scholarly journals Knowledge and perception towards pharmacovigilance and adverse drug reactions reporting among medical students at a teaching hospital in South India

Author(s):  
Akshay J. K. ◽  
Hemanth Kumar K. H.

Background: Pharmacovigilance and adverse drug reactions monitoring has become an integral part to ensure patient safety. Targeting the younger doctors for sensitization towards pharmacovigilance is the key to ensure practice of ADR reporting in clinical practice. The objective of the study is to understand and assess the knowledge and perception of students towards pharmacovigilance and adverse drug reactions reporting.Methods: The study included undergraduate medical students of second, pre-final and final years of Mysore Medical College. A validated and standardized KAP based questionnaire was distributed to all students. Willingness to answer and complete the questionnaire was considered as consent.Results: The questions were statistically analysed individually and compared. Q1-Q10 compared knowledge towards pharmacovigilance, Q11-Q20 on the attitude and Q21-Q23 on the practice of ADR reporting. 325 questionnaires were distributed of which only 280 consented (second year - 114, pre-final - 98, final - 68). 112(49.1%), 137(69.9%) and 79(58.1%) of the three groups respectively knew what pharmacovigilance and ADR is. 79.8%, 76.5% and 75% knew who can report ADRs while 18.4%, 32.7% and 33.8% did not know what ADRs to report. 73(64.1%); 93(81.6%), 18(18.4%); 69(70.4%), 13(19.1%); 37(54.4%) knew the existence of AMC in the institute and the PvPI respectively. More than 92% agreed that ADR reporting is necessary. Majority (>90%) agreed that PV and ADR reporting should be taught to all health care students while 28%, 30% and 54% said that it was not well covered in their curriculum.73(64%), 51(52%) and 63(93%) were not familiar with the ADR reporting form.Conclusions: Pharmacovigilance and ADR reporting needs to be made compulsory, have better, interesting ways to learn and understand it, so that the students can practice it with confidence in their clinical practice.

Author(s):  
Jayita Pal ◽  
Shamshad Ahmad ◽  
Promiti Pal ◽  
Debarun Chatterjee

Background: Self-medication is quite a prevalent public health problem in every part of the world. It can cause serious harms to the recipients through various implications like adverse drug reactions, incomplete cure, drug dependence etc. Medical students are in a unique position for wide practice of self-medication. The current study aimed to estimate the prevalence and to find out the existing knowledge, attitude and pattern of practice regarding self-medication among the undergraduate medical students of ESIC Medical College, Joka, Kolkata. Methods: A cross-sectional study had been conducted among 300 undergraduate medical students through an online survey with the help of a predesigned pretested digital questionnaire. The participants fulfilling the inclusion criteria were included by complete enumeration method after taking informed consent. Results: The overall prevalence of ever-use of self-medication was 65%. Majority had some knowledge about actual definition of self-medication (74%), hazards due to change of time schedule of antibiotics (59.7%), hazards due to increase in dose of antibiotics (64%), adverse drug reactions of different antibiotics (65%) and importance of completing the dosage schedule of antibiotics (56.7%); the most common source of their information being textbooks or teachers (74%). Most common indications for self-medication were fever (79.6%), followed by cough and cold (74.8%), pain (61.4%), indigestion (51.3) and diarrhoea (43.3%). The most common drugs used were antacids (81.2%), analgesics (72.1%), antipyretics (53.2%) and antibiotics (43.3%). The major reason for practice of self-medication was minor illness (74.3%). Conclusions: Self-medication was widely prevalent among the medical students of ESIC Medical College, Joka, Kolkata. Continuous counselling activities with proper information through inclusion of this topic to academic course are the need of the hour to halt this malpractice. 


Author(s):  
Zorawar Singh Bali ◽  
Mohammad Younis Bhat ◽  
Samina Farhat ◽  
Urfan Nabi

Background: Adverse drug reactions (ADRs) are an important cause of mortality and morbidity worldwide and reporting ADRs voluntarily is fundamental to medical drug safety surveillance but gross underreporting of ADRs is a cause for a concern. Being key health care professional, physicians, pharmacists and nurses have immense responsibility in reporting of ADRs. Therefore, the sensitization and involvement of undergraduate medical students can reduce underreporting. This study is aimed at evaluating knowledge, attitude and reporting of quality of ADRs by undergraduate medical students.Methods: The study was conducted after sensitizing the second professional year undergraduate students about Pharmacovigilance as part of their internal assessment and asked them to submit reports of ADR observed during their clinical posting.Results: A total of 82 ADR’s were reported after sensitization with majority of them i.e. 30 related to skin and appendages disorder followed by gastrointestinal tract with antibiotics i.e. 28 and analgesics being most common probable/possible culprits.Conclusions: The response percentage of reporting ADRs was 54.66%. Medical students being future healthcare professionals should be exposed to ADR reporting during their clinical teaching posting as a part of sensitization and make them actively involved in reporting to improve detection rate and make Pharmacovigilance a success.


