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A survey on knowledge, attitude and practice of pharmacovigilance and adverse drug reaction reporting among healthcare professionals in a tertiary care hospital of Bihar, India

Pramod Kumar Manjhi, Manish Kumar, Harihar Dikshit, Lalit Mohan, Hitesh Mishra.

Background: This study was conducted to assess the knowledge, attitude and practice of pharmacovigilance (PV) and adverse drug reaction (ADR) reporting among healthcare professionals in a tertiary care hospital of Bihar.
Methods: It was a questionnaire based cross- sectional study carried out for a period of 3 months by a preformed structured questionnaire consisting of 19 questions (11 questions on knowledge, 5 on attitude and 3 on practices) in various departments of I.G.I.M.S., Patna. 120 filled questionnaires by healthcare professionals were collected from department and analysed for mentioned parameters. Among healthcare professionals there were 46 Interns, 20 junior and senior residents, 2 professors, 2 associate professors, 2 assistant professors, 48 nurses of the hospital. A descriptive analysis of data was done.
Results: Out of total 120 distributed questionnaires, 112 were completely filled up and considered for analysis. The response rate was 93.3%. Regarding knowledge, attitude and practice based questions 58.9% and 75% were knew the correct definition and important purpose of PV respectively. Among participants 62.5% have knowledge of post marketing surveillance studies done by Pharmaceutical companies and 79.4 % knew that within how many days serious adverse event (SAE) reported in India. Lack of time (36.6 %) followed by non- remuneration ( 33.3%) were major discouraging factor in ADR reporting. 36.6 % think reporting is a professional obligation for healthcare professionals and 19.6 % opined that ADR monitoring centre should be in every hospital. 89 % agree with necessity of ADR reporting where as 91% think PV should be taught in detail to healthcare professionals. 60.7 % had read an article on prevention of adverse drug reaction, 51.7 % had come across with an ADR and less than half (41.9 %) had been trained on how to report.
Conclusions: Findings strongly suggest that there is a great need to create awareness and to promote the reporting of ADR amongst prescribers since knowledge and awareness are the most important parameters that can minimize the under reporting of ADRs.

Key words: Adverse drug reaction, Attitude and practice, Knowledge, Pharmacovigilance

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