Adverse drug reactions in pediatrics with a study of in-hospital intensive surveillance.
Indian Pediatr
;
1993 Jun; 30(6): 745-51
Article
in English
| IMSEAR
| ID: sea-7426
ABSTRACT
A two-part prospective study of adverse drug reactions (ADRs) in Indian children was carried out at a teaching general hospital. Using an in-hospital intensive surveillance scheme (IISS) for the detection of ADRs, indoor patients of one of the two units in the pediatric ward were monitored daily for 6 months, with the other unit serving as a control group. A total of 347 patients were monitored, 2781 daily orders written and 24,474 doses of 96 different drugs given. Six patients suffered from ADRs (1.73%), and 1 reaction proved fatal (0.29%), while the control group reported only 1 ADR in the same time period. The frequency of ADRs (p < 0.001) and their resultant mortality in Indian children was less than that in a western prototype study. Though IISS showed a marked increase in ADR reporting, it was too cumbersome for routine use in our country. In the second part of the study, 40 cases of ADRs seen over 2 years were analyzed. Antimicrobials, especially sulphonamides, accounted for a high percentage of cases mostly as skin rashes and fairly severe reactions were common. Patients on anti-tuberculous and anti-convulsant drugs required prolonged supervision for late onset reactions.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Algorithms
/
Female
/
Humans
/
Male
/
Infant, Newborn
/
Child
/
Child, Preschool
/
Pilot Projects
/
Incidence
/
Causality
Type of study:
Incidence study
/
Observational study
/
Prognostic study
/
Screening study
Language:
English
Journal:
Indian Pediatr
Year:
1993
Type:
Article
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