Author(s):  
Vibha Rani ◽  
Shyamala R ◽  
Simpson Gb

Objectives: Objectives of the study were (1) to evaluate the knowledge about pharmacovigilance and (2) to assess the attitude toward adverse drug reaction (ADR) reporting among undergraduate medical students.Methods: It is a cross-sectional, questionnaire-based study conducted in the Department of Pharmacology, Malla Reddy Medical College for Women, Hyderabad, Telangana, among fifth term Bachelor of Medicine, Bachelor of Surgery students (136). The questionnaire consisted of 16 questions dealing with knowledge, awareness, attitude about pharmacovigilance and ADR reporting. Data were analyzed and presented as percentage among respondents.Results: About 58.8% of students could not identify the proper definition of pharmacovigilance and 84.5% of undergraduates have not seen ADR form. It was agreed among 42.6% of students that ADR reporting is a professional obligation to them and 47.7% agreed that establishing ADR monitoring center in every hospital is compulsory.Conclusions: Our study revealed that though the attitude toward pharmacovigilance was appreciable among the medical students; there lies an insufficient knowledge and awareness about pharmacovigilance. Continued medical education programs and workshops may be helpful in the future to increase awareness and consequently to improve the rate of spontaneous ADR reporting among these upcoming doctors.


2020 ◽  
Author(s):  
Muhammad Raza ◽  
Nafees Ahmad ◽  
Amjad Khan ◽  
Abdul Wahid ◽  
Asad Khan

BACKGROUND Adverse Drug Reactions will continue to pose threat to public health globally. Prompt ADR reporting is crucial in ensuring drug safety. However, underreporting is a prime problem among Doctors. OBJECTIVE The aim of the current study was to evaluate perception and barriers of adverse drug reactions reporting and monitoring among doctors in public hospitals of Quetta. METHODS This cross sectional study was carried out at Bolan Medical Complex and Sandeman Provincial Hospital Quetta. A self-developed reliable and validated questionnaire was used to collect the data. Statistical Package for Social Sciences (SPSS version 20) was used for analyzing data. RESULTS A total of 150 doctors were included with mean age of the study participants35.78±11.082 years. Majority of the doctors belonged to the age group 24-35 years (53.3%), were males (62%)and were ethically Pakhtoon, with qualification of Post-graduation(52%),practice duration of > 2 years (25.3%)and had graduated from a medical college located in Baluchistan province(74%).A notable proportion of doctors(32.7%)were not aware of the presence of National Pharmacovigilance Centre. A vast majority of doctors (88%)had not reported any ADR ever. Majority of the study participants (76.7%)mentioned that time limitation is not a hindrance in reporting ADR but concern about a wrong report is (30%).Majority of the evaluated participant (62%) did not know where, when and how to report an ADR. A noteworthy proportion of the doctors (28.7%) thought that existing ADR reporting and monitoring system would not benefit the patient or improve the patient care.Majority of the doctors(64%) thought that pharmacist’s management of adverse drug reaction is useful. CONCLUSIONS The present study strongly suggests that awareness regarding ADRs reporting and monitoring is very poor among physicians which will improve pharmacovigilance process in future.


2021 ◽  
Vol 59 (236) ◽  
Author(s):  
Diwakar Kumar Shah ◽  
Sanzida Khatun

Introduction: Foot is a complex segmented structure formed by the articulation of 26 different bones which are held together by multiple ligaments, extrinsic tendons and the intrinsic muscles of the feet. The assessment of median longitudinal arch serves as an important reference in determining the degree of pes planus or pes cavus. This study aims to find the prevalence of pes planus among the undergraduate medical students of a medical college. Methods: A descriptive cross-sectional study was carried out in the first- and second-year undergraduate medical students of a teaching hospital after taking ethical approval from Institutional Review Committee. The study was conducted from 15th November 2019 to 14th November 2020. Eighty-seven participants were involved in study using the random sampling technique. Foot prints were collected from the participants in the A4 size paper after applying ink over plantar surface of the foot. Measurements were done using the Autodesk Autocad software. Statistical Package for the Social Sciences was used. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of the total subjects, 14 (8.04%) (5.14-10.94 at 95% Confidence Interval) presented with flat foot. Similarly, high arched foot was seen in 29 (16.67%) of subjects whereas normal arched foot was seen in 131 (75.29%) subjects. Conclusions: From the current study we conclude that the prevalence of pes planus was slightly higher than that compared with the similar studies.


