Assessment of knowledge, attitude, and practice towards adverse drug reaction reporting among healthcare students of Namakkal District, Tamil Nadu

Authors

  • Subin Sam J.K.K. Nataraja College of Pharmacy, Namakkal (Dt), Kumarapalayam, Tamil Nadu, India
  • Juvin Thomas CV J.K.K. Nataraja College of Pharmacy, Namakkal (Dt), Kumarapalayam, Tamil Nadu, India
  • Sudha M The Erode College of Pharmacy, Tamil Nadu, India
  • Sambathkumar R The Erode College of Pharmacy, Tamil Nadu, India https://orcid.org/0000-0003-1454-9582

DOI:

https://doi.org/10.46542/pe.2023.231.118126

Keywords:

ADR reporting, Attitude and practice, Drug-related side effect, Drug-related adverse reaction, Knowledge, Pharmacovigilance, Pharmacy

Abstract

Background: Adverse drug reactions (ADRs) are recognised causes of increased mortality, morbidity, and high healthcare costs. The contribution of healthcare students to ADR databases is essential and has enabled continued drug detection to such an extent that it has led to identifying unsuspected and rare ADR signals.   

Objectives: The study aims to evaluate healthcare students’ knowledge, attitude, and practice (KAP) toward ADR reporting.   

Methods: This descriptive, cross-sectional study was conducted among 265 healthcare students of Namakkal district, Tamil Nadu, from various departments. A three-section questionnaire was developed in English and distributed online from July to October 2020. Each participant received a score for each KAP section.

Results: Of the 265 healthcare students included in the study, 56.98% were female. The majority were pharmacy students 132 (49.81%), followed by medical 74 (27.92%) and nursing 59 (22.26%) students. There was a significant difference in ADR reporting among healthcare students. KAP of ADR reporting was higher among pharmacy students (88.68%) compared to the medical (19.25%) and nursing students (29.63%), with a p-value of 0.05.

Conclusion: This study showed that pharmacy students had more awareness of ADR reporting than other healthcare students due to pharmacovigilance courses in their curriculum and adequate training during clerkships and internships. Hence, it is necessary to include pharmacovigilance and ADR reporting in other healthcare curriculum to reduce ADR underreporting in the future. Periodic educational interventions can improve these parameters of pharmacovigilance.

Author Biographies

Subin Sam, J.K.K. Nataraja College of Pharmacy, Namakkal (Dt), Kumarapalayam, Tamil Nadu, India

Department of Pharmacy Practice

Juvin Thomas CV, J.K.K. Nataraja College of Pharmacy, Namakkal (Dt), Kumarapalayam, Tamil Nadu, India

Department of Pharmacy Practice

Sudha M, The Erode College of Pharmacy, Tamil Nadu, India

Department of Pharmacology

Sambathkumar R, The Erode College of Pharmacy, Tamil Nadu, India

Department of Pharmaceutics

References

Abdel-Latif, M.M., & Abdel-Wahab, B.A. (2015). Knowledge and awareness of adverse drug reactions and pharmacovigilance practices among healthcare professionals in Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia. Saudi pharmaceutical journal, 23(2), 154–161. https://doi.org/10.1016/j.jsps.2014.07.005

Adisa, R., & Omitogun, T.I. (2019). Awareness, knowledge, attitude and practice of adverse drug reaction reporting among health workers and patients in selected primary healthcare centres in Ibadan, southwestern Nigeria. BMC health services research, 19(1), 926. https://doi.org/10.1186/s12913-019-4775-9

Ahmad, A., Patel, I., Balkrishnan, R., Mohanta, G.P., & Manna, P.K. (2013). An evaluation of knowledge, attitude and practice of Indian pharmacists towards adverse drug reaction reporting: A pilot study. Perspectives in clinical research, 4(4), 204–210. https://doi.org/10.4103/2229-3485.120168

Akshay, J.K. & Hemanth Kumar K.H. (2018). Knowledge and perception towards pharmacovigilance and adverse drug reactions reporting among medical students at a teaching hospital in South India. International Journal of Basic & Clinical Pharmacology, 7(5), p.866. https://doi.org/10.18203/2319-2003.ijbcp20181626

Balidemaj F. Adverse drug reactions problems with spontaneous reporting systems and communicating information to providers to improve reporting rate globally. A working paper from the University of Oxford 2013. Accessed 24 Jan 2022 from https://www.isoponline.org/wp-content/uploads/2015/01/BMAreport.pdf

Baniasadi, S., Fahimi, F., & Shalviri, G. (2008). Developing an adverse drug reaction reporting system at a teaching hospital. Basic & clinical pharmacology & toxicology, 102(4), 408–411. https://doi.org/10.1111/j.1742-7843.2008.00217.x

