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Studying the Evolving Knowledge of Adverse Drug Reactions in Order to Facilitate the Rational Use of Medicines in Paediatric Patients

Star, Kristina; Choonara, Imti

Studying the Evolving Knowledge of Adverse Drug Reactions in Order to Facilitate the Rational Use of Medicines in Paediatric Patients Thumbnail


Authors

Kristina Star

Imti Choonara



Abstract

Pharmacovigilance, which is the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other possible drug-related problems, generates knowledge to facilitate the rational use of medicines. When a medicine is first marketed, there is limited information on adverse drug reactions (ADRs), especially in paediatrics, where medicines are less likely to have been extensively studied. Knowledge in drug safety is built up over time when more (in number, and more heterogeneous) patients are treated than were studied in the randomised controlled trials preceding the marketing of a medicine. Previously not recognised ADRs are often initially described in case reports and case series. Prospective cohort studies are useful in determining the incidence and risk factors of common ADRs. Case series and pharmacovigilance reporting systems have been useful in identifying previously unknown uncommon ADRs and risk factors for specific ADRs. This brief review provides examples that illustrate how various study designs and data sources contribute to the evolving knowledge of ADRs that is essential to help develop guidelines and improve the rational use of medicines.

Journal Article Type Article
Acceptance Date Mar 28, 2019
Online Publication Date Apr 2, 2019
Publication Date Apr 2, 2019
Deposit Date Apr 4, 2019
Publicly Available Date Apr 4, 2019
Journal Healthcare
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 7
Issue 2
Article Number 55
DOI https://doi.org/10.3390/healthcare7020055
Public URL https://nottingham-repository.worktribe.com/output/1738506
Publisher URL https://www.mdpi.com/2227-9032/7/2/55

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