在Bathalapalli医院实施药物警戒以监测药物不良反应并改善患者护理

Kommanuru Venkata Ramakrishna Teja
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摘要

导言:虽然药物不良反应(ADR)监测是众所周知的,但由于缺乏意识和缺乏中央协调机构,在不发达国家没有实施。最近实施的国家药物警戒方案鼓励在一些中心监测药品不良反应。方法:本研究的目的是评估所描述的adr的严重程度,与adr相关的额外财务成本,以及印度安得拉邦巴塔拉帕利农村发展信托(RDT)医院目前的adr负荷。这项研究是在26个月的住院病人中进行的。结果:56例患者报告74例药物不良事件(ade),其中37例为adr。521例患者入院,9.7%的不良反应发生在住院期间。男性(56%)发生不良反应的频率高于女性(44%)。在住院期间,男性和女性之间没有明显的差异。儿童、老年和成人患者的不良反应发生率分别为19.0%、20.0%和61.0%。根据不良反应严重程度,半数以上(76.49%)的报告反应为中度,其次为轻度(13.51%)和重度(10%)。39.6%的患者痊愈。大多数反应表明,不良反应是意料之外的,可能是可以避免的。结论:根据研究结果,90%的不良反应是可以预防的,节省了卫生系统的资金,减少了患者的支出。为预防未知和严重的不良反应,应持续监测新药物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementing Pharmacovigilance at Bathalapalli Hospital to Monitor Adverse Drug Reactions and Improve Patient Care
Introduction: Although adverse drug reaction (ADR) monitoring is widely known, it is not practised in underdeveloped nations due to a lack of awareness and the absence of a central coordinating agency. The recent implementation of the National Pharmacovigilance Programme has encouraged ADR monitoring in some centres. Methods: The purpose of this study was to evaluate the sternness of described ADRs, the additional financial costs associated with ADRs, and the present load of ADRs at a Rural Development Trust (RDT) Hospital in Bathalapalli, Andhra Pradesh, India. The study was carried out over 26 months of inpatient admissions to the medical wards. Results: 37 of the 74 adverse drug events (ADEs) that were reported by 56 individuals were indeed ADRs. There were 521 patients admitted, and 9.7% of those ADRs occurred during hospitalisation. Males (56%) had ADRs more often than females (44%). During the hospital stay, no discernible difference between males and females was seen. ADR rates were 19.0%, 20.0%, and 61.0 % for paediatric, geriatric, and adult patients, respectively. Based on ADR severity, more than half of the reported reactions (76.49%) were in the moderate category, followed by mild (13.51%) and severe (10%) categories. 39.6% of patients recovered from the incident. The majority of the responses showed that the ADRs were unexpected and possibly avoidable. Conclusion: According to the study’s findings, 90% of ADRs might be prevented, saving the health system money and decreasing patient expenditures. To prevent unknown and severe ADRs, new medications should be continuously monitored.
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