Résumé
Background: Hyperuricemia have been associated with an increased risk for not only type 2 diabetes mellitus (T2DM) and hypertension but also for metabolic syndrome, hyperinsulinemia, gout and many cardiovascular diseases. The objective of the present study was to determine the prevalence of hyperuricemia in patients with hypertension and / or type 2 diabetes mellitus patients from a teaching hospitals of West Uttar Pradesh.Methods: A retrospective study was carried out in the department of pharmacology, Teerthanker Mahaveer Medical College and Research centre, Moradabad, West Uttar Pradesh over a period of six months.Results: A total of 524 case records with high blood pressure and / or type 2 diabetes mellitus were examined during the study period. The mean age of subjects reported was 45 years. A 35.3 % (185/524) were found to have elevated serum uric acid level. The prevalence of hyperuricemia was found increased with an increased duration of disease among hypertensive, diabetic patients.Conclusions: A high prevalence of hyperuricemia was observed among patients with hypertension, type 2 diabetes mellitus and among the patients with both co-morbidities in our studies.
Résumé
Background: Pharmacovigilance aids in early detection of ADRs and as well as identification of various risk factors. Reporting of ADRs is crucial for the success of pharmacovigilance program. Aims/Objective: This questionnaire based study among medical resident’s aims at assessing knowledge, attitude & practice towards adverse drug reaction reporting in the teaching hospital attached to a private medical college and design methods to improve existing ADR reporting system in our setup. Methods: This study is a questionnaire based cross-sectional study. It was conducted at Teerthanker Mahaveer Medical College & research Centre, Moradabad, West Uttar Pradesh, among the first year and final year medical post graduates/PGs, by using a pre-validated, modified questionnaire on knowledge, attitude & practice. A total of 90 questionnaires were duly filled out by the post graduates. Data was analyzed by using SPSS V.20. The chi-square test was used to determine statistical significance. Results: Majority (89%) reported to have reasonable knowledge of adverse drug reactions, but reported an average degree of knowledge regarding various aspects of pharmacovigilance. 61% respondents were not aware of presence of an AMC affiliated to this hospital. Final year medical post graduates were found to have poor attitude towards acts of reporting of adverse drug reactions although they pose better knowledge regarding drug safety as well as importance of ADR reporting. Lack of training (90%) on ADR reporting was also recorded. Conclusions: This study recorded average knowledge, positive attitude towards necessity of reporting of ADRs of medical post graduates. Necessity of educational interventions to update knowledge and improve practice of ADR reporting were identified as important measures that need to be taken care of.