and enterococcus faecium granules with multivitamines, live, ambroxol hydrochloride oral solution, montmorillonite powder, loratadine tablets or syrup. Conclusion New mode of internet+pharmaceutical care is recognized by public and official. Clinical pharmacist can ensure the safety of pharmacy in children inside and outside of hospital effectively through WeChat real-time online interaction with parents. Professional brand of full process pharmaceutical care has been made by clinical pharmacists successfully.

Practice of the Pediatric Pharmaceutical Services Based on WeChat Platform / 中国药房

OBJECTIVE:To investigate the effects of WeChat platform online service on the safety of pediatric family medica-tion and the quality of pharmaceutical care. METHODS:The online consultation records of"Qs and As for pediatric medications"were collected and summarized from the WeChat platform(WeChat ID:etyywd)during Jun.1st,2014-Dec.31st,2015 in our hos-pital. Statistical analysis was performed on the consulting time periods,age of pediatric patients with consultation demands,and the systems and mistake types involved in medication consultations. RESULTS:A total of 29 850 dialogue records on WeChat were collected,and 13 315 of these were related to medications(44.61%). The peak time of medication consultation was at 9:00-10:00 in the morning,with an accumulative consultation number of 1 840 cases(13.82%);while the least consultation time pe-riod was at 4:00-5:00 early in the morning,with only 13 cases(0.10%).Pediatric patients in need of consultation were more with-in the age of 1-6 years old,and most of them were preschool children(31.20%)and toddlers(26.32%). The systems consulted mainly involved the respiratory system,immune system and digestive system;in which respiratory system had the most cases (60.28%). There were 1 508 Qs and As records for medication mistakes that were occured or may occure and were corrected in time(11.33%),in which the mistake types were mainly the unsuitable use of antipyretics(3.91%),antibiotics abuse(3.14%), careless use of combination medication and excessive medication(3.04%),excessively large or small doses(0.69%),improper use of nebulized inhalant after discharge(0.41%),and excessive use of vitamins(0.14%). CONCLUSIONS:The WeChat plat-form expands the service scope of clinical pharmacists.As an extension of hospital pharmaceutical care,it reduces the risk of fami-ly medication mistakes due to a patient's or members'wrong recognition to a certain degree,reinforces communication between doctors and patients,and improves the experience of medical services.

Evaluation of probiotics effectiveness in hospitalized pneumonia children by elec-tronic medical records / 药学实践杂志

Objective To describe the profile of probiotics utilization in hospitalized pneumonia children and evaluate the ef -fectiveness of probiotics in the treatment of pneumonia in hospitalized children combined with antibiotics. Methods Descriptive data a-nalysis was obtained from the medical records in one children′s hospital in one year period. The clinical data including patient charac-teristics, drug prescribed time, drug use duration, and length of stay was reviewed. Ridit analysis was used to compare the data. Re-sults Data of 2 974 children hospitalized for pneumonia was accessed. Antibiotics were prescribed to 99.1 % ( n=2 948) of pa-tients, probiotics were prescribed to 42.1%(n=1 252) of patients, and both antibiotics and probiotics were prescribed to 41.9%(n=1 246 ). The median of the time to start administration of probiotics was the second day of hospitalization and the mode was the first day of hospitalization. For those patients who were prescribed antibiotics combined with probiotics, the median of the duration of ad-ministration of antibiotics before accepting probiotics was 3 days and the mode was 1 day.After administrating probiotics, the median of the duration of accepting of antibiotics was 5 days, the mode was 4 days, and the median and the mode of the duration of administration of probiotics were 4 days.21%(n=626) of all hospitalized patients were administrated anti-diarrheals.The most common age group of them were neonates and infants (82.3%, n=515).The patients with anti-diarrheal who was administrated antibiotics with or with-out probiotics were 585(47.0%), 34(2.0%), respectively (P<0.05).The median of duration of anti-diarrheals in those adminis-trated antibiotics with probiotics was 4 days, the mode was 3 days and the interquartile range was 2-6 days.For those administrated an-tibiotics without probiotics, the median of duration of anti-diarrheals was 3 days, the mode was 1 day and the interquartile range was 1-6 days (P>0.05).The median of the length of stay in those administrated antibiotics with probiotics was 7 days, the mode was 6 days and the interquartile range was 6-9 days.For those administrated antibiotics without probiotics, the median and the mode of the length of stay were 7 days and the interquartile range was 6-9 days(P>0.05).Conclusion The time of starting to administrate probiotics was mainly within 2 days combined with antibiotics. The aim of prescribed probiotics was prevention of antibiotic-associated diarrhea. There was no significant difference in the duration of the following antibiotic therapy, the duration of anti-diarrhea therapy, the length of stay between those administrated antibiotics combination with or without probiotics.

