학술논문

A retrospective analysis of adverse drug reactions reported at a tertiary care hospital in South India
Original Research Article
Document Type
Periodical
Source
International Journal of Basic & Clinical Pharmacology. July 2018, Vol. 7 Issue 7, p1257, 6 p.
Subject
India
Language
English
ISSN
2319-2003
Abstract
INTRODUCTION The advent of vast majority of the drugs in the recent years, have proven to be beneficial in a variety of much difficult to treat disorders. But at the [...]
Background: Adverse drug reactions (ADRs) have a major impact on public health. Pharmacovigilance has become an integral part of pharmacotherapy. This study has been undertaken to retrospectively analyze the various adverse drug reactions and to promote the reporting of ADRs among the healthcare providers. Methods: A retrospective analysis of the reported ADRs over a period of 3 years at a tertiary care hospital, in Chennai was done. Data related to the number of adverse drug reactions, the demographic particulars, details on the drugs administered, type of ADRs, serious events and prevention strategies undertaken was analyzed. ADRs were assessed for their causality, severity, and preventability as per the standard criteria. Results: A total of 128 suspected ADRs were found to be reported over a period of 3 years. 81.25% ADRs were found to be of mild severity using the Hartwigs scale of assessment, 71.09% were classified as possible using the Naranjo's causality assessment, the outcome of 63.28% were found to be recovering from the ADR and 41.40 % were under the probably preventable category. The most common ADRs were the skin reactions. The antimicrobial agents were found to have caused the highest number (58.59%) of ADRs followed by NSAIDs (14.84%) and the antihypertensive drugs (14.06%). Conclusions: The antimicrobial agents were associated with ADRs in majority of the patients. The commonly reported ADR s were the skin reactions. Keywords: Adverse Drug Reactions, Antimicrobial agents, Causality, Preventability, Pharmacovigilance, Severity, Skin reactions