[논문]Spontaneous reporting of adverse drug events by Korean regional pharmacovigilance centers

Shin, Yoo Seob; Lee, Yong-Won; Choi, Young Hwa; Park, Byungjoo; Jee, Young Koo; Choi, Sung-Kyu; Kim, Eung-Gyu; Park, Jung-Won; Hong, Chein-Soo

doi:10.1002/pds.1796

Spontaneous reporting of adverse drug events by Korean regional pharmacovigilance centers

Pharmacoepidemiology and drug safety, v.18 no.10, 2009년, pp.910 - 915

Shin, Yoo Seob (Korean Association of Regional Pharmacovigilance Centers, Yonsei University College of Medicine, Seoul, Korea) , Lee, Yong-Won (Korean Association of Regional Pharmacovigilance Centers, Yonsei University College of Medicine, Seoul, Korea) , Choi, Young Hwa (Korean Association of Regional Pharmacovigilance Centers, Yonsei University College of Medicine, Seoul, Korea) , Park, Byungjoo (Korean Association of Regional Pharmacovigilance Centers, Yonsei University College of Medicine, Seoul, Korea) , Jee, Young Koo (Korean Association of Regional Pharmacovigilance Centers, Yonsei University College of Medicine, Seoul, Korea) , Choi, Sung-Kyu (Korean Association of Regional Pharmacovigilance Centers, Yonsei University College of Medicine, Seoul, Korea) , Kim, Eung-Gyu (Korean Association of Regional Pharmacovigilance Centers, Yonsei University College of Medicine, Seoul, Korea) , Park, Jung-Won (Korean Association of Regional Pharmacovigilance Centers, Yonsei University College of Medicine, Seoul, Korea) , Hong, Chein-Soo (Korean Association of Regional Pharmacovigilance Centers, Yonsei University College of Medicine, Seoul,)

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PurposePatterns of prescriptions are markedly influenced by regional disease entities, medical education, culture, economic status, and available pharmaceutical companies. Features of adverse drug reactions (ADRs) may vary in different countries. In this study, we analyzed the causative drugs and clinical manifestations of spontaneously reported ADRs in Korea.MethodsSix Korean Regional Pharmacovigilance Centers collected 1418 cases of spontaneously reported adverse drug events (ADEs) by doctors, pharmacists, and nurses, and the clinical features and causative drugs were evaluated. The data were collected from general hospitals (76.5%), primary clinics, and pharmacies (23.5%).ResultsBased upon the World Health Organization (WHO)-Uppsala Monitoring Center criteria (certain—13.7%, probable—46.1%, possible—32.1%), 91.9% of the collected events were suspected to be ADRs and 15.8% of patients experienced serious ADRs. The most prevalent causative drugs were antibiotics (31.6%), followed by contrast dyes (14.0%), non-steroidal anti-inflammatory drugs (NSAIDs) (11.1%), anti-psychotics (5.4%), anti-convulsants (5.2%), cardiovascular agents (4.8%), anti-neoplastics (4.6%), and opiates and non-opiate pain killers (3.5%). Among the antibiotics, cephalosporins (8.1%) were the most common, followed by anti-tuberculosis agents (5.7%), quinolones (4.0%), vancomycin (3.1%), and penicillin (2.8%). The most common side effect was skin manifestations, which were seen in 42% of the patients, followed by neurologic manifestations (14%), gastrointestinal involvements (12.9%), generalized reactions (9.4%), and respiratory involvements (4.5%).ConclusionAntibiotics, contrast dyes, and NSAIDs were the most common causative drugs for ADRs, which reflects the prescription pattern and the prevalence of diseases in Korea. These data may be useful in establishing a Korean pharmacovigilance system. Copyright © 2009 John Wiley & Sons, Ltd.

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Spontaneous reporting of adverse drug events by Korean regional pharmacovigilance centers

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Spontaneous reporting of adverse drug events by Korean regional pharmacovigilance centers

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