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Danet C, Araujo M, Bos-Thompson MA, Portolan G, Gautier S, Vanlemmens L, Bonenfant S, Jonville-Béra AP, Cottin J, Vial T, Bavoux F, Montastruc JL, Damase-Michel C, Benevent J, Bourgeois-Mondon I, Lacroix I. Pregnancy outcomes in women exposed to cancer chemotherapy. Pharmacoepidemiol Drug Saf 2018; 27:1302-1308. [PMID: 30379378 DOI: 10.1002/pds.4689] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 08/06/2018] [Accepted: 09/27/2018] [Indexed: 11/09/2022]
Abstract
PURPOSE There is little data on the effects of cancer chemotherapy in pregnant women. The objective of this study was to describe pregnancy outcomes of women exposed to cancer chemotherapy, recorded in the French Terappel database. METHODS We performed a descriptive, prospective study of the pregnancies of women exposed to cancer chemotherapy recorded in Terappel between June 1984 and December 2016. Terappel is a French database that has recorded questions of health professionals and/or individuals at the Regional Pharmacovigilance Centres about drugs and pregnancy. For each question, pregnancies are monitored and the outcome is recorded in the database. RESULTS In total, 75 questions about "anti-cancer drugs and pregnancy" received by 16 Regional Pharmacovigilance Centres between 1997 and 2016 were recorded in Terappel. Breast cancer accounted for 62.7% of the cases, followed by leukaemia (13.3%) and lymphoma (9.3%). Cyclophosphamide is the leading anti-cancer drug with 40.0% of exposed pregnant women, followed by 5-fluorouracil (34.7%), epirubicin (32.0%), tamoxifen (26.7%), and doxorubicin (16.0%). Among the 75 pregnancies, we observed 55 births with 57 children (73.3%) (two cases of twins), nine medical terminations of pregnancy (12.0%), six voluntary terminations of pregnancy (8.0%), three intrauterine foetal deaths (4.0%), and two miscarriages (2.7%). We found a malformation rate of 7.8%. Sixteen of 57 (28.1%) newborns developed one or more neonatal pathologies. CONCLUSION Pregnancy of women taking anti-cancer drugs resulted in birth in 73% of cases. Nevertheless, pregnant women exposed to cancer chemotherapy remains at risk of malformations and neonatal conditions related to prematurity and drugs.
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Affiliation(s)
- Chloé Danet
- Service de Pharmacologie Médicale et Clinique, Centre Régional de Pharmacovigilance, CHU de Toulouse, Université de Toulouse, Toulouse, France
| | - Mélanie Araujo
- Service de Pharmacologie Médicale et Clinique, Centre Régional de Pharmacovigilance, CHU de Toulouse, Université de Toulouse, Toulouse, France
| | | | - Ghyslaine Portolan
- Service de Pharmacologie Médicale et Clinique, Centre Régional de Pharmacovigilance, CHU de Toulouse, Université de Toulouse, Toulouse, France
| | | | - Laurence Vanlemmens
- Centre Oscar-Lambret, Centre Régional de lutte contre le cancer, Lille, France
| | - Sophie Bonenfant
- Service de Pharmacologie Médicale et Clinique, Centre Régional de Pharmacovigilance, CHU de Toulouse, Université de Toulouse, Toulouse, France
| | | | | | - Thierry Vial
- Centre de Pharmacovigilance, CHU de Lyon, France
| | - Françoise Bavoux
- Centre Régional de Pharmacovigilance, Hôpital Saint-Vincent de Paul, Paris, France
| | - Jean-Louis Montastruc
- Service de Pharmacologie Médicale et Clinique, Centre Régional de Pharmacovigilance, CHU de Toulouse, Université de Toulouse, Toulouse, France
| | - Christine Damase-Michel
- Service de Pharmacologie Médicale et Clinique, Centre Régional de Pharmacovigilance, CHU de Toulouse, Université de Toulouse, Toulouse, France
| | - Justine Benevent
- Service de Pharmacologie Médicale et Clinique, Centre Régional de Pharmacovigilance, CHU de Toulouse, Université de Toulouse, Toulouse, France
| | - Isabelle Bourgeois-Mondon
- Service de Pharmacologie Médicale et Clinique, Centre Régional de Pharmacovigilance, CHU de Toulouse, Université de Toulouse, Toulouse, France
| | - Isabelle Lacroix
- Service de Pharmacologie Médicale et Clinique, Centre Régional de Pharmacovigilance, CHU de Toulouse, Université de Toulouse, Toulouse, France
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Gilardin L, Bavoux F, Roziers NBD, Deutsch J, Mira JP, Grimaldi D, Foïs E. [Coma of unknown cause in a 35-year-old man]. Rev Med Interne 2012; 33:465-7. [PMID: 22721645 DOI: 10.1016/j.revmed.2012.05.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2012] [Accepted: 05/06/2012] [Indexed: 11/18/2022]
Affiliation(s)
- L Gilardin
- Service de réanimation médicale, hôpital Cochin, 27 rue du Faubourg-Saint-Jacques, Paris, France.
