Pimpalkhute Sonali A, Jaiswal K M, Sontakke S D, Bajait C S, Gaikwad A
Department of Pharmacology, Government Medical College, Nagpur- 440 010, India.
Indian J Med Sci. 2012 Mar-Apr;66(3-4):55-61.
Adverse drug reactions (ADRs) are associated with significant morbidity and mortality and have a major impact on public health. Pharmacovigilance helps in early detection of ADRs and identification of risk factors. Underreporting of ADRs can be improved by imparting knowledge regarding pharmacovigilance to healthcare professionals. This study was aimed at investigating the knowledge and attitude of resident doctors about ADR reporting and suggesting possible ways of improving ADR reporting.
This study was a cross-sectional, questionnaire-based survey conducted in a tertiary care teaching hospital. The respondents were resident doctors. Study instrument was a self-developed, pre-validated, semi-structured questionnaire consisting of open- and close-ended items.
A total of 84 questionnaires were considered for analysis, giving a response rate of 93.33%. In all, 64.28% of the respondents were aware about pharmacovigilance, 52.38% were aware of ADR reporting system in India, 83.33% opined that only serious ADR with any medicine should be reported, and 35.72% believed that ADRs should be reported only for newly marketed agents. Although 67.85% of respondents observed an ADR, only 25% reported it; 44.04% were aware about the complete procedure of ADR reporting. General attitude of the respondents about ADR reporting was as follows: ADR reporting should be compulsory (15.19%), voluntary (41.66%), remunerated (3.57%), identity of prescriber should be concealed (21.42%), and identity of reporter should be concealed (29.7%).
Increasing awareness about pharmacovigilance will be helpful in improving the status of ADR reporting. Other measures such as making ADR reporting guidelines available in the form of booklets and displaying posters can also play a useful role.
药物不良反应(ADR)与显著的发病率和死亡率相关,对公众健康有重大影响。药物警戒有助于早期发现ADR并识别风险因素。通过向医护人员传授药物警戒知识可改善ADR报告不足的情况。本研究旨在调查住院医生对ADR报告的知识和态度,并提出改善ADR报告的可能方法。
本研究是在一家三级护理教学医院进行的基于问卷的横断面调查。受访者为住院医生。研究工具是一份自行开发、预先验证的半结构化问卷,包括开放式和封闭式问题。
共84份问卷纳入分析,回复率为93.33%。总体而言,64.28%的受访者了解药物警戒,52.38%了解印度的ADR报告系统,83.33%认为仅应报告任何药物的严重ADR,35.72%认为仅应对新上市药物报告ADR。尽管67.85%的受访者观察到了ADR,但仅25%进行了报告;44.04%了解ADR报告的完整程序。受访者对ADR报告的总体态度如下:ADR报告应强制进行(15.19%)、自愿进行(41.66%)、给予报酬(3.57%)、开处方者身份应保密(21.42%)、报告者身份应保密(29.7%)。
提高对药物警戒的认识将有助于改善ADR报告状况。其他措施,如以小册子形式提供ADR报告指南并张贴海报,也可发挥有益作用。