Spontaneous and timely reporting of adverse drug reactions: a necessary custom

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Maximiliano Ruiz Arango
Carlos Alberto López Zapata
Iván Andrés Hernández Hernández
Jonathan Saldarriaga Hernández
José Julián Aristizábal Hernández

Abstract

Objective: the purpose of the present study was to identify the number of adverse drug reactions in hospitalized patients, through active search for prescription of antihistamines, biperiden and vitamin K.


Methods: we conducted an observational, descriptive study from July 2008-June 2009, by the search in medical records in the Clinica Universitaria Bolivariana, n=143. We estimated the frequency of probable or possible adverse drug reactions and spontaneous medical report.


Results: we assessed 892 inpatient cases with antihistamines, biperiden or vitamin K prescription; 143 cases were included in the study for their relationship with treatment of possible or probable adverse drug reactions. We found a frequency of cases with no spontaneous medical report in 72.7% (n=104), the time for presentation of the latter was with a mean of 8.1 days, a median of 4 days, IQR (1-11) and a range in days of 0-37.


Conclusion: we observed a low frequency of adverse drug reactions with spontaneous medical report and an average of eight days for notification when it was reported. Therefore, it is necessary to promote spontaneous and timely reporting that can help improve the safety in administered drugs.

Keywords:
adverse effects, histamine antagonists, biperiden, vitamin K

References

World Health Organization. International drug monitoring: the role of the hospital. Geneva: WHO; 1969. Technical Report Series No. 425.

Lazarou J, Pomeranz BH, Corey PN. Incidence of ADR in hospitalized patients: a meta-analysis of prospective studies. JAMA.. 1998 Apr 15; 279(15):1200–5.

World Health Organization. Pharmacovigilance: ensuring the safe use of medicines [Internt]. Geneva: WHO; 2004 [fecha de consulta abril de 2009]. Disponible en: http:// whqlibdoc.who.int/hq/2004/WHO_EDM_2004.8.pdf.

Biron P, Balency D. Estimation of the signal generating value of spontaneous reports of adverse reactions. Pharmacoepidemiol Drug Saf .1993 Sep 1; 2(6):579- 83.

Rawlins MD, Velo GP. Special problems of pharmacovigilance of medicines given to healthy individuals. Acta Physiol Pharmacol Ther Latinoam. 1996; 249:49.

Frick PA, Cohen LG, Rovers JP. Algorithms used In adverse drug event reports: a comparative study. Ann Pharmacother. 1997; 31(2):164-67.

Naranjo CA, Busto U, Sellers EM, Sandor P, Ruiz I, Roberts EA, et al. A method for estimating the probability of adverse drug reactions. Clin Pharmacol Ther. 1981 Aug; 30 (2):239-45.

Instituto Nacional de Vigilancia de Medicamentos y Alimentos, Inspección, Vigilancia y Control, Farmacovigilancia. [sede web]. Bogotá: INVIMA, 2010 [fecha de consulta: abril de 2010]. Disponible en: http:// web.invima.gov.co/portal/faces/index.jsp ?id=5766,

Instituto Nacional de Vigilancia de Medicamentos y Alimentos, Inspección, Vigilancia y Control, Farmacovigilancia. Boletín Informativo de Farmacovigilancia [revista en Internet] 2009 [fecha de consulta: abril de 2010]; (2). Disponible en: http://web. invima.gov.co/portal/documents/portal/documents/root/ Faltantes/BOLETIN_NOV _09_2[1].pdf

Bigby M. Rates of cutaneous reactions to drugs. Arch Dermatol. 2001 Jun; 137(6): 765-70.

Fisher MM, More DG. The epidemiology and clinical features of anaphylactic reactions in anaesthesia. Anaesth Intens Care. 1981 Aug; 9 (3): 226–34.

Weiss ME, Adkinson NF. Immediate hypersensitivity reactions to penicillin and related antibiotics. Clin Allergy. 1988; 18(6): 515–40.

Nayak S, Acharjya B. Adverse cutaneous drugs reaction. Indian J Dermatol. 2008; 53 (1):2-8.

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