scholarly journals Assessment of knowledge, attitude and practice of pharmacovigilance and adverse drug reactions reporting among the community pharmacies in Dharan

Author(s):  
Kadir Alam ◽  
Badri Karki ◽  
Amit Kumar Gupta ◽  
Deependra Prasad Sarraf ◽  
Subash Wagle

<p class="abstract"><strong>Background:</strong> Community pharmacist’s (CPs) knowledge, attitude and practice (KAP) of pharmacovigilance and adverse drug reactions (ADR) play a vital role in preventing harmful effects of medicine. The objective was to assess the KAP of pharmacovigilance and ADR reporting among CP.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional study was carried out among 132 CP in Dharan between February-March 2019 by using a self-administered 25-item semi-structured questionnaire. The KAP score was categorized as good (score 13-25) and poor (score 0-12). The descriptive statistics were calculated using Microsoft excel 2010.</p><p class="abstract"><strong>Results:</strong> Out of 132 pharmacies, only 77 responded giving a response rate of 58.3%. There were 45 (58.4%) male. Majority of the participants (45, 58.4%) had completed diploma in pharmacy course. Only 23 (29.9%) respondents gave the correct responses regarding the definition of pharmacovigilance and 23.4% were aware of the national pharmacovigilance centre. 50.9% agreed that reporting of ADRs is a part of pharmacist duty and it was important to report ADRs and was leading cause of hospitalization. Sixty three (81.8%) participants had never ever been trained on how to report ADR. Seventy (90.9%) participants were willing to report ADR, however, 51 (66.2%) had never seen the ADR reporting form. Only 3 (3.9%) participants had good KAP score (23.33±1.54).</p><p class="abstract"><strong>Conclusions:</strong> Despite of relatively better attitude towards pharmacovigilance and ADR reporting, they had a limited knowledge and practice with regard to ADR reporting and pharmacovigilance. The study findings highlights the need to strengthen the community pharmacovigilance program for safer medication use at the community level.</p>

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.


Author(s):  
Prasad R. Shivarudraiah ◽  
Ravi H. Kudthni ◽  
Santhosh Ramakrishna ◽  
S. S. Koushik ◽  
Prajna V. Karki ◽  
...  

Background: Adverse drug reactions (ADRs) represent a serious health problem. Effective generation of ADR related data helps in practicing evidence-based medicine and thus prevents many adverse drug reactions. Spontaneous reporting of ADRs has remained the major sources of information of pharmacovigilance. Underreporting of ADRs is a common problem. In order to improve the reporting rate, it is important to improve the Knowledge, Attitude and Practices (KAP) of the prescribers regarding ADR reporting and Pharmacovigilance. Hence this study was undertaken to assess the knowledge, attitude and practice regarding Pharmacovigilance among doctors of Shridevi Institute of Medical Sciences and Research Hospital, Tumkur, Karnataka.Methods: This was a cross sectional, observational, questionnaire based study conducted using a predesigned Knowledge Attitude Practice (KAP) questionnaire among 110 doctors. The completed KAP questionnaire was collected and data analyzed.Results: Most of the doctors (98.15%) accepted that reporting ADR is necessary. 67.31% agreed that ADR reporting is necessary for identifying safety of the drug and 94.44% agreed that pharmacovigilance should be taught in detail to health-care professionals. But there was a huge gap between the ADR experienced (80%), and ADR reported (25.45%) by the prescribers. Only 29.09% medical professionals have ever seen the ADR reporting form and only 16.36% respondents have been trained on reporting on ADR.Conclusions: Study revealed that the majority of the doctors had a good knowledge but poor attitude and practice of pharmacovigilance. They should be trained properly on ADR reporting to improve the current scenario in the pharmacovigilance program of the country.


