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Drug Safety Monitoring in Health Programs of Cameroon. 喀麦隆卫生项目中的药物安全监测。
Pub Date : 2022-10-17 DOI: 10.35248/2329-6887.22.10.385
Ketina Hirma Tchio-Nighie, Maurice Mbwe Mpoh, Herve Tchokomeni, Ingrid Marcelle Koutio Douanla, Paul Nyibio Ntsekendio, Frank Forex Kiadjieu Dieumo, Jerome Ateudjieu

Background: Data are needed to serve as evidence in planning the strengthening of pharmacovigilance in health programs administering drugs to populations. The present study was proposed to map the distribution of pharmacovigilance units in health programs, assess the availability of key resources, the implementation of key pharmacovigilance activities and identify needs of involved actors.

Methods: It was a cross sectional descriptive study targeting all health programs of the Cameroon Ministry of Public Health administering drugs/vaccines to the population. Data were collected using semi structured questionnaire administered face to face to key persons in charge of drug safety monitoring or drug management in health programs.

Results: Out of the 09 health programs involved in drug distribution, 07 consented to participate. Five out of them (71.4%) claimed to have existing pharmacovigilance units. Office space, computers, operating budget, data analysis software and a trained staff were available in 28.6%, 42.9%, 42.9%, 14.3%, 00.0%, and 42.9% of the health programs respectively. One of the 7 health programs (14.3%) declared conducting detection/notification of adverse events following exposure drugs, 2 (28.6%) conduct causality assessment and 3 (42.8%) conduct analysis of pharmacovigilance data. All health programs proposed to prioritize the allocation of budget and qualified personnel and the training of existing personnel as key interventions to improve drugs/vaccines safety monitoring in health programs.

Conclusion: The study reports limited coverage of Cameroon health programs with activities leading to drugs and vaccine safety monitoring. Suggested actions have to be taken into account when attempting to improve the situation.