Intraoperative neuromonitoring in thyroid gland surgery / 中华内分泌外科杂志

Objective To summarize the experience of intraoperative neuromonitoring (IONM) system for monitoring and protection of recurrent laryngeal nerve (RLN) during thyroid surgery.Methods A total of 220 cases were enrolled in this study (53 males and 167 females),with the median age of 38.2 years old.There were 85 cases of thyroid cancer,19 cases of thyroid benign tumor,90 cases of thyroid goiter,3 cases of Hashimoto's diseases,and 23 cases of hyperthyroidism.113 cases had tumors larger than 5 cm in diameter.During the procedure,2 recording needle electrodes were put in cricothyroid muscle and 1 stimulator electrode was explored in tracheoasophageal groove.If any RLN was fight there or nearby,doctors can see the electromyogram and hear the toothonk.With careful dissection,RLN can be found out till exploring into the larynx site.Results Electromyogram showed in 207 cases (278 nerves),and it didn't show in 13 cases,among whom 9 cases were false-negative because of system or annesthesia problems,4 cases didn't manage to have needle electrodes put in properly due to cricothyroid muscle being invaded.No permanent RLN paralysis occoured.Transient nerve paralysis occurred in 2 cases,who recovered in 1 month after operation.Conclusion IONM system is an effective way to avoid damage to RLN in thyroidectomy.

Professional Risk and Risk Avoidance in Clinical Pharmacist / 中国药房

OBJECTIVE:To study the professional risks of Chinese clinical pharmacists.METHODS:The source and avoidance of professional risks for clinical pharmacists were analyzed on the basis of current practice and literatures.RESULTS:Lack of clarity in duties and rights of clinical pharmacists,undefined criteria for evaluation of their works were among the main causes of their professional risks.CONCLUSION:It is essential to renew and implement the related regulations and guidelines on clinical pharmaceutical practice to minimize the professional risks,which should be responded both by the authority and professionals.

Comparison of Pharmaceutical Literatures from Commonly Used Chinese Periodical Databases and Automatic Processing of the Retrieved Literatures / 中国药房

OBJECTIVE:To provide references for pharmaceutical workers in retrieving literatures by means of Chinese bi_omedical database(CBM),China journal full-text database(CNK) and Chinese science & technology journal database(VIP).METHDOS:With the commonly research topics of hospital pharmacy as research scope,literatures retrieved by database sampling underwent a preliminary contrast analysis and a computer-assisted automatic meta-analysis after programming.RESU_TLS:None the 3 databases indexed all the tested pharmaceutical periodicals(totaled 79 kinds).There were differences among the un-indexed periodicals, except a few are the same in kinds.The retrieved literatures of docuterm had a high proportion of repetition;however,the computer had merged the same literatures retrieved in different databases.CONCLUSIONS:The literatures indexed in the 3 databases have their own characteristics,thus literature recall ratio can only be improved by combining multiple databases.The automatic meta-analysis of the retrieval literatures can be performed by means of computer program,the repeated work can be reduced thereafter.

Determination of Methyl Hydroxybenzoate and Ethyl Hydroxybenzoate in Three Oral Liquid Preparations / 中国药房

OBJECTIVE:To establish the RP-HPLC method for determination of methyl hydroxybenzoate and ethyl hydroxybenzoate in oral liquid preparations METHODS:The Nova-Park C18 column(3 9mm?150mm,5?m)was used The mobile phase consisted of acetonitrile-water(25∶75)at a flow rate of 1ml/min,the detection wavelength was set at 254nm and the sensitivity was set at 0 01 AUFS RESULTS:The linear ranges of methyl hydroxybenzoate and ethyl hydroxybenzoate were 0 4 412～13 2 360?g/ml(r=0 9 999) and 0 6 672～20 0 160?g/ml(r=0 9 998)respectively CONCLUSION:The method is simple,rapid and accurate It can be used to detect antiseptics in hospital preparations

Study on the permeability of leflunomide in vitro / 第二军医大学学报

Objective: To study the permeability of leflunomide and the effect of liposome on its permeability. Methods: Modified Franz diffusion cell adopted as apparatus for in vitro skin permeation. Various excised skins were used as permeation barriers and permeation coefficient was used as index. The concentration of leflunomide in the samples was measured by HPLC. Results: Leflunomide had a good permeability, but the effect of liposome on permeability was not very strong. Conclusion: It is feasible that leflunomide is applied through skin. [

Effects of CI-930 on Vascular Resistance and Rat Aortic Strip Contraction / 第二军医大学学报

The effects of C1-930, a known selective phosphodiesterase 111 inhibitor, on vascular resistance and rat aortic strip contraction were studied CI-930 025mg/kg injected into the perfused artery, reduced vascular resistance markedly in femoral artery and internal carotid artery in anaesthetized rats. The action lasted for about 15-20 min. CI-930 in vitro inhibited norepinephrine (NE) and TXA2/PGH, mimetic U-46619 induced rat aortic strip contraction significantly with PD, values of 6.71 and 5.5 respectively. The inhibitory effects of CI-930 on NE and U-46619 induced contraction were more potent than that of KG induced contraction. CI-930 0.01 - 10?mol/L exhibited a potential inhibitory effects on intracellular Ca2+ dependent contraction of rat aortic strip induced by NE, but had no effect on extracellular Ca2+ dependent contraction. The results suggest that CI-930 can possess a potent intracellular Ca2+ dependent vasodilating effects in vitro and in vivo.