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

Abstract: 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 epidem...

Full description

Bibliographic Details
Main Authors: Luana Bernardes Arantes, Carmélia Santiago Reis, Alice Garbi Novaes, Marta Rodrigues de Carvalho, Leila Bernarda Donato Göttems, Maria Rita Carvalho Garbi Novaes
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2017-10-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/pdf/abd/v92n5/0365-0596-abd-92-05-0661.pdf
_version_ 1819002878210080768
author Luana Bernardes Arantes
Carmélia Santiago Reis
Alice Garbi Novaes
Marta Rodrigues de Carvalho
Leila Bernarda Donato Göttems
Maria Rita Carvalho Garbi Novaes
author_facet Luana Bernardes Arantes
Carmélia Santiago Reis
Alice Garbi Novaes
Marta Rodrigues de Carvalho
Leila Bernarda Donato Göttems
Maria Rita Carvalho Garbi Novaes
author_sort Luana Bernardes Arantes
collection DOAJ
description Abstract: 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.
first_indexed 2024-12-20T23:12:06Z
format Article
id doaj.art-3940e7c8aafc4d6ea1afa60d49cfaaba
institution Directory Open Access Journal
issn 0365-0596
language English
last_indexed 2024-12-20T23:12:06Z
publishDate 2017-10-01
publisher Sociedade Brasileira de Dermatologia
record_format Article
series Anais Brasileiros de Dermatologia
spelling doaj.art-3940e7c8aafc4d6ea1afa60d49cfaaba2022-12-21T19:23:42ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962017-10-0192566166710.1590/abd1806-4841.20176610Stevens-Johnson syndrome and toxic epidermal necrolysis: epidemiological and clinical outcomes analysis in public hospitalsLuana Bernardes ArantesCarmélia Santiago ReisAlice Garbi NovaesMarta Rodrigues de CarvalhoLeila Bernarda Donato GöttemsMaria Rita Carvalho Garbi NovaesAbstract: 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.http://www.scielo.br/pdf/abd/v92n5/0365-0596-abd-92-05-0661.pdfDrug eruptionsEpidemiologyStevens-Johnson syndrome
spellingShingle Luana Bernardes Arantes
Carmélia Santiago Reis
Alice Garbi Novaes
Marta Rodrigues de Carvalho
Leila Bernarda Donato Göttems
Maria Rita Carvalho Garbi Novaes
Stevens-Johnson syndrome and toxic epidermal necrolysis: epidemiological and clinical outcomes analysis in public hospitals
Anais Brasileiros de Dermatologia
Drug eruptions
Epidemiology
Stevens-Johnson syndrome
title Stevens-Johnson syndrome and toxic epidermal necrolysis: epidemiological and clinical outcomes analysis in public hospitals
title_full Stevens-Johnson syndrome and toxic epidermal necrolysis: epidemiological and clinical outcomes analysis in public hospitals
title_fullStr Stevens-Johnson syndrome and toxic epidermal necrolysis: epidemiological and clinical outcomes analysis in public hospitals
title_full_unstemmed Stevens-Johnson syndrome and toxic epidermal necrolysis: epidemiological and clinical outcomes analysis in public hospitals
title_short Stevens-Johnson syndrome and toxic epidermal necrolysis: epidemiological and clinical outcomes analysis in public hospitals
title_sort stevens johnson syndrome and toxic epidermal necrolysis epidemiological and clinical outcomes analysis in public hospitals
topic Drug eruptions
Epidemiology
Stevens-Johnson syndrome
url http://www.scielo.br/pdf/abd/v92n5/0365-0596-abd-92-05-0661.pdf
work_keys_str_mv AT luanabernardesarantes stevensjohnsonsyndromeandtoxicepidermalnecrolysisepidemiologicalandclinicaloutcomesanalysisinpublichospitals
AT carmeliasantiagoreis stevensjohnsonsyndromeandtoxicepidermalnecrolysisepidemiologicalandclinicaloutcomesanalysisinpublichospitals
AT alicegarbinovaes stevensjohnsonsyndromeandtoxicepidermalnecrolysisepidemiologicalandclinicaloutcomesanalysisinpublichospitals
AT martarodriguesdecarvalho stevensjohnsonsyndromeandtoxicepidermalnecrolysisepidemiologicalandclinicaloutcomesanalysisinpublichospitals
AT leilabernardadonatogottems stevensjohnsonsyndromeandtoxicepidermalnecrolysisepidemiologicalandclinicaloutcomesanalysisinpublichospitals
AT mariaritacarvalhogarbinovaes stevensjohnsonsyndromeandtoxicepidermalnecrolysisepidemiologicalandclinicaloutcomesanalysisinpublichospitals