背景:需要数据作为规划加强向人群提供药物的卫生规划中的药物警戒的证据。本研究旨在绘制卫生规划中药物警戒单位的分布图,评估关键资源的可用性,关键药物警戒活动的实施,并确定相关行为者的需求。方法:这是一项横断面描述性研究,针对喀麦隆公共卫生部向人口管理药物/疫苗的所有卫生计划。采用半结构式问卷,对卫生项目中负责药品安全监测或药品管理的主要人员进行面对面调查。结果:在09个涉及药品分发的卫生项目中,有07个同意参与。其中5个(71.4%)声称拥有现有的药物警戒单位。28.6%、42.9%、42.9%、14.3%、00.0%和42.9%的卫生项目提供办公场所、计算机、运营预算、数据分析软件和训练有素的工作人员。7个卫生规划中有1个(14.3%)宣布对接触药物后的不良事件进行检测/通报,2个(28.6%)进行因果关系评估,3个(42.8%)进行药物警戒数据分析。所有卫生项目都建议优先分配预算和合格人员以及培训现有人员,作为改善卫生项目中药物/疫苗安全监测的关键干预措施。结论:该研究报告了喀麦隆卫生项目在药品和疫苗安全监测方面的覆盖面有限。在试图改善这种情况时,必须考虑到建议的行动。
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引用次数: 0
A Concise Outline on Measure behind Inoculation 接种后措施简论
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.335
N. Gupta
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引用次数: 0
A Brief Review on Pre-Clinical Studies and Phases of Clinical Trials 临床前研究和临床试验阶段综述
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.330
A. Mishra
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引用次数: 0
Knowledge, Attitude and Practice of Pharmacovigilance among Health Care Professionals in Jos University Teaching Hospital, Nigeria 尼日利亚乔斯大学教学医院医护人员药物警戒的知识、态度和实践
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.20.8.294
R. Odesanya, J. Ofeimun, Sofa Meshach Fanjip
Background: Pharmacovigilance is a post-marketing surveillance of medicine use. Studies show that adverse drug reactions lead to acute hospitalizations. We noticed a decline in pharmacovigilance activities in our Centre, thus we aim to determine the knowledge, attitude and practice of pharmacovigilance in Jos University Teaching Hospital (JUTH). Method: It was a cross-sectional questionnaire-based study design using stratified sampling method in administering 183 questionnaires to Pharmacists, Doctors and Nurses in JUTH from May to June, 2019. Results were presented in proportions and a p value of <0.05 was considered statistically significant. Result: The modal age of respondents was 26-35 years. On sources of information on pharmacovigilance, 39.9% got information from Journal texts, 3.3% through television/Radio set, 29.5% from combination of Journals, Television/Radio, Colleagues, Seminars and lectures. The overall good knowledge of pharmacovigilance was 62.3%, majority (84.7%) had good attitude while most (63.4%) had poor practice of Pharmacovigilance. There were statistical significant differences in knowledge, attitude and practice of Pharmacovigilance in relation to the three professions (p=0.000). Conclusion: This study shows that health care professionals in Jos university teaching hospital had good knowledge and attitude towards pharmacovigilance but had very poor practice.
背景:药物警戒是对药物使用的上市后监测。研究表明,药物不良反应可导致急性住院。我们注意到本中心药物警戒活动有所减少,因此我们的目标是确定乔斯大学教学医院(JUTH)药物警戒的知识、态度和实践。方法:采用横断面问卷调查法,采用分层抽样法,于2019年5 - 6月对我院药师、医生、护士发放183份问卷。结果以比例表示,p值<0.05认为有统计学意义。结果:被调查者的模态年龄为26 ~ 35岁。在药物警戒信息来源方面,39.9%来自期刊文本,3.3%来自电视/广播,29.5%来自期刊、电视/广播、同事、研讨会和讲座的组合。总体上对药物警戒有良好认识的占62.3%,大部分(84.7%)对药物警戒态度良好,大部分(63.4%)对药物警戒实践不佳。三种职业在药物警戒知识、态度和行为方面差异均有统计学意义(p=0.000)。结论:乔斯大学教学医院医护人员对药物警戒的认识和态度较好,但实际操作较差。
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引用次数: 0
An Overview on Primary and Secondary Research of Clinical Trails 临床试验的一级和二级研究综述
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.311
Kaumudi Nalla
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引用次数: 0
Cohort and Case-Control Studies 队列和病例对照研究
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.317
N. Deepthi, A. Nalla
Observational studies are an essential class of examine designs. To deal with a few investigative questions in plastic surgery, randomized controlled trials are not always indicated or ethical to conduct. As an alternative, observational research can be the next exceptional method to deal with those types of questions. Properlydesigned observational studies were shown to provide results just like randomized controlled trials, challenging the belief that observational studies are 2d-rate [1].
观察性研究是检验设计的一个基本类别。为了处理整形手术中的一些调查性问题,随机对照试验并不总是指的或道德的进行。作为另一种选择,观察研究可以成为处理这类问题的下一个特殊方法。设计合理的观察性研究被证明提供的结果与随机对照试验一样,挑战了观察性研究是2d-rate的观点[1]。
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引用次数: 0
Adverse Drug Reactions and Their Danger Factors Among Indian Wandering Old Patients 印度流浪老年患者药物不良反应及其危险因素分析
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.332
