Evidence map›Paper›PMID 39043880›Full record

ArticleNaunyn-Schmiedeberg's archives of pharmacology2025

Characteristics and trends in adverse drug reactions in Ghana-evidence of spontaneous reports, 2005-2021.

Linda Nyame, Hui Xue, Jinxia Yu, Emmanuel D K Fiagbey, Kwesi Prah Thomford, Wei Du

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Article in Naunyn-Schmiedeberg's archives of pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Linda NyameSchool of Public Health, Southeast University, Nanjing, China. lindanimeson@163.com.
Hui XueSchool of Public Health, Southeast University, Nanjing, China.
Jinxia YuSchool of Public Health, Southeast University, Nanjing, China.
Emmanuel D K FiagbeySchool of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, China.
Kwesi Prah ThomfordDepartment of Pharmacognosy and Herbal Medicine, University of Cape Coast, Cape Coast, Ghana.
Wei DuSchool of Public Health, Southeast University, Nanjing, China. duwei@seu.edu.cn.

Funding

Fundamental Research Funds for the Central Universities Grant no. 3225002002A1Ministry of Education 1125000172Ministry of Science and Technology Grant no. G2023141005L
6 · The paper itself

Abstract

backgroundAdverse drug reaction (ADR) monitoring is crucial in ensuring patient and pharmaceutical safety. However, there is a lack of evidence regarding ADR reporting trend pattern in Ghana. This study, therefore, aimed to analyse and characterise trends in ADRs reported in Ghana over 16 years.

methodsWe retrospectively analysed individual case safety retorts (ICSRs) received by the Ghana National Pharmacovigilance Centre from 2005 to 2021. Jointpoint regression was used to estimate age-adjusted ADR rates, stratified by sex and patient characteristics, suspected medication groups, clinical indications, and the manifestation of ADRs. To evaluate trends over time, the percentage annualised estimator was used.

resultsWe identified a total of 6853 ICSRs from 2005 to 2021. The age-adjusted ICSR rates increased significantly from 2005 to 2019, with an annual increase of 18.6%; however, there was a downward trend from 2019 to 2021, although not statistically significant. Males accounted for the majority (64.3%) of ICSRs compared to females (35.7%). The suspected medication group most frequently associated with ADRs were antiprotozoals accounting for 35.6% of all ICSRs, while vascular disorders (21.0%) were the most commonly observed clinical indication in relation to ADRs. An increase in ICSR rates was noted for gastrointestinal disorders with an annual increase of 32.5% (95% CI, 20.6-45.6%; p < 0.001). Amodiaquine was the most commonly suspected medication (8.9%) associated with ADRs, while pruritus (7.2%) was the most frequently reported preferred term.

conclusionThe study provides a detailed overview of ICSRs received by the Ghana National Pharmacovigilance Centre over the past 16 years and demonstrates an increasing trend of ADR-related medication use as well as clinical indications over time. The findings of this study call for multifaceted strategies aimed at reducing the risks associated with inappropriate drug use, and enhancing knowledge of medication safety, thus improving healthcare service delivery and patient safety.

Indexed as

Adverse Drug Reaction Reporting SystemsDrug-Related Side Effects and Adverse ReactionsPharmacovigilanceAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleGhanaHumansInfantMaleMiddle AgedRetrospective StudiesAdverse drug reactionsGhanaIndividual case safety reportsPharmacovigilance

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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.