Drug-induced diseases (DIDs): An experience of a tertiary care teaching hospital from India.
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Date
2015-07
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Abstract
Background & objectives: Drug-induced diseases (DIDs) are well known but least studied. data on DIDs from India are not available. Hence, this retrospective cross-sectional study was undertaken using suspected adverse drug reaction (ADR) data collected form Pharmacovigilance Programme of India (PvPI) to evaluate profile of DIDs over two years, in a tertiary care teaching hospital from north India.
Methods: the suspected ADRs in the form of DID were evaluated for drug and disease related variables and were classified in terms of causality.
Results: DID rate was 38.80 per cent. Mean duration of developing DIDs was 26.05 ± 9.6 days; 25.16 per cent had more than one co-morbid condition. Geriatric population (53.99%) accounted for maximum DIDs followed by adult (37.79%) and paediatric (8.21%). Maximum events were probable (93.98%) followed by possible (6.04%). All DIDs required intervention. Gastritis (7.43%), diarrhoea (5.92%), anaemia (4.79%), hypotension (2.77%), hepatic dysfunction (2.69%), hypertension (1.51%), myalgia (1.05%), and renal dysfunction (1.01%) were some of the DIDs. Anti tubercular treatment (ATT ), anti retroviral treatment (ART), ceftriaxone injection, steroids, non-steroidal anti-inflammatory drugs, antimicrobials and anticancer drugs were found as commonly offending drugs.
Interpretation & conclusions: Our findings show that DIDs are a significant health problem in our country, which need more attention.
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Keywords
Adverse drug reaction, drug-induced disease, iatrogenic, pharmacovigilance
Citation
Tandon Vishal R, Khajuria Vijay, Mahajan Vivek, Sharma Aman, Gillani Zahid, Mahajan Annil. Drug-induced diseases (DIDs): An experience of a tertiary care teaching hospital from India. Indian Journal of Medical Research. 2015 July; 142(1): 33-39.