The knowledge and attitude of the Turkish community pharmacists toward pharmacovigilance in the Kadikoy district of Istanbul
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Objective We investigated the knowledge and attitudes of community pharmacists towards pharmacovigilance and adverse drug reactions (ADRs) in Kadıköy district of Istanbul (Turkey). Setting The community pharmacies in Kadikoy. Kadikoy is one of the biggest districts of Istanbul and has the largest number of pharmacies. Kadikoy district was divided into two regions, the central and the peripheral. Method Between December 2005 and June 2006 we conducted a survey about the knowledge and attitude of community pharmacists (n = 219) using a face-to-face questionnaire. The questionnaire consisted of questions about the sociodemographic characteristics of the pharmacists, their knowledge of pharmacovigilance and their attitudes towards ADR reporting. Main outcomes measured The knowledge of pharmacovigilance practice, ADR reporting compliance rates, reasons for not reporting ADR and perceptions of the Turkish community pharmacists on pharmacovigilance practice were evaluated. Results Although all 411 pharmacies in the Kadikoy district were visited, only 53% of the community pharmacists (n = 219) consented to participate in the study. Of those that did respond, only 17.2% of the pharmacists had any knowledge about ‘pharmacovigilance’. Sixty-five percent of the pharmacists stated that patients reported an ADR to them during the previous 12 months, and 21% of pharmacists reported to the concerned organizations. Our survey showed that only 7% actually reported an ADR to the national pharmacovigilance center. On the other hand, 89% of the pharmacists believed that the role of the pharmacist in ADR reporting was essential. Conclusion The results show that Turkish community pharmacists have poor knowledge about pharmacovigilance. There is an urgent need for educational programs to train them about pharmacovigilance and ADR reporting.
KeywordsAdverse drug reaction reporting Attitude Community pharmacist Community pharmacy Knowledge Pharmacovigilance Turkey
The authors are grateful to the Ecehan Balta and Caner Eryol from the Turkish Pharmacists Association and to Cigdem Engin, the responsible pharmacist of Kadıköy Local Board of Health for their valuable contributions. They also thank to Aaron Weitzman from the University of Maryland, College Park for assistance in the final preparation of the article.
Conflicts of interest
- 2.WHO publications. The importance of pharmacovigilance: safety monitoring of medicinal products. WHO Collaborating Centre for International Drug Monitoring, Geneva, Switzerland; 2002. ISBN 92-4-159015-7.Google Scholar
- 4.WHO. Pharmacovigilance: ensuring the safe use of medicines. WHO Policy Perspectives on Medicines, Geneva, Switzerland; 2004. http://whqlibdoc.who.int/hq/2004/WHO_EDM_2004.8.pdf. Accessed Oct 26th, 2007.
- 5.FIP (International Pharmaceutical Federation) Statement of Policy: the role of the pharmacist in pharmacovigilance, Brazil; 2006. http://www.fip.org/www2/uploads/database_file.php?id=273&table_id=. Accessed Oct 26th, 2007.
- 11.Beşeri Tıbbi Ürünlerin Güvenliğinin İzlenmesi ve Değerlendirilmesi Hakkında Yönetmelik (22 Mart 2005 tarihli ve 25763 sayılı Resmi Gazete, yürürlüğe giriş tarihi: 30/06/2005) [Guide for the monitorization and evaluation of the medicinal products. Published in the official gazette in 30th March 2005 to become valid by 30th June 2005]. http://rega.basbakanlik.gov.tr/. Accessed Oct 26th, 2007.
- 12.Ozcelikay G, Tekiner H. Turkiye’de Eczacılık Insan Gucunun Degerlendirilmesi ve Eczane Dagilimlari. [The distribution of the pharmacies in Turkey and evaluation of Pharmacist resources in Turkey]. Turkish Pharmacist Association Publications, Ankara, Turkey; 2007. ISBN 978-975-01139-4-9.Google Scholar
- 13.Onder Ozhan. Eczacı Profili: 1998–2007 Son On Yıla Bir Bakış [The profile of the community pharmacists: 1998–2007 An overview of the last ten years]. Turkish Pharmacist Association Publications, Ankara, Turkey; Research Series 2007.Google Scholar
- 15.Laing R. Role of dispensers in promoting rational drug use. WHO/INRUD Trainer’s Guide; 1997. http://dcc2.bumc.bu.edu/prdu/Session_Guides/role_of_dispensers_in_rational_d.htm. Accessed Oct 26th, 2007.