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Diagnosing DIRD
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The Drug-Induced Respiratory Disease Website
Philippe Camus, M.D.
Dijon, France
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Drugs
Patterns
Proton pump inhibitors (PPI)
2
XVII.a
Respiratory tract infection incl. pneumonia
-
Not all studies will demonstrate an increase in risk (PMID 29601438)
Last update :
01/04/2018
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
Publications
Proton pump inhibitor use and risk of pneumonia: a self-controlled case series study.
Widespread use of gastric acid inhibitors in infants: Are they needed? Are they safe?
Risk of community-acquired pneumonia and use of gastric acid-suppressive drugs.