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3
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Pagès C, Misset JL, de Kerviler E, Bavoux F, Fernandez H, Viguier M. [Melanoma during pregnancy]. Ann Dermatol Venereol 2012; 139:298-304; quiz 296-7, 306-7. [PMID: 22482486 DOI: 10.1016/j.annder.2012.01.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2011] [Revised: 12/30/2011] [Accepted: 01/12/2012] [Indexed: 10/28/2022]
Affiliation(s)
- C Pagès
- Service de dermatologie, hôpital Saint-Louis, AP-HP, 1 avenue Claude-Vellefaux, Paris cedex 10, France
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Pagès C, Misset JL, de Kerviler E, Bavoux F, Fernandez H, Viguier M. Mélanome et grossesse. Réponses au pré-test. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Pagès C, Misset JL, de Kerviler E, Bavoux F, Fernandez H, Viguier M. Mélanome et grossesse. Pré-test. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.01.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Mallet P, Mourdi N, Dubus JC, Bavoux F, Boyer-Gervoise MJ, Jean-Pastor MJ, Chalumeau M. Respiratory paradoxical adverse drug reactions associated with acetylcysteine and carbocysteine systemic use in paediatric patients: a national survey. PLoS One 2011; 6:e22792. [PMID: 21818391 PMCID: PMC3144941 DOI: 10.1371/journal.pone.0022792] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2011] [Accepted: 06/29/2011] [Indexed: 11/30/2022] Open
Abstract
Objective To report pediatric cases of paradoxical respiratory adverse drug reactions (ADRs) after exposure to oral mucolytic drugs (carbocysteine, acetylcysteine) that led to the withdrawal of licenses for these drugs for infants in France and then Italy. Design The study followed the recommendations of the European guidelines of pharmacovigilance for medicines used in the paediatric population. Setting Cases voluntarily reported by physicians from 1989 to 2008 were identified in the national French pharmacovigilance public database and in drug company databases. Patients The definition of paradoxical respiratory ADRs was based on the literature. Exposure to mucolytic drugs was arbitrarily defined as having received mucolytic drugs for at least 2 days (>200 mg) and at least until the day before the first signs of the suspected ADR. Results The non-exclusive paradoxical respiratory ADRs reported in 59 paediatric patients (median age 5 months, range 3 weeks to 34 months, 98% younger than 2 years old) were increased bronchorrhea or mucus vomiting (n = 27), worsening of respiratory distress during respiratory tract infection (n = 35), dyspnoea (n = 18), cough aggravation or prolongation (n = 11), and bronchospasm (n = 1). Fifty-one (86%) children required hospitalization or extended hospitalization because of the ADR; one patient died of pulmonary oedema after mucus vomiting. Conclusion Parents, physicians, pharmacists, and drug regulatory agencies should know that the benefit risk ratio of mucolytic drugs is at least null and most probably negative in infants according to available evidence.
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Affiliation(s)
- Pauline Mallet
- Department of pediatrics, Necker-Enfants Malades hospital, Université Paris Descartes, Assistance Publique – Hôpitaux de Paris, Paris, France
- Regional Pharmacovigilance Center and Department of Clinical Pharmacology, Cochin Saint Vincent de Paul Hospital, Université Paris Descartes, Assistance Publique – Hôpitaux de Paris, Paris, France
| | | | - Jean-Christophe Dubus
- Unité de Pneumologie et Médecine Infantile, CNRS URMITE 6236, CHU Timone-Enfants, Marseille, France
| | - Françoise Bavoux
- Regional Pharmacovigilance Center and Department of Clinical Pharmacology, Cochin Saint Vincent de Paul Hospital, Université Paris Descartes, Assistance Publique – Hôpitaux de Paris, Paris, France
| | - Marie-José Boyer-Gervoise
- Regional Pharmacovigilance Center, Salvator Hospital, Assistance Publique – Hôpitaux de Marseille, Marseille, France
| | - Marie-Josèphe Jean-Pastor
- Regional Pharmacovigilance Center, Salvator Hospital, Assistance Publique – Hôpitaux de Marseille, Marseille, France
| | - Martin Chalumeau
- Department of pediatrics, Necker-Enfants Malades hospital, Université Paris Descartes, Assistance Publique – Hôpitaux de Paris, Paris, France
- Inserm U953, Saint-Vincent-de-Paul hospital, Paris, France
- * E-mail:
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7
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Simon A, Warszawski J, Kariyawasam D, Le Chenadec J, Benhammou V, Czernichow P, Foissac F, Laborde K, Tréluyer JM, Firtion G, Layouni I, Munzer M, Bavoux F, Polak M, Blanche S. Association of prenatal and postnatal exposure to lopinavir-ritonavir and adrenal dysfunction among uninfected infants of HIV-infected mothers. JAMA 2011; 306:70-8. [PMID: 21730243 DOI: 10.1001/jama.2011.915] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
CONTEXT Lopinavir-ritonavir is a human immunodeficiency virus 1 (HIV-1) protease inhibitor boosted by ritonavir, a cytochrome p450 inhibitor. A warning about its tolerance in premature newborns was recently released, and transient elevation of 17-hydroxyprogesterone (17OHP) was noted in 2 newborns treated with lopinavir-ritonavir in France. OBJECTIVE To evaluate adrenal function in newborns postnatally treated with lopinavir-ritonavir. DESIGN, SETTING, AND PARTICIPANTS Retrospective cross-sectional analysis of the database from the national screening for congenital adrenal hyperplasia (CAH) and the French Perinatal Cohort. Comparison of HIV-1-uninfected newborns postnatally treated with lopinavir-ritonavir and controls treated with standard zidovudine. MAIN OUTCOME MEASURES Plasma 17OHP and dehydroepiandrosterone-sulfate (DHEA-S) concentrations during the first week of treatment. Clinical and biological symptoms compatible with adrenal deficiency. RESULTS Of 50 HIV-1-uninfected newborns who received lopinavir-ritonavir at birth for a median of 30 days (interquartile range [IQR], 25-33), 7 (14%) had elevated 17OHP levels greater than 16.5 ng/mL for term infants (>23.1 ng/mL for preterm) on days 1 to 6 vs 0 of 108 controls having elevated levels. The median 17OHP concentration for 42 term newborns treated with lopinavir-ritonavir was 9.9 ng/mL (IQR, 3.9-14.1 ng/mL) vs 3.7 ng/mL (IQR, 2.6-5.3 ng/mL) for 93 term controls (P < .001). The difference observed in median 17OHP values between treated newborns and controls was higher in children also exposed in utero (11.5 ng/mL vs 3.7 ng/mL; P < .001) than not exposed in utero (6.9 ng/mL vs 3.3 ng/mL; P = .03). The median DHEA-S concentration among 18 term newborns treated with lopinavir-ritonavir was 9242 ng/mL (IQR, 1347-25,986 ng/mL) compared with 484 ng/mL (IQR, 218-1308 ng/mL) among 17 term controls (P < .001). The 17OHP and DHEA-S concentrations were positively correlated (r = 0.53; P = .001). All term newborns treated with lopinavir-ritonavir were asymptomatic, although 3 premature newborns experienced life-threatening symptoms compatible with adrenal insufficiency, including hyponatremia and hyperkalemia with, in 1 case, cardiogenic shock. All symptoms resolved following completion of the lopinavir-ritonavir treatment. CONCLUSION Among newborn children of HIV-1-infected mothers exposed in utero to lopinavir-ritonavir, postnatal treatment with a lopinavir-ritonavir-based regimen, compared with a zidovudine-based regimen, was associated with transient adrenal dysfunction.
