6. An investigation of adverse reactions associated with iodinated contrast media at E Hospital in 2025

Dam Thu Hien, Nguyen Le Ha, Nguyen Thi Thu Lan, Vo Nhu Quynh, Do Ngoc Quy Duong, Dinh Thi Thu Lan, Nguyen Minh Chau, Nguyen Hoang Phuong, Le Dinh Tung, Bui Van Dan

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Abstract

Iodinated contrast media (ICM) are indispensable agents in modern diagnostic imaging. However, their widespread use has been accompanied by a notable increase in the incidence of adverse drug reactions (ADRs). To date, there has been no comprehensive study in Vietnam—particularly at E Hospital- to systematically evaluate the incidence and clinical features of ICM-related ADRs.. This cross-sectional descriptive study was conducted on 2,426 patients who received ICM between February and April 2025. ADRs were monitored during administration and for 24 hours post-exposure. The overall incidence of ICM-related ADRs was 12.2%. Notably, the use of Omnipaque was associated with a higher rate of ADRs (19.8%) compared to Iopamiro (11.0%) . Reported ADRs ranged from mild symptoms such as nausea, fever, and limb paresthesia to grade I and II anaphylactic reactions. A positive correlation was observed between the frequency of ICM exposure and the occurrence of ADRs. Among the two contrast agents evaluated, Iopamiro exhibited a comparatively more favorable safety profile. Nevertheless, further large-scale multicenter investigations are necessary to validate these findings and to more precisely delineate the safety profiles of iodinated contrast agents.

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