Beijer, H.J., & de Blaey, C.J. (2002). Hospitalisations caused by adverse drug reactions (ADR): a meta-analysis of observational studies. Pharmacy world & science, 24(2), 46–54. https://doi.org/10.1023/a:1015570104121

Bepari, A., Assiri, R. A., AlYahya, M.A., AlGhamdi, S.J., AlGhamdi, A.M., & AlOnazi, A.A. (2020). The comparative assessment of awareness, perspective, and basic practice skills about the Saudi pharmacovigilance system among students of different health-care professionals of a Saudi Female University. Saudi pharmaceutical journal, 28(7), 828–836. https://doi.org/10.1016/j.jsps.2020.06.002

Bhagavathula, A.S., Elnour, A.A., Jamshed, S.Q., & Shehab, A. (2016). Health Professionals' Knowledge, Attitudes and Practices about Pharmacovigilance in India: A Systematic Review and Meta-Analysis. PloS one, 11(3), e0152221. https://doi.org/10.1371/journal.pone.0152221

British Medical Association Board of Sciences: Reporting adverse drug reactions- a guide for healthcare professionals. 2006. Accessed 21 June 2021 from https://www.researchgate.net/publication/281283152_Reporting_adverse_drug_reactions_A_guide_for_healthcare_professionals_BMA_May_2006

Classen, D.C., Pestotnik, S.L., Evans, R.S., Lloyd, J.F., & Burke, J.P. (1997). Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. Obstetrical & Gynecological Survey, 277(4), 301–306. https://doi.org/10.1097/00006254-199705000-00016

Feely, J., Moriarty, S., & O'Connor, P. (1990). Stimulating reporting of adverse drug reactions by using a fee. BMJ (Clinical research ed.), 300(6716), 22–23. https://doi.org/10.1136/bmj.300.6716.22

FMHACA. Guideline for Adverse Drug Events Monitoring (Pharmacovigilance). (2014) 3rd Edition. Addis Ababa, Ethiopia

Gupta, P., & Udupa, A. (2011). Adverse drug reaction reporting and pharmacovigilance: Knowledge, attitudes and perceptions amongst resident doctors. Journal of pharmaceutical sciences and research, 3(2), 1064. https://www.jpsr.pharmainfo.in/Documents/Volumes/Vol3Issue02/jpsr%2003110205.pdf

Gupta, S.K., Nayak, R.P., Shivaranjani, R., & Vidyarthi, S. K. (2015). A questionnaire study on the knowledge, attitude, and the practice of pharmacovigilance among the healthcare professionals in a teaching hospital in South India. Perspectives in clinical research, 6(1), 45–52. https://doi.org/10.4103/2229-3485.148816

Jose, J., & Rao, P.G. (2006). Pattern of adverse drug reactions notified by spontaneous reporting in an Indian tertiary care teaching hospital. Pharmacological research, 54(3), 226–233. https://doi.org/10.1016/j.phrs.2006.05.003

Kamtane, R., Jayawardhani, V. (2012). Knowledge, attitude and perception of physicians towards adverse drug reaction (ADR) reporting: A pharmacoepidemiological study. Asian Journal of Pharmaceutical and Clinical Research. 5, 210-214. https://www.researchgate.net/publication/286615305_Knowledge_attitude_and_perception_of_physicians_towards_adverse_drug_reaction_ADR_reporting_A_pharmacoepidemiological_study

Lazarou, J., Pomeranz, B.H., & Corey, P.N. (1998). Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. JAMA, 279(15), 1200–1205. https://doi.org/10.1001/jama.279.15.1200

Li, R., Curtain, C., Bereznicki, L., Zaidi, S.T.R. (2018). Community pharmacists' knowledge and perspectives of reporting adverse drug reactions in Australia: a cross-sectional survey. International Journal of Clinical Pharmacy. https://doi.org/10.1007/s11096-018-0700-2

Melo, J.R.R., Duarte, E.C., de Araújo Ferreira, K., Gonçalves, Y.S., de Moraes, M.V., & Arrais, P.S.D. (2020). Assessment of Knowledge, Attitude, and Practice of Pharmacovigilance among Healthcare Professionals in Brazil. Journal of Young Pharmacists, 12(3), 255. https://dx.doi.org/10.5530/jyp.2020.12.71

Monteiro, C., Dias, B., & Vaz-Patto, M. (2021). Headache as an Adverse Reaction to the Use of Medication in the Elderly: A Pharmacovigilance Study. International journal of environmental research and public health, 18(5), 2674. https://doi.org/10.3390/ijerph18052674

Muraraiah, S., Rajarathna, K., Sreedhar, D., Basavalingu, D., & Jayanthi, C.R. (2011). A questionnaire study to assess the knowledge, attitude and practice of Pharmacovigilance in a paediatric tertiary care centre. Journal of Chemical and Pharmaceutical Research, 3(6), 416-22. https://www.jocpr.com/articles/a-questionnaire-study-to-assess-the-knowledge-attitude-and-practice-of-pharmacovigilance-in-a-paediatric-tertiary-care-c.pdf