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Affiliation(s)
- Albane Simon
- Unité d’Endocrinologie Pédiatrique, Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France
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8
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Baron-Janaillac M, Cneude F, Bavoux F, Cornali P, Jobert V, Fiacre A, Debillon T, Andrini P. [Are mydriatic eyedrops dangerous for pre-term infants?]. Arch Pediatr 2011; 18:299-302. [PMID: 21269817 DOI: 10.1016/j.arcped.2010.12.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2010] [Revised: 08/05/2010] [Accepted: 12/21/2010] [Indexed: 11/17/2022]
Abstract
The funduscopic examination is essential in neonatology to screen for retinopathy in the pre-term infant. Mydriatic eyedrops, which are used for this examination, are known to induce digestive side effects. We present a case of necrotizing enterocolitis developing in a pre-term infant as a complication of mydriatics. This infant was a girl born at 28 weeks gestation and 5 days, with Down's syndrome, who died on the 44th day of life, due to necrotizing enterocolitis, after instillation of 1 drop of atropine 0.3% in each eye. The chronology of events, the application method, and the clinical symptoms of atropine impregnation argue in favor of a causal relationship between atropine and necrotizing enterocolitis. The review of the literature made on the basis of this observation shows that side effects of mydriatic eyedrops are frequent in pre-term infants and raise the question of atropine hypersensitivity in pre-term infants with Down's syndrome.
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Affiliation(s)
- M Baron-Janaillac
- Service de néonatologie et de réa-néonatologie, CHU de Grenoble, boulevard de chantourne, 38700 La Tronche, France.
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9
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Leroy S, Marc E, Bavoux F, Tréluyer JM, Gendrel D, Bréart G, Pons G, Chalumeau M. Hospitalization for severe bacterial infections in children after exposure to NSAIDs: a prospective adverse drug reaction reporting study. Clin Drug Investig 2010; 30:179-85. [PMID: 20155990 DOI: 10.2165/11532890-000000000-00000] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
BACKGROUND NSAIDs are widely used to treat fever and pain in children, but their possible role in the progression of some bacterial infections is controversial. OBJECTIVE This study was performed to analyse reported cases of severe bacterial infection associated with NSAID exposure in children admitted for this reason to a general paediatric department. METHODS This study was based on the reporting system of hospital admissions for severe bacterial infections in children after NSAID exposure, and followed the recommendations of the European Guidelines of Pharmacovigilance for medicines used in a paediatric population. Data were prospectively collected and reported by active daily surveillance in the department from November 2002 to November 2005. RESULTS Thirty-two cases of severe bacterial infections (cellulitis, soft tissue abscesses, parapneumonic empyema, necrotizing pneumonia, adenophlegmon [fever and a tender, warm and easily compressible neck mass] and lateral or retropharyngeal abscesses) were identified in children who had received NSAIDs, principally ibuprofen, in an exposure window of 15 days before the beginning of the signs of infection. Staphylococcus aureus, group A streptococci and Streptococcus pneumoniae were identified. Seven (22%) children required surgical treatment, and four (13%) were hospitalized in an intensive care unit. CONCLUSIONS The frequency of hospitalization for severe bacterial infection as a possible adverse effect of NSAID use was 0.6% (95% CI 0.4, 0.9) of all admissions during the study period. The frequency of severe bacterial infections after exposure to NSAIDs was elevated (one case per month) in the department studied. Further work is necessary to confirm these findings, given the potential for recruitment and protopathic biases in our study.
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Affiliation(s)
- Sandrine Leroy
- Pediatric Emergency Medicine Unit - Department of Pediatrics, Cochin-Saint-Vincent-de-Paul Hospital, AP-HP, Paris-Descartes University, Paris, France
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10
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Brasme JF, Mille F, Benhayoun M, Bavoux F, Faye A, Teissier N, Lachassinne E, Dauger S. Uncomplicated outcome after an accidental overdose of nevirapine in a newborn. Eur J Pediatr 2008; 167:689-90. [PMID: 17605042 DOI: 10.1007/s00431-007-0541-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2007] [Accepted: 06/05/2007] [Indexed: 10/23/2022]
Abstract
We report the first case of a massive accidental overdose of nevirapine in a 1-week newborn, due to confusion between nevirapine (Viramune) and nelfinavir (Viracept). The drug was eliminated spontaneously and quickly. We only observed mild neutropenia and hyperlactatemia, which regressed on its own without any clinical complication. Despite the good evolution of this massive overdose, physicians should be aware of confusion risks between some antiretroviral drugs.
