Evidence map›Paper›PMID 35328953›Full record

ArticleInternational journal of environmental research and public health2022

Inconsistent Country-Wide Reporting of Adverse Drug Reactions to Antimicrobials in Sierra Leone (2017-2021): A Wake-Up Call to Improve Reporting.

Fawzi Thomas, Onome T Abiri, James P Komeh, Thomas A Conteh, Abdulai Jawo Bah, Joseph Sam Kanu, Robert Terry, Arpine Abrahamyan, Pruthu Thekkur, Rony Zachariah

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 4 countries.

Fawzi ThomasNational Pharmacovigilance Center, Pharmacy Board of Sierra Leone, Freetown 02717, Sierra Leone.ORCID 0000-0002-3414-2512
Onome T AbiriNational Pharmacovigilance Center, Pharmacy Board of Sierra Leone, Freetown 02717, Sierra Leone.
James P KomehNational Pharmacovigilance Center, Pharmacy Board of Sierra Leone, Freetown 02717, Sierra Leone.
Thomas A ContehNational Pharmacovigilance Center, Pharmacy Board of Sierra Leone, Freetown 02717, Sierra Leone.
Abdulai Jawo BahCollege of Medicine & Allied Health Sciences, University of Sierra Leone, Freetown 02717, Sierra Leone.
Joseph Sam KanuCollege of Medicine & Allied Health Sciences, University of Sierra Leone, Freetown 02717, Sierra Leone.ORCID 0000-0003-0799-6907
Robert TerryUNICEF, UNDP, World Bank, WHO Special Programme for Research and Training in Tropical Diseases (TDR), 1211 Geneva, Switzerland.ORCID 0000-0003-3849-7705
Arpine AbrahamyanTuberculosis Research and Prevention NGO (TB-RPC), Yerevan 0014, Armenia.
Pruthu ThekkurCentre for Operational Research, International Union against Tuberculosis and Lung Disease, 75001 Paris, France.ORCID 0000-0001-5257-5074
Rony ZachariahUNICEF, UNDP, World Bank, WHO Special Programme for Research and Training in Tropical Diseases (TDR), 1211 Geneva, Switzerland.ORCID 0000-0002-2915-9328
University of Sierra Leone · SLWorld Health Organization · CHInternational Union Against Tuberculosis and Lung Disease · FRQueen Margaret University · GB

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: Monitoring of adverse drug reactions (ADRs) to antimicrobials is important, as they can cause life-threatening illness, permanent disabilities, and death. We assessed country-wide ADR reporting on antimicrobials and their outcomes. Methods: A cross-sectional study was conducted using individual case safety reports (ICSRs) entered into the national pharmacovigilance database (VigiFlow) during 2017−2021. Results: Of 566 ICSRs, inconsistent reporting was seen, with the highest reporting in 2017 and 2019 (mass drug campaigns for deworming), zero reporting in 2018 (reasons unknown), and only a handful in 2020 and 2021 (since COVID-19). Of 566 ICSRs, 90% were for antiparasitics (actively reported during mass campaigns), while the rest (passive reporting from health facilities) included 8% antibiotics, 7% antivirals, and 0.2% antifungals. In total, 90% of the reports took >30 days to be entered (median = 165; range 2−420 days), while 44% had <75% of all variables filled in (desired target = 100%). There were 10 serious ADRs, 18 drug withdrawals, and 60% of ADRs affected the gastrointestinal system. The patient outcomes (N-566) were: recovered (59.5%), recovering (35.5%), not recovered (1.4%), death (0.2%), and unknown (3.4%). There was no final ascertainment of ‘recovering’ outcomes. Conclusions: ADR reporting is inconsistent, with delays and incomplete data. This is a wake-up call for introducing active reporting and setting performance targets.

Indexed as

COVID-19COVID-19 Drug TreatmentDrug-Related Side Effects and Adverse ReactionsAdverse Drug Reaction Reporting SystemsCross-Sectional StudiesHumansSierra Leonehealth system strengtheningoperational researchSORT ITuniversal health coverageVigiBase

Identifiers

PMID35328953
PMCPMC8952810
OpenAlexW4220915424

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.