scholarly journals Awareness and Disposal Practices of Unused and Expired Medication among Health Care Professionals and Students in a Tertiary Care Teaching Hospital

2018 ◽  
Vol 11 (4) ◽  
pp. 2073-2078 ◽  
Author(s):  
Sangeetha Raja ◽  
Satyajit Mohapatra ◽  
A. Kalaiselvi ◽  
R. Jamuna Rani
Keyword(s):  
Health Care ◽  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Multiple Choice Questions ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Safe Environment ◽  
Care Teaching ◽  
Knowledge Practice

Medicines play a very significant role for treating many diseases and conditions, but at the end of the treatment it is very important to dispose them of properly. So, the knowledge and awareness of proper drug disposal are essential for safe environment. Lack of knowledge and practice can lead to various problems like environmental pollution and various health hazards directly or indirectly. Hence, the study was aimed to assess the knowledge, practice, and awareness towards disposal of unused / expired drugs among healthcare professionals such as doctor, medical students, pharmacy students and nurses. This was a cross-sectional questionnaire-based study conducted in a tertiary care teaching hospital. About 400 participants in each category were included in the study. The questionnaire consisted of three parts which included demography, and multiple choice questions related to knowledge and awareness of the drug disposal. The collected data was expressed in percentage. A total of 393 participants have completed the survey which includes 32% males and 68% females. It was found that the commonest discarding pattern of the expired/ unused medicines was through household trash (67%). A total of 349 (89%) were aware of the significance of improper disposal. It was observed that the participants 44(11.1%) had partial knowledge about proper drug disposal but there was a lack of practice 264 (67.1%) of safe disposal methods. This study aimed to create an awareness to bridge the lacunae between knowledge, practice of proper and environmental safe methods of disposing expired/ unused drugs among health care professionals.

Knowledge, Attitude and Practices of Pharmacovigilance among Doctors at a Tertiary Care Teaching Hospital Birgunj, Nepal

Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel
Keyword(s):  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College ◽  
National Medical

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in  National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire.   Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.

scholarly journals A study on awareness regarding disposal of unused medicines among consumers at a tertiary care teaching hospital of north india

2019 ◽  
Vol 6 (1) ◽  
pp. 91
Author(s):  
Rohini Gupta ◽  
Brij Mohan Gupta ◽  
Apeksha Gupta
Keyword(s):  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Adverse Outcomes ◽  
North India ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Knowledge And Attitude ◽  
Semi Solid

Background: In the recent years, large number of human pharmaceuticals have been introduced to the environment by landfill when household medications are thrown to trash and liquid medications gain access to the environment via liquid drainage systems. There is lack of knowledge and awareness in the general public regarding the safe disposal of unused and expired medicines. The objective was to assess the awareness regarding disposal of unused medicines among consumers at a tertiary care teaching hospital of north IndiaMethods: It was a cross-sectional observational questionnaire-based study carried out on 220 consumers in medicine outpatient department (OPD) of a tertiary care teaching hospital in North India for 3 months. All the participants were provided the pre-validated self-administered questionnaire.  The final questionnaire consisted of twelve questions to assess participants’ knowledge and attitude towards disposal of the medicines. The data was analyzed with the help of descriptive statistics.Results: It is quite evident from the present study that majority of participants 56.36% stated 1-5 drugs were left-over drugs at their homes. Most of the leftover medicines were analgesics in 59.1% followed by antibiotics in 51.36%. Most common dosage form of these leftover medicines were tablets in 85.9% of respondents. Majority of the respondents (55.9%) were not aware of the adverse outcomes of the pharmaceuticals in the environment. The most common method followed by majority of the participants for disposing of the solid, semi-solid and liquid dosage forms was garbage in 95%, 91.4% and 76.4% of consumers respectively. About 9.31% of the participants were in favour of initiating a program to collect unused medications from home.Conclusions: It can be concluded from the present study that the consumers had poor knowledge regarding the safe drug disposal techniques. Therefore, efforts need to be done by the health care professionals to make people educate regarding the safe drug disposal techniques.

scholarly journals A surveillance study of cutaneous adverse drug reactions in a tertiary care teaching hospital in India