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Affiliation(s)
- Jean-François Brasme
- Assistance Publique-Hôpitaux de Paris, Hôpital Robert-Debré, Pediatric Intensive Care Unit, 48, boulevard Sérurier, 75019 Paris, France
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11
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Dervaux A, Ichou P, Pierron G, Devianne F, Bavoux F. Olanzapine exposure during pregnancy. Aust N Z J Psychiatry 2007; 41:706. [PMID: 17717906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
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12
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13
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Desfrere L, de Oliveira I, Goffinet F, El Ayoubi M, Firtion G, Bavoux F, Jarreau PH, Moriette G. Increased incidence of necrotizing enterocolitis in premature infants born to HIV-positive mothers. AIDS 2005; 19:1487-93. [PMID: 16135902 DOI: 10.1097/01.aids.0000183123.09206.07] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To examine if being born to an HIV-positive mother may increase the risk of necrotizing enterocolitis in premature infants. DESIGN Case-control study. SETTING Neonatal unit of a level 3 perinatal centre. METHODS : Over a period of 8.5 years, all cases of necrotizing enterocolitis occurring in premature infants admitted to the neonatal unit were identified. For each case, two controls were retrospectively chosen that matched for postmenstrual age at birth, intrauterine growth and year of birth. Perinatal characteristics were studied in all infants. MAIN RESULTS There were 79 cases of necrotizing enterocolitis, which were compared with 158 controls. Using multivariate analysis, multiple pregnancy [odds ratio (OR), 2.29; 95% confidence interval (CI), 1.23-4.25; P = 0.009], abnormal umbilical artery velocity (OR, 2.21; 95% CI, 1.08-4.54; P = 0.030), abnormal fetal heart rate (OR, 2.14; 95% CI, 1.05-4.36; P = 0.036) and HIV-positive mother (OR, 6.63; 95% CI, 1.26-34.8; P = 0.025) were significantly more frequent in fetuses who subsequently developed necrotizing enterocolitis. CONCLUSIONS This preliminary report suggests an association, not previously reported, between maternal HIV-positive status and an increased risk of necrotizing enterocolitis in premature infants. Despite the limitations of this study, we suggest that premature newborn infants of HIV-positive mothers should be monitored very carefully for a possible increased risk of necrotizing enterocolitis.
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MESH Headings
- Adult
- Antiretroviral Therapy, Highly Active
- Case-Control Studies
- Enterocolitis, Necrotizing/epidemiology
- Enterocolitis, Necrotizing/virology
- Female
- Gestational Age
- HIV Infections/drug therapy
- HIV Infections/epidemiology
- Humans
- Incidence
- Infant
- Infant, Newborn
- Infant, Premature, Diseases/epidemiology
- Infant, Premature, Diseases/virology
- Male
- Paris/epidemiology
- Pregnancy
- Pregnancy Complications, Infectious/drug therapy
- Pregnancy Complications, Infectious/epidemiology
- Pregnancy Complications, Infectious/virology
- Prenatal Exposure Delayed Effects
- Risk Factors
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Affiliation(s)
- Luc Desfrere
- Service de médecine Néonatale de Port-Royal, 123 Boulevard de port Royal, 75014 Paris, France
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14
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Abstract
Iatrogenic drug disorders should be considered when presented with a number of imaging findings mainly involving the nervous, musculoskeletal, gastrointestinal or genitourinary system. Care should be used when differentiating between imaging findings related to the underlying pathology and imaging findings related to drug-related complications: examples include the impact of steroid therapy on bones and the impact of triple-drug anti-HIV therapy and its impact of fatty tissue. Knowledge of the necessary imaging surveillance protocol is implied.
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Affiliation(s)
- J M Tubiana
- Service de Radiologie, (2) Service de Pharmacologie, Hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris
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15
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Bavoux F, Elefant E. [Cancer and pregnancy: risks of exposure to cancer chemotherapy during pregnancy]. ACTA ACUST UNITED AC 2004; 33:S29-32. [PMID: 14968015 DOI: 10.1016/s0368-2315(04)96661-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Animal studies reveal that almost all antineoplastic agents are teratogenic. But extrapolation to human beings is not simple because of species differences. Few human data are available, most are sporadic case reports. Other toxic effects for the fetus and neonate (intrauterine exposure during second and third trimester) must be taken in consideration when prescribing chemotherapy for pregnant women. Adverse effects observed in adult and children are helpful if data during fetal life are lacking. Long-term studies are needed to evaluate the transplacental effects of chemotherapy during pregnancy; these studies should assess the child's mental and physical development, infertility and the occurrence of second malignancies.
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Affiliation(s)
- F Bavoux
- Unité de pharmacovigilance, CHU Cochin-Saint-Vincent-de-Paul, Paris.
