Chhabra Kumar G, Sharma Ashish, Chhabra Chaya, Reddy J Jyothirmai, Deolia Shravani G, Mittal Yogesh
Department of Public Health Dentistry, Jodhpur Dental College General Hospital, Jodhpur, Rajasthan, India, e-mail:
Department of Public Health Dentistry, Jodhpur Dental College General Hospital, Jodhpur, Rajasthan, India.
J Contemp Dent Pract. 2017 Oct 1;18(10):964-969. doi: 10.5005/jp-journals-10024-2157.
This is a cross-sectional knowledge, attitude, and practices (KAPs) study on pharmacovigilance (PV) and adverse drug reaction (ADR) reporting among dental students in a teaching hospital in India.
The aim of this study was to assess the KAP of dental students regarding PV, ADR reporting, and barriers toward the same.
A cross-sectional survey using a self-administered, investigator-developed, close-ended questionnaire was conducted in an academic dental hospital in India. All prescribers including third year students, final year students, and house surgeons of the same institute were included for assessment of KAP regarding PV using 16, 8, and 8 items respectively. Data regarding barriers toward ADR reporting and demographics were also collected. Mann-Whitney U-test and Kruskal-Wallis test were applied followed by post hoc test.
A total of 241 of 275 respondents participated in the study with a response rate of 87.5%. Overall, 64% reported that they had no idea about the term PV. Age was significantly associated with knowledge (p = 0.045) and attitude (p = 0.016). Barriers contributing to underreporting were difficulty in deciding whether or not an ADR has occurred (52.0%), concerns that the report may be wrong (37%), lack of confidence to discuss ADR with colleagues (29%), and almost no financial benefits (24%).
Participants had a comparatively favorable attitude toward PV, but their knowledge and practice need considerable improvements. This study highlights the need for appropriate dental curriculum changes and further multicentric studies to shed more light on important issues of PV among dentists in India.
This study explores dentists' knowledge, attitude, and behavior regarding PV, which could help to improve patient's safety and care. The favorable attitude of dentists is an indication that PV could be added in depth in the curriculum and in general practice. Information on barriers for reporting the ADRs could help to find possible solutions for removing the barriers precisely.
这是一项关于印度一家教学医院牙科学生药物警戒（PV）和药品不良反应（ADR）报告的横断面知识、态度和实践（KAP）研究。
本研究的目的是评估牙科学生关于PV、ADR报告及其相关障碍的知识、态度和实践。
在印度一家学术性牙科医院进行了一项横断面调查，使用自行设计的、研究者编制的封闭式问卷。所有开处方者，包括该机构的三年级学生、四年级学生和住院外科医生均纳入研究，分别使用16项、8项和8项问卷评估其关于PV的知识、态度和实践。还收集了有关ADR报告障碍和人口统计学的数据。应用曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验，随后进行事后检验。
275名受访者中有241人参与了研究，回复率为87.5%。总体而言，64%的人表示他们对“药物警戒”一词一无所知。年龄与知识（p = 0.045）和态度（p = 0.016）显著相关。导致报告不足的障碍包括难以确定是否发生了ADR（52.0%）、担心报告可能有误（37%）、缺乏与同事讨论ADR的信心（29%）以及几乎没有经济利益（24%）。
参与者对药物警戒的态度相对较好，但他们的知识和实践需要大幅改进。本研究强调需要对牙科课程进行适当改革，并开展进一步的多中心研究，以更深入了解印度牙医中药物警戒的重要问题。
本研究探讨了牙医关于药物警戒的知识、态度和行为，这有助于提高患者的安全性和护理质量。牙医的积极态度表明可以在课程和一般实践中更深入地纳入药物警戒内容。关于ADR报告障碍的信息有助于准确找到消除这些障碍的可能解决方案。
