Abstract
A PROSPECTIVE AND OBSERVATIONAL STUDY OF ADVERSE DRUG REACTIONS IN DERMATOLOGY DEPARTMENT OF TERTIARY REFERRAL AND TEACHING HOSPITAL OF MYSORE

Basavanna P. L.*, Eldhose Kuriakose and L. Raghavendra Gupta

ABSTRACT

Background: To study the cutaneous adverse drug reactions with regards to causality, severity, preventability, predictability. Materials and Methods: Study was carried out at Dermatology department in Mysore Medical College & Research Institute; K R Hospital, Mysuru, India, for 1 month (September 2018). A total of 11 patients were enrolled as per inclusion and exclusion criteria. Patient’s data were collected by using suspected adverse drug reaction reporting form and causality of ADR’s were assessed by using WHO-UMC scale, severity by Modified Hartwig and Siegel Scale, preventability by Modified Schumock and Tornton Scale and preventability scales were used. Results: The majority of patients reported with ADR were in the age group of 41-30 years. Fixed drug eruptions were the most commonly seen as ADR. Using WHO UMC scale for causality assessment 45.5% were probable, 54.5% were possible. Moderate reactions accounted for 54.56%, 27.8% severe, and 18.2% for mild reactions. The preventability assessed using the modified Shumock and Thornton method showed 27.3% definitely preventable, 54.5% preventable and 18.2% not preventable. Finally the outcome of the detected reactions requires intervention in 63.3%, 18.2% were hospitalized, 9.1% was recovered. In 9.1% the outcome was unknown. Conclusion: The main aim of studying adverse drug reactions is to establish a system of rational use of drugs and the need of more concern from health care professionals towards ADRs and their reporting.

Keywords: WHO (World health Organisation), Adverse drug reaction (ADR), WHO-UMC (WHO- Unfair mean cases).


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