2017 ◽  
Vol 6 (1) ◽  
pp. 18-22
Author(s):  
Nurun Nahar ◽  
Md Tafazzal Hossain Khan ◽  
Layla Afroza Banu ◽  
Md Ismail Khan ◽  
Ahmed Manadir Hossain

Background: Adverse Drug Reactions (ADRs) are global problem of major concern. Spontaneous reporting of ADRs is the cornerstone of pharmacovigilance. However, underreporting is a huge problem due to lack of reporting culture among healthcare professionals.Objectives: the purpose of the present study was to assess the knowledge, attitude and practice of physicians regarding reporting of ADRs, and pharmacovigilance as well as to identify the reasons for under-reporting with suggestion for improvement in the reporting system.Methodology: This cross sectional, observational study was conducted to assess the knowledge, attitudes and practices regarding adverse drug reaction reporting among physicians working in different level hospitals of Bangladesh. Data were collected from 308 physicians during the period of January to December 2012 using structured questionnaire.Result: Response rate was 97%. Majority of the respondent (95%) felt that ADR reporting is necessary and it is a professional obligation. Inadequate knowledge of reporting mechanism, unavailability of reporting form, complex reporting system, lack of time and inadequate expertise were the main reasons cited for underreporting. Majority of the respondents suggested regular training sessions, strengthening the drug administration department, government law, regular follow up and inclusion of ADR reporting exercise in undergraduate and post graduate curriculum may help to improve the situation.Conclusion: The deficiency of knowledge, attitude and practice of physician regarding ADR reporting need urgent attention on priority basis not only for the success of pharmacovigilance program but also for better clinical management of the patient in general.J Shaheed Suhrawardy Med Coll, June 2014, Vol.6(1); 18-22


Author(s):  
Ali Awadallah Saeed ◽  
Osman Umballi ◽  
Namareg Ahmed ◽  
Shaza Ali ◽  
Azza Alfaki

Introduction: Adverse drug reactions resulting from the use of a medicinal product and were harmful or unpleasant reaction. Pharmacovigilance is related pharmaceuticals product after marketing and associated with collection, detection, assessment, monitoring and prevention of adverse effects. The aim of study is to recognize the awareness of pharmacists regarding pharmacovigilance and adverse drug reactions reporting. Methodology: Descriptive cross-sectional study conducted to 237 pharmacists working in Khartoum’s locality pharmacies from August 2019 to March 2020 selected by simple randomization. The data were collected by face to face interview using self-administrated Questionnaire and analyzed by SPSS version 23. Results: 57.4% from the total sample size never seen adverse drug reactions reporting form, 76.4% never receive training on how to report it and only 10.5% from the pharmacists in the study report it to pharmacovigilance center. 79% from pharmacists in the study were not aware about existence of pharmacovigilance program in Sudan. 51.5 % from pharmacists have good attitude about adverse drug reactions and pharmacovigilance in Sudan while 48.5% had poor attitude. Difficulty in communicating with pharmacovigilance centre in Sudan and how to write the report were the factors discourage pharmacists from reporting of adverse drug reactions. Conclusion: Community pharmacists have insufficient knowledge about the concept of pharmacovigilance and spontaneous ADRs reporting while they had positive attitudes toward pharmacovigilance, despite their little experience with ADRs reporting, this can be strengthened by educational trainings and workshops.                   Peer Review History: Received: 4 September 2021; Revised: 9 October; Accepted: 29 October, Available online: 15 November 2021 Academic Editor:  Dr. Jennifer Audu-Peter, University of Jos, Nigeria, [email protected] UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency.  Received file:                Reviewer's Comments: Average Peer review marks at initial stage: 5.5/10 Average Peer review marks at publication stage: 7.0/10 Reviewers: Dr. Neelam H. Zaidi, Fiji National University, Fiji, [email protected] Dr. U. S. Mahadeva Rao, Universiti Sultan Zainal Abidin, Terengganu Malaysia, [email protected] Dr. Hayriye Eda Şatana Kara, Gazi University, Turkey, [email protected] Dr. Andrzej Szymański, Poznan University of Technology, Poland, [email protected] Similar Articles: AWARENESS OF PHARMACISTS TOWARDS ASPARTAME SIDE EFFECTS IN KHARTOUM CITY, SUDAN ASSESSMENT OF THE ROLE OF COMMUNITY PHARMACISTS IN MANAGEMENT OF HIV-POSITIVE INDIVIDUALS IN THE SOUTHERN REGION OF NIGERIA