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16
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Elefant E, Bavoux F. [Teratogenesis and medication induced fetal toxicity]. Rev Prat 2003; 53:1920-5. [PMID: 14722981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/28/2023]
Abstract
The administration of pharmacological treatments during pregnancy always arouses concerns, shared both by the medical body and the general public. The drama of thalidomide, the main cause, has been followed by a number of efforts to develop some knowledge on the reality, nature and frequency of risk of malformation and foeto-toxicity, in particular from medications. A more rational approach to pharmacotherapy in the pregnant woman has come about following a position that was less supported and more alarmist. The principal idea that emerges consists of defending a more realistic evaluation of the risk:benefit ratio of pharmacotherapy in a sick pregnant woman, against the temptation of not treating or giving a maladaptive treatment. The second notion, essential in chronic pathologies, consists of supporting the efforts of multidisciplinary teams working in the pharmacotherapeutic management of pregnant women, to avoid errors of strategy that may be both medical and human.
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Affiliation(s)
- Elisabeth Elefant
- Centre de Renseignements sur les Agents Tératogènes (CRAT), Hôpital Armand Trousseau, 26, avenue du Dr Arnold Netter, 75571 Paris.
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Trifa M, Simon L, Hamza J, Bavoux F, des Roziers NB. Haemolytic anaemia associated with high dose intravenous immunoglobulin therapy in a child with Guillain-Barré syndrome. Arch Dis Child 2003; 88:836-7. [PMID: 12937119 PMCID: PMC1719657 DOI: 10.1136/adc.88.9.836-b] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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18
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Chauvenet M, Rimailho A, Hoog-Labouret N, Audibert F, Bavoux F, Boutroy M, Brasseur D, Carlier P, Elefant E, Gersberg M, Goffinet F, Jacqz-Aigrain E, Lemery D, Mandelbrot L, Mirelesse V, Saint-Salvi B, Tchinou C, Vial T. Methodology for the Evaluation of Drugs in Pregnant Women. Therapie 2003. [DOI: 10.2515/therapie:2003040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Chalumeau M, Chéron G, Assathiany R, Moulin F, Bavoux F, Bréart G, Pons G. [Mucolytic agents for acute respiratory tract infections in infants: a pharmacoepidemiologic problem?]. Arch Pediatr 2002; 9:1128-36. [PMID: 12503503 DOI: 10.1016/s0929-693x(02)00091-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To study the use of mucolytics agents, i.e. acetylcystein and carbocystein, in infants. To evaluate their efficacy and safety for their main indications. METHODS A prospective one-day survey of prescriptions among 95 office-based pediatricians. A systematic review of the literature. RESULTS Among 1327 prescriptions regarding infants, 4.3% were mucolytics agents. Main indications were rhinopharyngitis, isolated cough, and acute bronchitis. Our review did not identify any study of rigorous methodological quality that supported the efficacy or safety of mucolytics agents in infants for their in-label (isolated cough, acute bronchitis) and off-label (rhinopharyngitis) indications. Six cases of infants, aged less than eight months, presenting paradoxical bronchial congestion during a treatment with mucolytics agents, have been reported to the French pharmacovigilance system. No causal relationship was established from these cases because of a possible protopathic bias. DISCUSSION Our results concerning mucolytics agents use are similar to those reported by the French Health Care Funds. In addition to the lack of studies on efficacy, no studies on the dose-response relationship were available, leading to suggested dose regimens in the French license of acetylcystein ranging from 44.4 to 16.4 mg kg-1 j-1 between one to 24 months. These dose regimens could predispose to overdosing in the youngest infants as it seems observed in the six reported cases. CONCLUSION In infants, mucolytics agents efficacy has never been demonstrated and some elements suggest poor safety (paradoxical bronchial congestion).
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Affiliation(s)
- M Chalumeau
- Université René-Descartes, groupe hospitalier Cochin-Saint-Vincent-de-Paul, Assistance publique-Hôpitaux de Paris, Inserm U149, Recherches épidémiologiques sur la santé périnatale et la santé des femmes, Paris, France.
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Autret-Leca E, Jonville-Béra AP, Llau ME, Bavoux F, Saudubray JM, Laugier J, Devictor D, Barbier P. [Incidence of Reye's syndrome in France]. Arch Pediatr 2001; 8:1271-2. [PMID: 11760687 DOI: 10.1016/s0929-693x(01)00646-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Abad S, Moachon L, Blanche P, Bavoux F, Sicard D, Salmon-Céron D. Possible interaction between gliclazide, fluconazole and sulfamethoxazole resulting in severe hypoglycaemia. Br J Clin Pharmacol 2001; 52:456-7. [PMID: 11678792 DOI: 10.1046/j.0306-5251.2001.01456.x-i2] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Autret-Leca E, Jonville-Béra AP, Llau ME, Bavoux F, Saudubray JM, Laugier J, Devictor D, Barbier P. Incidence of Reye's syndrome in France: a hospital-based survey. J Clin Epidemiol 2001; 54:857-62. [PMID: 11470397 DOI: 10.1016/s0895-4356(00)00366-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
At the time of the study no information was available in France about the incidence of Reye's Syndrome (RS) and no warnings about RS and aspirin. The objective was to evaluate the incidence of RS in France by a hospital-based study. For a period of 1 year from November 1995 to November 1996, all French paediatric departments were required to report any child under 15 years with unexplained noninflammatory encephalopathy (i.e., CDC consciousness level stage I or deeper with normal CSF) and a threefold (or greater) increase in serum aminotransferase and/or ammonia. All suspected cases were classified by a panel of experts as probable RS or excluded RS. In 10% of randomly selected paediatric departments we checked that every suspected case had been reported. Forty-six suspected cases were reported during the year of the survey, of which 14 were classified as RS. Five of these 14 cases had a metabolic disorder. Nine children were definitively diagnosed as having RS (i.e., an estimated incidence of RS of 0.79/1,000,000 children, i.e., below 15/year). Eight children had been exposed to aspirin, four to aspirin alone and four to aspirin and acetaminophen. On the basis of these results the incidence of RS in France in 1996-1997 was not substantially different from that of countries where warning labels were already in use, but it was higher than in the US after 1994. This was probably due to the reduction in aspirin prescription in France because of warnings in Europe and the US and also because many cases of RS are now identified as metabolic disease. On the basis of these results and because the relationship between aspirin and RS has already been proved, public and professional warnings concerning RS on aspirin-containing products in cases of varicella and viral febrile illness have been adopted by the French Drugs Agency.