Author(s):  
K. H. Hemanth Kumar ◽  
J. K. Akshay

Background: Pharmacovigilance has become an important tool to ensure the safety of patient in recent years. To ensure right practice of pharmacovigilance, proper understanding is very essential and the medical colleges with the undergraduate teaching program become a vital platform to educate and train the medical students towards pharmacovigilance. This study compares the impact of teaching program of the undergraduate curriculum in assessing the knowledge and attitude of the undergraduate medical students towards pharmacovigilance.Methods: The study includes 158 undergraduate medical students of second year being trained in pharmacology at Mysore Medical College. A validated and standardized questionnaire was distributed to all the students twice, once during their 3rd term (pre-sensitization) and the second time during their 5th term (post sensitization). Willingness to answer and complete the questionnaire was considered as consent.Results: The pre and post sensitization questionnaires were analyzed individually. A decrease from 114 to 90 students (15.19 % decrease) willing to complete the questionnaire was seen. The mean total knowledge score was 6.37±1.90 during the pre-test as compared to 6.35±1.78 in the post test analysis. An overall increase was seen with the knowledge of ADRs and pharmacovigilance. Only 18.4% knew of the presence of an ADR monitoring center in the institute pre-test which increased to 64.4% post sensitization. 81.6% answered rightly the type of ADRs that needs to be reported as compared to the 67.3% pre-sensitization. The overall attitude towards ADR reporting was seen to be in the right direction, with 71% saying that pharmacovigilance covered adequately in the curriculum. Voluntary reporting attitude increased from 74.6% to 88%. 70% of the students feel ADR reporting as a professional obligation, while only 54% felt so pre-sensitization.Conclusions: Pharmacovigilance should be included in the curriculum with more hours dedicated to teaching. Various interesting methods should be implemented to train and made aware of its importance to ensure patient safety on a global scale.


Author(s):  
Prakash B. Behere ◽  
Debolina Chowdhury ◽  
Aniruddh P. Behere ◽  
Richa Yadav

India being a signatory to Alma-Ata declaration, envisaged ‘Health for all by the year 2000” and hence should look into training undergraduates in psychiatry. Medical students’ attitude towards psychiatry are determined by complex inter lacing variables. Low recruitment is a serious challenge for psychiatry worldwide. Moreover, psychiatry is poorly represented in medical education and undergraduate training in psychiatry and behavioral sciences in most medical colleges in India is unsatisfactory. Keeping these facts in mind, this study was carried out to assess the influence of psychiatry training, including direct patient contact on attitude of medical students towards mental illness. This study was conducted at Department of Psychiatry, Mahatma Gandhi Institute of Medical Science, Sevagram, Wardha, Maharashtra. Second year MBBS students were evaluated with a pre and posttest during their 2 weeks posting in the Psychiatry department. There was some improvement in attitude & knowledge of undergraduate medical students about mental health after two weeks of psychiatry posting. The improvement in male medical students is more than three times of that seen in female medical students, after two weeks of training. The existing M.C.I. recommendations need serious considerations for implementation in each & every Medical College of India. As per the current curriculum, the introduction to psychiatry is in the 1st term during lectures on behavioral sciences following which they not exposed again until the 5th semester when the undergraduate students are required to attend 40 hours lectures parallel to 4 weeks clinical posting culminating with compulsory short note questions worth 20 marks included in paper II of the General Medicine exam. Finally, another two weeks of psychiatry posting is mandatory during internship. Female medical students have shown deterioration in their attitudes & knowledge over more questions than male counterparts. Hence it can be deduced that, males tend to learn better by experience.


Author(s):  
Abdul Aslam P. ◽  
Jihana Shajahan ◽  
Sangeetha Purushothaman

Background: Pharmacovigilance is the science and activities related to detection, assessment, understanding and prevention of adverse drug reactions (ADR). The major challenge faced by the pharmacovigilance programme of India is underreporting. It is mainly due to lack of awareness, knowledge, attitude and practice among health care professionals. The main objective of this study was to assess the knowledge, attitude and practices of second professional MBBS students towards ADR reporting and to provide a session on pharmacovigilance as an intervention to increase their awareness since they are the future budding doctors.Methods: This questionnaire based study was conducted among 158 second professional MBBS students of Travancore Medical College, Kollam, Kerala. A pretest was conducted using the questionnaire followed by which a two-hours session on ADR reporting and Pharmacovigilance was given. A posttest was done with the same questionnaire. The response of the KAP questionnaire were analysed separately for pretest and posttest in percentages and based on scores and was compared.Results: Out of the158 students participated all the students successfully completed the questions of both pretest and posttest within stipulated time frame. In pretest 3 (1.9%), 101 (64%), 43 (27.1%) candidates were categorized to excellent, good and poor respectively. In posttest 155 (98.1%), 3 (1.9%) were in excellent and good category respectively. There was not even a single candidate in poor category. There was a marked increase in the knowledge and awareness of the students after the two hours intervention session on ADR reporting and pharmacovigilance which was statistically significant (p= 0.001).Conclusions: This study revealed the awareness of second professional MBBS students towards ADR reporting and Pharmacovigilance in our institution and also clearly showed the importance of early sensitization through educational interventions, which improved the KAP in pharmacovigilance in them. Educating medical students will improve the challenge of underreporting of ADRs and will increase the numbers of ADRs reported in our country.


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