Allergy-like immediate reactions with herbal medicines in children: A retrospective study using data from VigiBase(R)

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11160%2F17%3A10364930" target="_blank" >RIV/00216208:11160/17:10364930 - isvavai.cz</a>

Result on the web

<a href="http://onlinelibrary.wiley.com/doi/10.1111/pai.12778" target="_blank" >http://onlinelibrary.wiley.com/doi/10.1111/pai.12778</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1111/pai.12778" target="_blank" >10.1111/pai.12778</a>

Result language

angličtina

Original language name

Allergy-like immediate reactions with herbal medicines in children: A retrospective study using data from VigiBase(R)

Original language description

Background: The use of herbal medicines in children and the general population is continually on the rise with an overall herbal lifetime and current use ranging between 0.8%-85.5% and 2.2%-8.9%, respectively. Although acute hypersensitivity reactions are generally considered to be rare, little knowledge exists on the frequency and type of these reactions especially in specific populations like children. Objectives: To assess the patterns of acute hypersensitivity reactions to herbal medicines reported to the WHO global individual case safety report (ICSR) database VigiBase(R) in children. Study design: From the original VigiBase(R) extract for the time between 1968 and 2014, we included all reports with adverse drug reactions (ADR) associated with herbal medicines in children where WHO-ART reaction terms were indicative of acute hypersensitivity reactions. Results: VigiBase(R) contained 2646 ICSRs with 14 860 distinct adverse reactions reported in association with herbal medicine in children. Among those, 79 cases with 107 allergy-like reactions met our inclusion criteria. The most commonly reported WHO-ART terms were urticaria or rash/rash erythematous (59.8%), and allergic reaction (8.4%). The most frequently reported suspected herbal medicines were mixed herbal products (51.4%), Hedera helix (15.0%), and Echinacea purpurea (5.6%). Most frequent routes of administration were oral (75.9%), topical (8.9%), and rectal (3.8%). Over 30% of cases were reported in the age group from 7 to 12 years. The majority of reports were received from Germany (29.1%), Thailand (21.5%), and Australia (11.4%). Conclusion: VigiBase(R) contains a considerable number of acute hypersensitivity reactions in children associated with herbal medicines, including life-threatening reactions such as anaphylactic shock.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30104 - Pharmacology and pharmacy

Project

—

Continuities

S - Specificky vyzkum na vysokych skolach<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Pediatric Allergy and Immunology

ISSN

0905-6157

e-ISSN

—

Volume of the periodical

28

Issue of the periodical within the volume

7

Country of publishing house

DK - DENMARK

Number of pages

7

Pages from-to

668-674

UT code for WoS article

000418437400008

EID of the result in the Scopus database

2-s2.0-85033479712