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Affiliation(s)
- E Autret-Leca
- Department of Clinical Pharmacology, Hôpital Bretonneau-University François Rabelais, Tours, France.
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Loubeyre-Unique C, Gautier A, Vauzelle-Gardier C, Champart AM, Bavoux F. [Antiretroviral agents and pregnancy: mitochondrial dysfunction and nucleoside analogs]. Therapie 2001; 56:261-6. [PMID: 11475805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
An alert was published during 1999 by the French Perinatal Cohort: eight cases of mitochondrial dysfunction were reported among 1754 infants exposed to nucleoside analogues in utero and during the neonatal period. These eight infants were not infected by HIV. Mitochondrial toxicity of nucleoside analogues is clearly described in adult HIV patients receiving NRTI. Zidovudine (the only and the first NRTI studied) induced mitochondrial DNA dysfunction in animals (monkeys) and neurobehavourial effects in mice at a dose similar to the human dose. Practitioners have been informed. Retrospective and prospective studies are in progress. The recommendations for prevention of maternofoetal transmission of HIV are not reassessed. Pregnant women in rich countries are receiving combination antiretroviral therapy. Information of women has to be undertaken and therapeutic strategies for maternal indication have to be discussed case by case. Careful long term follow up of children exposed to antiretroviral agents is a priority.
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Affiliation(s)
- C Loubeyre-Unique
- Centre Régional de Pharmacovigilance, Groupe Hospitalier, Paris Saint-Vincent de Paul/Cochin/La Roche-Guyon, 74-82 avenue Denfert-Rochereau, 75674 Paris, France
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Bavoux F, Loubeyre-Unique C, Blanche S. [Antiretroviral drugs and pregnancy: apropos of an alert regarding mitochondrial pathology and nucleoside analogs]. Arch Pediatr 2000; 7 Suppl 2:407s-408s. [PMID: 10904790 DOI: 10.1016/s0929-693x(00)80118-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- F Bavoux
- Centre régional de pharmacovigilance, hôpital Saint-Vincent de Paul, Paris, France
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Elefant E, Bavoux F, Vauzelle-Gardier C, Cournot MP, Assari-Merabtene F. [Psychotropes and pregnancy]. J Gynecol Obstet Biol Reprod (Paris) 2000; 29:43-51. [PMID: 10677173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Affiliation(s)
- E Elefant
- Centre de Renseignements sur les Agents Tératogènes, CHU Saint Antoine, 148 rue St-Antoine, 75012 Paris
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26
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Olive G, Bavoux F. [Attitude of the pediatrician facing a therapeutic accident]. Arch Pediatr 1996; 3 Suppl 1:242s-244s. [PMID: 8796030 DOI: 10.1016/0929-693x(96)86055-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- G Olive
- Unité régionale de pharmacovigilance, hôpital Sain-Vincent-de-Paul, Paris, France
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27
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Baglin S, Avenel S, Renaud C, Bavoux F, Francoual C, Badoual J. [Withdrawal syndrome in a newborn infant born to an addicted mother receiving methadone]. Arch Pediatr 1995; 2:702-3. [PMID: 7663669 DOI: 10.1016/0929-693x(96)81235-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
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van der Heijden BJ, Carlus C, Narcy F, Bavoux F, Delezoide AL, Gubler MC. Persistent anuria, neonatal death, and renal microcystic lesions after prenatal exposure to indomethacin. Am J Obstet Gynecol 1994; 171:617-23. [PMID: 8092206 DOI: 10.1016/0002-9378(94)90073-6] [Citation(s) in RCA: 55] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVE The purpose of this study is to emphasize the high risk of renal failure and severe morphologic changes related to prolonged prenatal exposure to indomethacin. STUDY DESIGN Referred renal specimens from six anuric neonates exposed in utero to indomethacin were studied. Clinical charts were retrospectively reviewed. Indomethacin dosages varied from 150 to 400 mg daily, and the drug was given for a 2- to 11-week period, until birth. RESULTS All infants died in anuria, 4 of them after 7 to 39 days on peritoneal dialysis. In 5 infants cystic dilatations of superficial nephrons were associated with ischemic changes of the deep cortex. By immunohistochemical analysis intrarenal renin content was increased in 4 of 5 patients. CONCLUSION Long-term indomethacin treatment during pregnancy may lead to the development of renal failure and irreversible renal damage with cystic dilatation of developing nephrons in an exposed fetus. Prior stimulation of the renin-angiotensin system may favor this complication.
