A RETROSPECTIVE INVESTIGATION OF ADVERSE DRUG REACTIONS IN A TERTIARY CARE HOSPITAL Authors: Singh SK , PRUDHIVI R, JOSE A, SAMSON PL, BHAVANA P AND SHAMEER S
ABSTRACT
Introduction: An adverse drug reaction (ADR) is defined by the World Health Organization (WHO) as
any noxious, unintended, or undesired effect of a drug that occurs at doses used in humans for prophylaxis,
diagnosis, or therapy. To evaluate the probability of true ADRs from suspected ADRs, Naranjo et al. has
proposed a tool and has been widely used as Naranjo Algorithm. The main aims of this study are to assess
the pattern of ADRs, causality, offending drugs, monitoring and documenting suspected ADR(s) and to
prevent the occurrence. Methodology: A retrospective study was carried over a period of 6 months. The
reactions were categorized based on patient demographics and ADR characteristics (the type of ADR,
causality, severity, system affected, outcome and management). Data were demonstrated in the form of
frequency and tables. Results: Causality assessment of suspected ADRs using Naranjo's scale showed that
16.66% of them were probable and 83.33 % categorized as possible. The severity of reactions was reported
as 46.66% each in case of mild and moderate. 6.66% considered as severe. Conclusion: This study
concluded that the reporting of ADRs is fairly good in this hospital. Although the ADRs in the present study
were serious and preventable. Monitoring and management of such ADRs through therapeutic interventions
beneficial for patient care.
Keywords: Adverse drug reaction, Causality, Naranjo scale, Monitoring, Severity Publication date: 01/07/2023 https://ijbpas.com/pdf/2023/July/MS_IJBPAS_2023_7302.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2023/12.7.7302