Nisa, Z. U., Zafar, A., & Sher, F. (2018). Assessment of knowledge, attitude and practice of adverse drug reaction reporting among healthcare professionals in secondary and tertiary hospitals in the capital of Pakistan. Saudi pharmaceutical journal, 26(4), 453–461. https://doi.org/10.1016/j.jsps.2018.02.014

Okezie, E.O., & Olufunmilayo, F. (2008). Adverse drug reactions reporting by physicians in Ibadan, Nigeria. Pharmacoepidemiology and drug safety, 17(5), 517–522. https://doi.org/10.1002/pds.1597

Osakwe, A., Oreagba, I., Adewunmi, A.J., Adekoya, A., & Fajolu, I. (2013). Impact of training on Nigerian healthcare professionals' knowledge and practice of pharmacovigilance. The International journal of risk & safety in medicine, 25(4), 219–227. https://doi.org/10.3233/JRS-130605

Oshikoya, K.A., & Awobusuyi, J.O. (2009). Perceptions of doctors to adverse drug reaction reporting in a teaching hospital in Lagos, Nigeria. BMC clinical pharmacology, 9, 14. https://doi.org/10.1186/1472-6904-9-14

Pirmohamed, M., James, S., Meakin, S., Green, C., Scott, A. K., Walley, T.J., Farrar, K., Park, B.K., & Breckenridge, A. M. (2004). Adverse drug reactions as cause of admission to hospital: prospective analysis of 18 820 patients. BMJ (Clinical research ed.), 329(7456), 15–19. https://doi.org/10.1136/bmj.329.7456.15

Rehan, H.S., Vasudev, K., & Tripathi, C.D. (2002). Adverse drug reaction monitoring: knowledge, attitude and practices of medical students and prescribers. The National medical journal of India, 15(1), 24–26. https://pubmed.ncbi.nlm.nih.gov/11855588/

Sales, I., Aljadhey, H., Albogami, Y. and Mahmoud, M., 2017. Public awareness and perception toward Adverse Drug Reactions Reporting in Riyadh, Saudi Arabia. Saudi Pharmaceutical Journal, 25(6), pp.868-872. https://doi.org/10.1016/j.jsps.2017.01.004

Scott, H.D., Thacher-Renshaw, A., Rosenbaum, S.E., Waters, W.J., Jr, Green, M., Andrews, L.G., & Faich, G.A. (1990). Physician reporting of adverse drug reactions. Results of the Rhode Island Adverse Drug Reaction Reporting Project. JAMA, 263(13), 1785–1788. https://pubmed.ncbi.nlm.nih.gov/2313850/

Tandon, V. R., Mahajan, V., Khajuria, V., & Gillani, Z. (2015). Under-reporting of adverse drug reactions: a challenge for pharmacovigilance in India. Indian journal of pharmacology, 47(1), 65–71. https://doi.org/10.4103/0253-7613.150344

The importance of Pharmacovigilance: Safety monitoring of medicinal product. Accessed 07/11/2021. Available at: https://www.who.int/publications/i/item/10665-42493

Umair Khan, M., Ahmad, A., Ejaz, A., Ata Rizvi, S., Sardar, A., Hussain, K., Zaffar, T., & Q Jamshed, S. (2015). Comparison of the knowledge, attitudes, and perception of barriers regarding adverse drug reaction reporting between pharmacy and medical students in Pakistan. Journal of educational evaluation for health professions, 12, 28. https://doi.org/10.3352/jeehp.2015.12.28

Upadhyaya, P., Seth, V., Moghe, V.V., Sharma, M., & Ahmed, M. (2012). Knowledge of adverse drug reaction reporting in first year postgraduate doctors in a medical college. Therapeutics and clinical risk management, 8, 307–312. https://doi.org/10.2147/TCRM.S31482

Vora, M. B., & Barvaliya, M. (2014). Knowledge, Attitude and practices towards pharmacovigilance and adverse drug reactions in health care professional of tertiary care hospital, Bhavnagar. International Journal of Pharmaceutical Science and Research, 5(11):820-6

World Health Organization. Quality Assurance and Safety of Medicines Team. (‎2002)‎. Safety of medicines : a guide to detecting and reporting adverse drug reactions : why health professionals need to take action. World Health Organization. https://apps.who.int/iris/handle/10665/67378

Downloads

Published

10-02-2023

How to Cite

Sam, S., Thomas CV, J., M, S., & R, S. (2023). Assessment of knowledge, attitude, and practice towards adverse drug reaction reporting among healthcare students of Namakkal District, Tamil Nadu . Pharmacy Education, 23(1), p. 118–126. https://doi.org/10.46542/pe.2023.231.118126

Issue

Section

Research Article