Author(s):  
Aparna S. Chincholkar ◽  
Alisha Naik

Background: Adverse Drug Reactions (ADRs) are a major cause of morbidity and mortality. Under reporting of ADRs by health care professionals is a very common problem worldwide. So, the present study was planned to assess the knowledge, attitude and practices of postgraduate (PG) students towards ADR reporting and suggest possible ways for improvement.Methods: It was a cross sectional questionnaire-based study conducted among 44 PG students using a questionnaire with questions on knowledge (21), attitude (13) and practices (15) of ADR reporting. The questionnaire was analyzed question wise and the percentage was calculated using Microsoft Excel spreadsheet in Microsoft Office 2010 software.Results: Most of them were aware of the term pharmacovigilance (PV) (95.45%). 54.55% agreed to be trained on how to report an ADR. 88.63% knew about the existence of pharmacovigilance committee in the institute.93% of participants knew that Central Drug Standard Control Organization (CDSCO) is responsible for monitoring of ADRs. 56.82% were aware about VIGIBASE an online software to report ADR. 81.82% of participants had agreed to witness ADRs in patients but only 38.64% reported them. The main reason behind it was non – availability of ADR forms. 42.55% opine that mobile based app would be the most preferred method to send ADR information to an ADR reporting center.Conclusions: There exists a huge gap between ADR experienced and ADR reported by PG students. Participants agreed upon necessity of reporting ADR and periodic briefing about PV.


Author(s):  
June W. Njiru ◽  
Eunice M. Mwangi ◽  
Musa Oluoch

Background: Reporting of adverse drug reactions remains the mainstay of a vibrant pharmacovigilance system that seeks to safeguard medicines in a health system. This study sought to establish the impact of the national medicines regulatory body, The Pharmacy and Poisons Board (PPB), the operationalization of pharmacovigilance implementation strategies in the retail chemists, the effect of the capacity and that of underlying motivation factors of the retail chemist personnel on reporting of adverse drug reactions.Methods: This was a descriptive cross-sectional study design conducted between May 2018 to June 2018.Results: 149 (60%) of the respondents stated that PPB did not engage retail chemists as stakeholders in pharmacovigilance, 127 (51%) said they had never read any PPB publication on pharmacovigilance, 151 (61%) said they had general knowledge on pharmacovigilance, receiving feedback from PPB was considered a major motivational factor towards ADR reporting by 237 (96%). Multivariate analysis of the determinants of ADR reporting in retail chemists established that the pharmacovigilance implementation strategies (p<0.026), retail chemist personnel (p<0.001) and underlying motivational factors (p<0.05) had significant influence on ADR reporting in retail chemists in Nairobi County.Conclusions: PPB has not engaged retail chemists on pharmacovigilance matters as key stakeholders and this has impacted the quality of the pharmacovigilance implementation strategies in the chemists as well as the capacity and motivation of the retail chemist personnel to report ADRs.


Author(s):  
Jeet J. Patel ◽  
Megha K. Shah ◽  
Prakruti P. Patel ◽  
A. M. Gandhi ◽  
Mira K. Desai

