Mazzitello Carmela, Esposito Stefania, De Francesco Adele E, Capuano Annalisa, Russo Emilio, De Sarro Giovambattista
Department of Science of Health, School of Medicine, University of Catanzaro, and Pharmacovigilance's Centre Calabria Region, University Hospital Mater Domini, Catanzaro, Italy.
Pharmacy Unit, Mater Domini Hospital, Catanzaro, Italy.
J Pharmacol Pharmacother. 2013 Dec;4(Suppl 1):S20-8. doi: 10.4103/0976-500X.120942.
Spontaneous reporting of adverse drug reactions (ADRs) is the basis of pharmacovigilance. In fact, ADRs are associated with a high degree of morbidity and mortality. However, underreporting by all healthcare professionals remains the major problem in Italy and in the rest of the world. The dissemination of pharmacovigilance knowledge among Italian healthcare professionals, and the new pharmacovigilance regulations may promote the early detection and reporting of ADRs. This review examines the legislative framework concerning the pharmacovigilance in Italy.
The information was collected from scientific articles and the websites of the Italian Ministry of Health and the Italian Medicines Agency (Agenzia Italiana del Farmaco, AIFA).
The pharmacovigilance system, both in Italy and Europe, has undergone profound changes. European legislation on pharmacovigilance has been changed in 2010 according to the EU Regulation 1235/2010 and Directive 2010/84/EU. Basically, the changes tend to increase the efficiency, speed and transparency of pharmacovigilance activities. The new Regulation (1235/2010) and the Directive (2010/84/EU) aim to strengthen the system of pharmacovigilance, establish more precisely who is obliged to do what, and allow faster and easier circulation and retrieval of information about ADRs.
A greater knowledge on what is the Italian pharmacovigilance legislation will be useful to improve the status of ADRs reporting and spread the culture of spontaneous reporting.
药品不良反应(ADR)的自发报告是药物警戒的基础。事实上,药品不良反应与高度的发病率和死亡率相关。然而,在意大利及世界其他地区,所有医疗保健专业人员的报告不足仍然是主要问题。在意大利医疗保健专业人员中传播药物警戒知识以及新的药物警戒法规可能会促进药品不良反应的早期发现和报告。本综述考察了意大利有关药物警戒的立法框架。
信息收集自科学文章以及意大利卫生部和意大利药品管理局(Agenzia Italiana del Farmaco, AIFA)的网站。
意大利和欧洲的药物警戒系统都经历了深刻变革。根据欧盟法规1235/2010和指令2010/84/EU,2010年欧洲关于药物警戒的立法发生了变化。基本上,这些变化倾向于提高药物警戒活动的效率、速度和透明度。新法规(1235/2010)和指令(2010/84/EU)旨在加强药物警戒系统,更明确地规定谁有义务做什么,并使有关药品不良反应的信息能够更快、更便捷地流通和检索。
更深入了解意大利药物警戒立法将有助于改善药品不良反应报告的状况,并传播自发报告的文化。