Ambica Saxena
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引用次数: 0
Can Electronic Medical Record be used for Reducing DOAC Prescription Errors in Inpatients 电子病历可以用于减少住院患者DOAC处方错误吗
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.329
F. Steffen, C. Mühlen, Armin Nemani, T. Heidt, J. Schulte, C. Bode, M. Krohn-Grimberghe
Background: Direct oral anticoagulants (DOACs) are commonly used for treating or preventing thromboembolic events. At the same time anticoagulants are a notorious cause of medication errors. Such medication errors can jeopardize patients’ health and challenge the economy of healthcare systems. With the potential of e-health systems for reducing medication errors, our study investigates the effects of medication highlighting. Methods: To highlight medications with anticoagulatory properties in the electronic health records of cardiologic inpatients, a color scheme was introduced at our university hospital. We performed chart reviews of DOAC-related medication errors due to co-prescription of more than one anticoagulatory drug or omitted pausing of DOACs before interventions with increased bleeding risks. Chart reviews were performed before and after the introduction of medication highlighting. Patients having received a DOAC prescription at any point in time during their hospital stay were included. Results: 305 (out of 1.045) patients had received DOAC before and 277 (out of 1.062) received DOAC within a three-month period after the color scheme introduction. DOAC-related medication errors occurred in 25 of the 305 (8.2%) inpatients in total before medication highlighting, while 6 errors occurred in 277 inpatients (2.2%; p= 0.0013) afterwards. Conclusion: Highlighting anticoagulatory medications in the electronic medical record led to a reduction of DOACrelated prescription errors.
背景:直接口服抗凝剂(DOACs)通常用于治疗或预防血栓栓塞事件。与此同时,抗凝剂是导致用药错误的一个臭名昭著的原因。此类用药错误可能危及患者的健康,并对医疗保健系统的经济构成挑战。随着电子卫生系统在减少用药错误方面的潜力,我们的研究调查了药物突出的影响。方法:为了在心脏病住院患者的电子病历中突出显示具有抗凝血特性的药物,在我校医院引入了一种配色方案。我们对doac相关的用药错误进行了图表回顾,这些用药错误是由于联合使用一种以上抗凝药物或在干预前遗漏了doac的暂停而导致出血风险增加。在引入药物突出显示之前和之后进行图表回顾。在住院期间的任何时间点接受DOAC处方的患者也包括在内。结果:305例(1.045例)患者之前接受了DOAC治疗,277例(1.062例)患者在配色方案引入后的三个月内接受了DOAC治疗。305例住院患者中有25例(8.2%)在药物突出前发生doac相关用药错误,277例(2.2%)住院患者发生6例用药错误;P = 0.0013)。结论:在电子病历中突出显示抗凝药物可减少与doac相关的处方错误。
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引用次数: 0
Principles and Difficulties in Developing Causality Assesment 开展因果关系评估的原则与难点
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.300
Archana Guyya
Causality assessment of ADRs is a technique utilized for assessing the strength of connection between drug(s) openness and event of antagonistic reaction(s). Causality assessment of ADRs might be embraced by clinicians, academics, the drug business and controllers, and in various settings, including clinical trials. At an individual level, medical care suppliers evaluate causality casually when managing ADRs in patients to settle on choices with respect to future treatment.
不良反应的因果关系评估是一种用于评估药物开放性与拮抗反应事件之间联系强度的技术。对不良反应的因果关系评估可能会被临床医生、学者、药品企业和控制人员以及包括临床试验在内的各种环境所接受。在个人层面上,医疗保健提供者在管理患者的不良反应时随意评估因果关系,以确定未来治疗的选择。
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引用次数: 0
A Breif Note on Vigimed 关于Vigimed的简要说明
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.299
Sai Priyanka Undavalli
*Corresponding Author: Sai Priyanka Undavalli, Department of Pharmaceutical Analysis, Bhaskara College of Pharmacy, Osmania University, Hyderabad, India Tel: +91 7024050650, Emailsaipriya@gmail.com Received: February 2, 2021; Accepted: February 16, 2021; Published: February 23, 2021 Citation: Undavalli SP (2021) A Breif Note on Vigimed, J. Pharamacovigil. 9:299. doi-10.35248/2329-6887.21.9.299. Copyright: ©2021 Undavalli SP. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. INTRODUCTION
*通讯作者:Sai Priyanka Undavalli,印度海得拉巴Osmania大学Bhaskara药学院药物分析系电话:+91 7024050650,Emailsaipriya@gmail.com收稿日期:2021年2月2日;接受:2021年2月16日;引文:Undavalli SP (2021) A brief Note on Vigimed, J. Pharamacovigil. 9:299。doi: 10.35248/2329 6887.21.9.299。版权所有:©2021 Undavalli SP.这是一篇根据知识共享署名许可条款发布的开放获取文章,该许可允许在任何媒体上不受限制地使用,分发和复制,前提是注明原作者和来源。介绍
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Journal of Pharmacovigilance
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