Background: Background: Adverse Drug Reaction (ADR) reporting by consumers is quite low in India. Assessing knowledge and attitude of consumers regarding ADR reporting and observing practice of ADR reporting among them can help explore probable causes for underreporting of ADRs by consumers.Methods: This was a cross-sectional study conducted in a tertiary care teaching hospital using investigator-administered questionnaire and interviewing indoor patients of Surgery, Medicine, Obstetrics & Gynaecology and Dermatology departments. The questionnaire was prepared to assess knowledge, attitude and practice of consumers about ADR reporting. Data was analysed using mean, standard deviation and percentages.Result: A total of 820 consumers of medicines were included. It was found that 32.2% consumers were not aware that a drug can produce adverse effects. After being explained about adverse drug reactions, 94.6% consumers felt that adverse drug reactions should be reported. However, 98.8% consumers were not aware of Pharmacovigilance Programme of India. After consulting about consumer reporting programme, majority of respondents (96.1%) felt that the direct consumer reporting programme helps reporting of ADRs. Moreover, 93.7% of consumers were willing to use it to report ADRs in future. Consumers preferred the Telephonic method with a Toll free number for ADR reporting followed by informing a health care professional.Conclusion: Poor knowledge and awareness about ADR reporting is the major factor for low to nearly absent ADR reporting by consumers in India.


Author(s):  
Priyanka S. Survase ◽  
Amit P. Date ◽  
Archana S. Borkar ◽  
Rupesh T. Badwaik ◽  
Riaz A. Siddiqui ◽  
...  

Background: Adverse drug reactions are one of the major medicine related problem related to pharmacotherapy which may lead to increased morbidity and mortality causing increased hospital stay and financial burden on the society. Spontaneous voluntary reporting of adverse drug reaction can play a vital role in generating safety signals in which nurses can play important role, hence this study was undertaken to evaluate the knowledge attitude and practice of ADR reporting along with factors affecting reporting among nurses.Methods: The present study was a cross sectional questionnaire based study, which included nurses of a tertiary care hospital in central India. We tried to find out the possible ways to perk up spontaneous reporting of ADR and factors responsible for scarce reporting of ADRs.Results: After analyzing the data, we observed few of responders were aware of the ADR reporting system and the most encouraging finding was that majority of the responders were of the view that this reporting system is necessary. However, response to practice related questions was below average. Main factors which discouraged ADR reporting by nurses was thinking that reporting would lead to extra work and non availability of forms.Conclusions: The deficiencies in ADR reporting require awareness so as to perquisite spontaneous reporting and improve safety of patients. Training to nurses will lead to improvement in reporting of ADR.


Author(s):  
Anuran Bhadury ◽  
Olivia Mukhopadhyay ◽  
Saswati Sarkar

Background: Pharmacovigilance programs have been introduced to keep an eye on adverse drug reactions and safe use of drugs. All Healthcare professionals (HCPs) should report each and every adverse events which they come across. Pharmacovigilance programme of India is running actively since 2010 but India contributes only 2% of Adverse drug reactions (ADR’s) reported worldwide. There is need to monitor awareness of HCP’s about pharmacovigilance to achieve the goals. Such studies from peripheries of Eastern India are lacking. The aim of the study was to assess the knowledge, attitude and practice and overall awareness among HCP’s about pharmacovigilance and to understand actual barriers of ADR reporting.Methods: A cross-sectional questionnaire-based study was done in Burdwan Medical College and Hospital. Ninety-nine HCP’s completed the pre-designed questionnaire. There were 15 questions to assess the awareness and cause(s) of underreporting. Data were analysed using appropriate statistical software.Results: We analysed data of 67 doctors and 32 nurses. We found, 67.2% doctors and 59.4% nurses knew definition of pharmacovigilance. About half HCP’s had knowledge about existing pharmacovigilance committee in our hospital. Almost all HCP’s felt ADR reporting is necessary. Surprisingly 88.1% doctors and 46.9% nurses experienced ADR at least once but 25.4% and 3.1% reported them respectively. For knowledge and practice related questions, correct responses were significantly higher for doctors. Most common discouraging factors regarding ADR reporting were, didn’t know how to report (52.5%) where to report (41.4%).Conclusions: Attitude of HCP’s towards pharmacovigilance activities was appreciable and combining it with periodic sensitizing programs, and training sessions will increase the knowledge, clear doubts about ADR reporting and improve the awareness about pharmacovigilance.


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