Disglucemia asociada a fluoroquinolonas: una revisión estructurada

ABSTRACT: Fluoroquinolone type antimicrobials can cause hypo or hyperglycemia in certain patients. We performed a structured review about this side effect, searching articles published in English or Spanish with full text access in PubMed/Medline. The following MESH terms were used: Hypoglycemia, Hy...

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Autores:
Granados Vega, Elkyn Johan
Ceballos Rueda, Javier Mauricio
Amariles Muñóz, Pedro
Tipo de recurso:
Review article
Fecha de publicación:
2018
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
spa
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/35885
Acceso en línea:
https://hdl.handle.net/10495/35885
Palabra clave:
Diabetes Mellitus
Fluoroquinolonas - efectos adversos
Fluoroquinolones - adverse effects
Hiperglucemia - inducido químicamente
Hyperglycemia - chemically induced
Hipoglucemia - inducido químicamente
Hypoglycemia - chemically induced
Índice de Severidad de la Enfermedad
Severity of Illness Index
Quinolonas
Quinolones
Rights
openAccess
License
http://creativecommons.org/licenses/by/2.5/co/
Description
Summary:ABSTRACT: Fluoroquinolone type antimicrobials can cause hypo or hyperglycemia in certain patients. We performed a structured review about this side effect, searching articles published in English or Spanish with full text access in PubMed/Medline. The following MESH terms were used: Hypoglycemia, Hyperglycemia, Quinolones, Ciprofloxacin, Levofloxacin, Moxifloxacin. Additionally, we evaluated the clinical relevance of potential drug interactions, based on the probability of occurrence and the severity of the interaction effect. We obtained 42 publications about the issue; 22 references were selected, where the severity of the interaction in patients with risk factors was evaluated. Patients receiving antidiabetic medications and with risk factors such as advanced age and renal failure may be more likely to have a severe hypoglycemia. In these patients, this drug interaction should be considered clinically relevant since its risk is high or very high.