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Affiliation(s)
- B J van der Heijden
- Department of Pediatrics, Juliana Childrens Hospital, The Hague, The Netherlands
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Gouyon JB, Benoit A, Bétremieux P, Sandre D, Sgro C, Bavoux F, Beneton C, Badoual J. Cardiac toxicity of intravenous erythromycin lactobionate in preterm infants. Pediatr Infect Dis J 1994; 13:840-1. [PMID: 7808866 DOI: 10.1097/00006454-199409000-00028] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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Meut C, Bavoux F, Cynober E, Lebrun F. Necrotizing enterocolitis in a newborn: maternal psychotropic drugs suspected. Can J Psychiatry 1994; 39:127. [PMID: 8149318 DOI: 10.1177/070674379403900218] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Jacqz-Aigrain E, Guillonneau M, Boissinot C, Bavoux F, Hartmann JF, Blot P. [Maternal and neonatal effects of indomethacin administrated during pregnancy. Apropos of 18 cases]. Arch Fr Pediatr 1993; 50:307-12. [PMID: 8379817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
BACKGROUND There have been several reports that prolonged exposure of pregnant women to indomethacin for tocolysis may have significant pharmacological effects on the fetus or newborn. PATIENTS Eighteen pregnant women were given indomethacin during the year 1989 for treatment of premature labor (n = 16) or polyhydramnios (n = 2). Treatment was started at gestational week 28.1 +/- 2.5 and was discontinued at gestational week 30.7 +/- 1.8. The mean age of the women at the onset of pregnancy was 30.6 +/- 5.3 years. The daily dose of indomethacin was initially 200 mg (2-3 mg/kg), then 107 +/- 59 mg. The cumulative dose was 1,820 +/- 2,370 mg. The duration of treatment was 18.1 +/- 16.4 days (less than 7 days in 8 women). RESULTS The term at delivery was 33.4 +/- 3.3 weeks (11 after 32 weeks). The mean interval between discontinuation of treatment and delivery was 19.0 +/- 18.7 days. Indomethacin was effective in 10 cases of premature labor, and gestation was prolonged by 52.6 +/- 19.2 days. Among the 23 live-born neonates, 5 developed renal insufficiency attributed to indomethacin (4 premature labor, 1 hydramnios). The kidney failure with early hyperkalemia was cured within about 7 days in 4 cases. The remaining neonate also suffered from severe prolonged hypoxia and died on day 4. CONCLUSIONS Administration of indomethacin for premature labor places the fetus at risk because of the short drug-free interval before birth. High daily or cumulative doses of indomethacin dit not result in adverse effects.
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Affiliation(s)
- E Jacqz-Aigrain
- Unité de Pharmacologie Clinique, Hôpital Robert-Debré, Paris
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Bavoux F. [Fetal toxicity of non-steroidal anti-inflammatory agents]. Presse Med 1992; 21:1909-12. [PMID: 1293602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
All non-steroidal anti-inflammatory drugs (NSAIDs) are prostaglandin inhibitors, which explains their foetal toxicity. So far, no epidemiological study of their cardiopulmonary and renal effects has been carried out, but case-reports have been published. The cardiopulmonary effects of NSAIDs include closure of the ductus arteriosus, pulmonary hypertension cardiopathy and tricuspid valve insufficiency. They were responsible for 31 neonatal accidents, 8 of which were fatal (for 22 pregnant women, 7 bearing twins, 1 bearing triplets). The renal effects of NSAIDs consisted of acute renal failure with oedema, oliguria, hyponatraemia and marked hyperkalaemia. They affected 23 neonates, 8 of whom died (for 17 pregnant women, 4 bearing twins, 1 bearing triplets). A few epidemiological studies have reported foetal haemorrhages when aspirin was used by the mother as anti-inflammatory agent. In comparative trials of indomethacin as short treatment of premature labour and polyhydramnios the drug proved to be effective. In obstetrical tocolysis NSAIDs can be given in the absence of alternative therapy with beta-adrenergic agents, and their risk can be minimized by ultrasonographic examination and monitoring of foetal cardiac function and diuresis. In the field of rheumatology, corticosteroids would be a good alternative to NSAIDs for rheumatic diseases, but using NSAIDs for low back pain, sciatica, haemorrhoids, toothaches, sinusitis, etc., would not be justified in pregnant women. Self medication must be discouraged.
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Affiliation(s)
- F Bavoux
- Centre de Pharmacovigilance, Hôpital Saint-Vincent-de-Paul, Paris
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Bavoux F. [Torsades de pointes and anti-infective agents]. Therapie 1992; 47:367-9. [PMID: 1299973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- F Bavoux
- Centre de Pharmacovigilance Saint-Vincent de Paul, Paris
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Bavoux F, Bodiou C, Carlus C. [Fetal toxicity of non-steroidal anti-inflammatory agents]. Arch Fr Pediatr 1992; 49:453-66. [PMID: 1530445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- F Bavoux
- Unité de Pharmacovigilance, Hôpital Saint-Vincent-de-Paul, Paris
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Abstract
A six-month prospective study was carried out by 16 poison control centers in France to assess the epidemiology of medication errors in pediatrics. In this study, 1108 medication errors were analyzed. Mean population age was 3.2 years (median 2 years, range 3 days-15 years), and 30 percent of the children were under 1 year of age. The most frequent error characteristics were family responsibility, 87 percent (a member of the patient's family most often committed the error in medication use); parental prescribing decision, 31.5 percent (medication administered to the child by the parents without medical consultation or the advice of a pharmacist); incorrect execution of the prescription by the parents, 30 percent (error in dispensing, route of administration, etc.); oral forms, 52 percent (errors occurred most frequently with oral as opposed to other forms); incorrect dosage, 31.5 percent; and drug error, 30 percent (the drug dispensed was not the one prescribed). Iatrogenic injury occurred in 186 patients (17 percent) and 161 were hospitalized (15 percent). The majority of these were for surveillance only. The clinical outcome caused by medication error was unfavorable in two cases. The types of drugs most frequently misused included morphinic cough suppressants (9.5 percent), salicylates (9.1 percent), and ear, nose, and throat drops (9 percent); 459 proprietary medicines were specified. Prevention of medication errors should involve certain main requirements: formulations and package instructions specific to pediatric patients to ensure appropriateness and accuracy, detailed information given to patients by physicians and pharmacists about their prescriptions, and more public information concerning the risks of remedies or medication administered to children by parents who do not seek medical advice.
