转介到教学医院接受三级护理的患者不良药物反应追踪与报告的前瞻性研究

Aishwarya Laxmikant Khatawakar, Josthna Raghunath Gudi, Shreeram Kora, Madhu Patil, Soumya Morabad, Chandrashekhar Chandrashekhar VM
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摘要

摘要:药物不良反应是导致发病率和死亡率的主要因素之一。每次病人接触到一种药品,都是一种特殊的情况,没有办法预测会发生什么。目的是识别和报告药物不良反应。这项前瞻性、观察性、自发报告性的研究在印度卡纳塔克邦巴加尔科特的HSK医院进行,为期6个月。在试验过程中,114名患者总共报告了154次不良反应。男性患者出现药物不良反应的比例(54.54%)高于女性患者(45.46%)。研究人群中最常见的不良反应是低血压、肾毒性、便秘和稀便。抗高血压(20.7%)、抗结核(17.5%)和抗生素(14.93%)药物类别引起的不良反应(adr)多于其他药物类别。受药物不良反应影响最大的器官系统为胃肠系统(17.53%),其次为内分泌系统(16.23%)和皮肤系统(14.28%)。由此,我们得出结论,定期跟踪和报告不良药物反应可以揭示其疗效和发生模式的信息。需要采取类似的报告举措,向医院医务人员通报并提高对不良反应报告的认识。这种性质的研究报告药物不良反应将有助于促进药物治疗的安全性。关键词:药物不良反应,药物警戒,药物治疗安全性。
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A Prospective Study on Tracking and Reporting of Adverse Medication Responses in Patients Referred to a Teaching Hospital for Tertiary Care
Abstract: Adverse medication responses are one of the major factors contributing to morbidity and mortality. Every time a patient is exposed to a medicinal product, it's a special circumstance, and there's no way to predict what might happen. Aim was to identify and report adverse medication responses. This prospective, observational, spontaneous reporting study was carried out at HSK Hospital in Bagalkot, Karnataka, India, over the course of six months. During the course of the trial, 114 patients reported a total of 154 ADRs. Male patients (54.54%) reported a greater percentage of adverse drug reactions than female patients (45.46%). The most frequently encountered ADRs in the study population were hypotension, nephrotoxicity, constipation, and loose stools. Antihypertensive (20.7%), Anti-TB (17.5%), and Antibiotic (14.93%) medication classes caused more Adverse Drug Reactions (ADRs) than others. The organ system mostly affected by Adverse medication responses was the Gastrointestinal system (17.53%), followed by the Endocrine system (16.23%), Dermatology (14.28%). By this, we conclude that regularly tracking and reporting adverse medication responses can reveal information about their efficacy and pattern of occurrence. Similar reporting initiatives are required to inform and raise awareness about the reporting of ADRs among hospital medical staff. Studies of this nature that report Adverse medication responses will aid in promoting the safety of medication therapy. Keywords: Adverse medication responses, Pharmacovigilance, Safety of medication therapy.
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