PATTERNS OF ADVERSE DRUG REACTIONS: A STUDY IN A TERTIARY CARE HOSPITAL

Authors

  • Shakeel Ahmad Mir Department of Clinical Pharmacology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i12.48401

Keywords:

Adverse drug reaction, Pharmacovigilance, Drug safety

Abstract

Objectives: The purpose of this study was to describe the pattern of adverse drug reactions (ADRs) in a tertiary care hospital, as ADRs are among the most common causes of morbidity and mortality.

Methods: This prospective study, which ran from January 2020 to December 2021, observed all patients admitted to the various departments of SKIMS Hospital Srinagar for the development of ADRs.

Results: ADRs were found to be slightly more prevalent in female patients (54.82%) and those aged 40–60 years (30.11%). Antibiotics (64.3%), anticancer drugs (9.4%), and gastrointestinal tract (GIT) medications (7.3%) were most commonly associated with ADRs. The commonly involved system organs were the skin (69.9%), the nervous system (24.1%), the GIT (19.5%), and the respiratory system (15.6%). 8.0% of ADRs were serious.

Conclusion: The prevalence of ADRs makes them a major concern. To ensure patient safety, active patient surveillance is critical to identifying and controlling ADRs.

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Author Biography

Shakeel Ahmad Mir, Department of Clinical Pharmacology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.

Associate Professor

Clinical Pharmacology

References

Bäckström M, Mjörndal T, Dahlqvist R. Under-reporting of serious adverse drug reactions in Sweden. Pharmacoepidemiol Drug Saf 2004;13:483-7. doi: 10.1002/pds.962, PMID 15269932

Giardina C, Cutroneo PM, Mocciaro E, Russo GT, Mandraffino G, Basile G, et al. Adverse drug reactions in hospitalized patients: Results of the FORWARD (facilitation of reporting in hospital ward) study. Front Pharmacol 2018;9:350. doi: 10.3389/fphar.2018.00350, PMID 29695966

Le Louët H, Pitts PJ. Twenty-first century global ADR management: A need for clarification, redesign, and coordinated action. Ther Innov Regul Sci 2023;57:100-3. doi: 10.1007/s43441-022-00443-8, PMID 35951160

Alomar MJ. Factors affecting the development of adverse drug reactions (review article). Saudi Pharm J 2014;22:83-94. doi: 10.1016/j. jsps.2013.02.003, PMID 24648818

Varshney E, Saha N, Tandon M, Shrivastava V, Ali S. Prevalence of poor and rapid metabolizers of drugs metabolized by CYP2B6 in North Indian population residing in Indian national capital territory. Springerplus 2012;1:34. doi: 10.1186/2193-1801-1-34, PMID 23961363

Cohen JS. Ways to minimize adverse drug reactions. Individualized doses and common sense are key. Postgrad Med 1999;106:163-72. doi: 10.3810/pgm.1999.09.688, PMID 10494273

Bachtiar M, Lee CG. Genetics of population differences in drug response. Curr Genet Med Rep 2013;1:162-70. doi: 10.1007/s40142- 013-0017-3

Kousar S, Wafai ZA, Wani MA, Jan TR, Andrabi KI. Clinical relevance of genetic polymorphism in CYP2C9 gene to pharmacodynamics and pharmacokinetics of phenytoin in epileptic patients: Validatory pharmacogenomic approach to pharmacovigilance. Int J Clin Pharmacol Ther 2015;53:504-16. doi: 10.5414/CP202112, PMID 25943175

Pharmacovigilance Programme of India. Performance Report 2020- 2021. Indian Pharmacopoeia Commission. Ministry of Health and Family Welfare, Government of India.

James J, Rani J. A prospective study of adverse drug reactions in a tertiary care hospital in South India. Asian J Pharm Clin Res 2020;13:89-92.

Sree Sudha TY, Vangoori Y, Varghese AV. A profile of adverse drug reactions in a teritiary care teaching hospital and associated factors. Biomed Pharmacol J 2021;14:367-71.

Mandavi, D’Cruz S, Sachdev A, Tiwari P Adverse drug reactions and their risk factors among Indian ambulatory elderly patients. Indian J Med Res 2012;136:404-10. PMID 23041733

Sendekie AK, Netere AK, Tesfaye S, Dagnew EM, Belachew EA. Incidence and patterns of adverse drug reactions among adult patients hospitalized in the University of Gondar comprehensive specialized hospital: A prospective observational follow-up study. PLoS One 2023;18:e0282096. doi: 10.1371/journal.pone.0282096, PMID 36827307

Nettath S. Adverse drug reaction prevalence pattern among drugs and its correlation with causality assessment in ADR monitoring centre in Kerala over 6 months. Int J Basic Clin Pharmacol 2019;8:47-50. doi: 10.18203/2319-2003.ijbcp20185122

Cacabelos R, Naidoo V, Corzo L, Cacabelos N, Carril JC. Genophenotypic factors and pharmacogenomics in adverse drug reactions. Int J Mol Sci 2021;22:13302. doi: 10.3390/ijms222413302, PMID 34948113

Published

07-12-2023

How to Cite

Mir, S. A. “PATTERNS OF ADVERSE DRUG REACTIONS: A STUDY IN A TERTIARY CARE HOSPITAL”. Asian Journal of Pharmaceutical and Clinical Research, vol. 16, no. 12, Dec. 2023, pp. 51-53, doi:10.22159/ajpcr.2023.v16i12.48401.

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Original Article(s)