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Affiliation(s)
- A P Jonville
- Department of Pharmaco-Toxicovigilance, Hôpital Bretonneau, Tours, France
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Benoit A, Bodiou C, Villain E, Bavoux F, Checoury A, Badoual J. [QT prolongation and circulatory arrest after an injection of erythromycin in a newborn infant]. Arch Fr Pediatr 1991; 48:39-41. [PMID: 2018421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
A 8 day-old full-term newborn showed severe cardiac disturbances after intravenous injection of erythromycin. The neonate, suspected of having Chlamydia pneumonitis because of tachypnea and rhinitis, had been given 5 injections of erythromycin without clinical effect. Pallor, vomiting and bradycardia developed a few minutes after the 6th injection, and ECG showed ventricular arrhythmia, prolonged QT interval and an atrioventricular block. The infant died in intensive care unit. This case and the analysis of other published cases of cardiac disturbances following the parenteral use of erythromycin, indicate the potential arrhythmogenic risk of this drug. It is suggested that newborns treated with erythromycin should be monitored by ECG.
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Affiliation(s)
- A Benoit
- Service de Pédiatrie B, Hôpital Saint-Vincent-de-Paul, Paris
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Affiliation(s)
- D A Moneret-Vautrin
- Service d'Immunologie Clinique et Allergologie, Centre Hospitalier Règional Universitaire, Brabois--Université de Nancy, France
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Bursztyn J, Boccara JF, Paillassou B, Bavoux F. [Corneal toxicity of cytarabine. Apropos of a case]. Ophtalmologie 1989; 3:229-30. [PMID: 2641118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
A 4 1/2 year old girl with acute lymphoblastic leukemia developed corneal toxicity while receiving courses of chemotherapy once a month (standard doses of vincristine, cyclophosphamide or teniposide, always associated with cytarabine and asparaginase). Symptoms began after 18 courses of treatment and consisted of ocular pain, foreign body sensation, blurred vision, bilateral conjunctival hyperemia. The symptoms appeared during the course of chemotherapy and decreased before the following course. Symptomatic treatment appeared to be effective. Ocular toxicity of antineoplastic agents and particularly cytarabine is discussed.
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Bavoux F, Eléfant E. [Undesirable effects of drugs during the perinatal period]. Rev Prat 1989; 39:879-80. [PMID: 2740758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Bavoux F, Eléfant E. [Undesirable effects of drugs during breast feeding]. Rev Prat 1989; 39:881-2. [PMID: 2740759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Bavoux F, Eléfant E. [Undesirable effects of drugs in pregnancy. Rules regulating the prescribing of drugs in pregnancy]. Rev Prat 1989; 39:873-8. [PMID: 2740757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Attallah A, Seilanian M, Bavoux F, Choisy H. [Psychotropics and pregnancy. Apropos of 2 case reports: the dose of triazolam]. Rev Fr Gynecol Obstet 1989; 84:47-51. [PMID: 2928662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
In this paper the authors report on two term-birth newborn infants who were exposed to long-term maternal treatment with benzodiazepines. They emphasize the free interval before the onset of respiratory pauses in these newborns, since triazolam is classified as belonging to the class of benzodiazepines with ultra-rapid elimination and especially the severity of these disorders.
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Affiliation(s)
- A Attallah
- Adjoint de Médecine Néonatale, CH Pontoise
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Bavoux F, Bodiou C, Olive G. [Nephrotoxicity in the perinatal period. Evaluation of drug surveillance centers]. Therapie 1988; 43:413-6. [PMID: 3227503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Bodiou C, Bavoux F. [Niaprazine and side effects in pediatrics. Cooperative evaluation of French centers of pharmacovigilance]. Therapie 1988; 43:307-11. [PMID: 2903572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Moutard ML, Bavoux F, Mensire A, Lebourges F, Ponsot G. [Immunoallergic tubulo-interstitial nephritis following ingestion of carbamazepine]. Arch Fr Pediatr 1987; 44:191-3. [PMID: 3579484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
One month after taking carbamazepine for pain relief, a 13 year-old child with Friedrich's ataxia presented with an allergic rash and digestive and cardiac symptoms. Two weeks later, non-oliguric renal failure suggestive of interstitial nephritis was present. Acute renal failure resolved with pulse methyl prednisolone injections relayed with prednisone orally, for 2 months. Allergic manifestations with carbamazepine should lead to immediate withdrawal of treatment.
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Bavoux F, Francoual C, Warot D. [Drugs and breast feeding]. Rev Prat 1986; 36:1519-37. [PMID: 3715360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Laurent-Puig P, de Lacharriere O, Succari M, Baflast D, Ponteziere C, Bavoux F, Valcke JC, Moreau L. [Pseudohyperchloremia disclosing bromide poisoning]. Presse Med 1986; 15:485-6. [PMID: 2938096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
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Castot A, Vincens M, Lefebure B, Parpex C, Rosenheim H, Caulin C, Bavoux F, Efthymiou ML. [Hyperthermia caused by nomifensine. The problem of diagnosing drug-induced fever]. Therapie 1985; 40:191-4. [PMID: 4012665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Bavoux F, Bodiou C, Castot A, Checouri A, Cote B, Dupeyron JP, Frelon JH, Huault G, Lanfranchi C, Lefebure B. [Camphor in pediatrics. Its therapeutic value and risks]. Therapie 1985; 40:25-30. [PMID: 4002180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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