2018 ◽  
Vol 7 (12) ◽  
pp. 2439
Author(s):  
Vandana Badar ◽  
Vidisha Vivek Parulekar ◽  
Priti Garate
Keyword(s):  
Health Care ◽  
Adverse Drug Reactions ◽  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Common Symptom ◽  
Drug Reactions ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Recorded Data

Background: Skin is one of the most common targets of adverse drug reactions (ADRs) The practice of pharmacovigilance all over the world is 5% whereas in India, it is below 1%. Hence, the purpose of our study is to monitor and analyze the suspected cutaneous adverse drug reactions (ACDRs) reported at our tertiary care teaching hospital, to characterize the nature and predictability, severity and preventability of ACDRs and identify most common drugs causing cutaneous ACDRs so that they can be given cautiously and with keen surveillance.Methods: An observational study was conducted in patients attending outpatient and inpatient department for a period of 3 years. All ACDRs of patients were referred by health care professionals and the diagnosis were made by concern doctors. The recorded data was filled in the ADR form obtained from pharmacovigilance program of India (2011) and Central Drug Standard Control Organization (CDSCO) website.Results: Out of 1399 ADR reports analyzed, 564 reports (40.31%) were of ACDRs, female to male ratio was 0.85. Redness (44.32%) was most common symptom, followed by itching (44.14%) and rash (19.14%). Antimicrobials (43.97%), NSAIDS (21.63%), Anti-retroviral therapy drugs (13.65%) were common groups. As per WHO-UMC causality classification, modified Hartwig and Siegel severity scale, Thornton and Schumock preventability scale, ACDRs were probable, mild and possibly preventable respectively.Conclusions: Effective ADR monitoring plays a role in safety of medicines. So, awareness regarding early diagnosis and prompt treatment should be created among the health care professionals and reporting of ACDRs should be regularly practiced by all the departments.

Health-care Professionals’ Knowledge and Perception of Adverse Drug Reaction Reporting and Pharmacovigilance in a Tertiary Care Teaching Hospital of Nepal

2019 ◽  
pp. 001857871988379 ◽  
Author(s):  
Krisha Danekhu ◽  
Sunil Shrestha ◽  
Sushant Aryal ◽  
P. Ravi Shankar
Keyword(s):  
Health Care ◽  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Medical Doctors ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Adr Reporting ◽  
Adequate Knowledge ◽  
Doctors And Nurses

Background: Underreporting of adverse drug reactions (ADRs) is common globally, and Nepal is not an exception to this. Health-care professionals (HCPs) play a vital role in reporting ADR during routine practice. Lack of knowledge and awareness about pharmacovigilance and reporting ADRs among HCPs may contribute to underreporting. Objective: The objective of this study was to evaluate the knowledge and perception of HCPs regarding ADR reporting and pharmacovigilance in a tertiary care teaching hospital in, Nepal. Methods: A descriptive cross-sectional study was conducted. A questionnaire was distributed to 215 HCPs (medical doctors, nurses, and pharmacists) between March and September 2018. Knowledge and perception regarding ADR reporting and pharmacovigilance were studied. Data were analyzed using IBM SPSS Statistics for Windows, Version 21.0 (IBM Corp, Armonk, New York). Results: The HCPs included 75 medical doctors, 126 nurses, and 14 pharmacists. Majority of the participants were female (67%), and the majority of participants were not aware of pharmacovigilance. Among the participants, pharmacists were found to have better knowledge regarding pharmacovigilance. However, other HCPs (doctors and nurses) strongly agreed about the necessity of having adequate knowledge about pharmacovigilance. Out of 215, 57.7% agreed that the important benefit of reporting ADR was to identify safe drugs and improve patient safety. The main reasons for not reporting were – ADR reporting was not widely promoted by relevant authorities (47%), followed by not knowing where and how to report ADR (34.9%). However, other HCPs (doctors and nurses) strongly agreed about the necessity of having adequate knowledge about pharmacovigilance. Conclusions: The knowledge of HCPs on ADR reporting and pharmacovigilance was poor. Despite a low knowledge of ADR reporting and pharmacovigilance among HCPs, there was a positive perception that ADR reporting is necessary and ADR monitoring system should be established in the hospital. This study also highlights a need for future intervention studies focusing on educating HCPs about ADR and pharmacovigilance.

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