Drug-induced diseases (DIDs): An experience of a tertiary care teaching hospital from India

Indian J Med Res. 2015 Jul;142(1):33-9. doi: 10.4103/0971-5916.162093.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anemia / chemically induced
  • Anemia / epidemiology
  • Anemia / physiopathology
  • Diarrhea / chemically induced
  • Diarrhea / epidemiology
  • Diarrhea / physiopathology
  • Drug-Related Side Effects and Adverse Reactions* / epidemiology
  • Drug-Related Side Effects and Adverse Reactions* / physiopathology
  • Female
  • Gastritis / chemically induced
  • Gastritis / epidemiology*
  • Gastritis / physiopathology*
  • Hospitals, Teaching
  • Humans
  • Hypotension / chemically induced
  • Hypotension / epidemiology
  • Hypotension / physiopathology
  • India / epidemiology
  • Male
  • Myalgia / chemically induced
  • Myalgia / epidemiology
  • Myalgia / physiopathology
  • Pharmacovigilance*
  • Renal Insufficiency / chemically induced
  • Renal Insufficiency / epidemiology
  • Renal Insufficiency / physiopathology
  • Tertiary Care Centers