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Liberata S, Gaetano LM, Vera P, Giuseppe C, Simona P, Giacomo O, Laura S, Giuseppe B, Mario G, Alessia Z, Ilaria M, Gaspare P, Elisabetta G, Eleonora M, Vittorio F, Annalisa C, Giuseppina C. Oropharyngeal Adverse Events to Drugs and Vaccines: Pharmacovigilance Data From Italy (2019-2021). Oral Dis 2024. [PMID: 39370676 DOI: 10.1111/odi.15145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 09/03/2024] [Accepted: 09/16/2024] [Indexed: 10/08/2024]
Abstract
OBJECTIVES The aim of this study was to perform a descriptive analysis of oropharyngeal adverse events (AEs) related to drugs and/or vaccines in order to provide useful information for clinicians. METHODS Data related to three regions of Italy were analyzed from 2019 to 2021 by using the National Pharmacovigilance database. RESULTS Among overall 67,384 cases, 2773 (4.1%) reported at least one oropharyngeal AE. Most cases referred to females (71.0%) and adults (70.8%). The majority of cases were reported as not serious (68.4%) and the outcome was mainly positive (73.5%). The cases related to drugs (52.2%) were slightly more than those related to vaccines (47.8%), the latter nearly completely represented by COVID-19 vaccines. Among 3324 oropharyngeal AEs, the most commonly reported were oropharyngeal conditions (65.9%). The most reported AEs related to vaccines were paresthesia oral and oropharyngeal pain, whereas the most reported AEs related to drugs were throat tightness and angioedema. A marked under-reporting of osteonecrosis of the jaw (2.9%) was observed, despite this risk was well documented in the same country. CONCLUSIONS This analysis suggested an under-reporting of oropharyngeal AEs and the need to better train dentists, dental hygienists, and also general practitioners.
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Affiliation(s)
- Sportiello Liberata
- Campania Regional Centre for Pharmacovigilance and Pharmacoepidemiology, University of Campania "Luigi Vanvitelli", Naples, Italy
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - La Mantia Gaetano
- Unit of Oral Medicine and Dentistry for Fragile Patients, Department of Rehabilitation, Fragility, and Continuity of Care, University Hospital Palermo, Palermo, Italy
- Department Me.Pre.CC, University of Palermo, Palermo, Italy
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | | | - Colella Giuseppe
- Oral and Maxillofacial Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania "Luigi Vanvitelli", Naples, Italy
| | | | - Oteri Giacomo
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | | | | | - Gaio Mario
- Campania Regional Centre for Pharmacovigilance and Pharmacoepidemiology, University of Campania "Luigi Vanvitelli", Naples, Italy
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Zinzi Alessia
- Campania Regional Centre for Pharmacovigilance and Pharmacoepidemiology, University of Campania "Luigi Vanvitelli", Naples, Italy
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Morreale Ilaria
- Internal Medicine, Pharmacovigilance and Clinical Pharmacology Unit, Department of Promoting Health, Maternal-Infant, Excellence and Internal and Specialized Medicine (PROMISE) G. D'Alessandro, Sicilian Regional Pharmacovigilance Centre, University of Palermo, Palermo, Italy
| | - Parrinello Gaspare
- Department of Promoting Health, Maternal-Infant, Excellence and Internal and Specialized Medicine (PROMISE) G. D'Alessandro, University of Palermo, Palermo, Italy
| | | | | | - Fusco Vittorio
- Oncology Unit, Azienda Ospedaliera Di Alessandria SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Capuano Annalisa
- Campania Regional Centre for Pharmacovigilance and Pharmacoepidemiology, University of Campania "Luigi Vanvitelli", Naples, Italy
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Campisi Giuseppina
- Unit of Oral Medicine and Dentistry for Fragile Patients, Department of Rehabilitation, Fragility, and Continuity of Care, University Hospital Palermo, Palermo, Italy
- Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, Palermo, Italy
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Perdigão M, Afonso A, de Oliveira-Martins S, Lopes MJ, Advinha AM. Pharmacovigilance teaching and learning: a mixed cross-sectional analysis of the Portuguese public higher education system. BMC MEDICAL EDUCATION 2024; 24:13. [PMID: 38172845 PMCID: PMC10765940 DOI: 10.1186/s12909-023-04963-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Accepted: 12/11/2023] [Indexed: 01/05/2024]
Abstract
Pharmacovigilance stands out for its importance in obtaining existing knowledge about medicine and patient safety and should be recognized as a continuous line of study. It constitutes a highly relevant component in the activities of health professionals, with spontaneous notification of suspected adverse drug reactions being its main emphasis. The underreporting that persists can be overcome through continuous professional development programs, reinforcing theoretical and practical knowledge in the curricular plans of health courses. As a result, more educated professionals will also allow citizens to recognize the importance of pharmacovigilance. The main objective of this study was to describe and characterize the teaching-learning process of pharmacovigilance in Portugal, analyzing the knowledge, perceptions and attitudes of students and health professionals. In total, ninety-three curricular unit forms of the seventeen healthcare courses included were analyzed, among which only three referred to pharmacovigilance as mandatory and thirty-nine did not address any keywords. The questionnaire applied was answered by 650 participants, both students (62%) and professionals (38%). Approximately 84.4% of the students and 54.7% of the professionals affirmed that they had never spontaneously reported an adverse drug reaction. Only 24.6% of the students and 17.8% of professionals referred to the existence of specific course content dedicated to pharmacovigilance in their coursework. In view of these results, it is evident that there is a need for a wider reflection regarding the further training and constant update of practicing professionals as well as in diverse health institutions, investing in the creation of an academic curriculum that integrates pharmacovigilance in healthcare courses.
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Affiliation(s)
- Margarida Perdigão
- Pharmacovigilance Regional Unit of the Central and North Alentejo, University of Évora, Evora, Portugal.
- School of Nursing S. João de Deus, Department of Nursing, University of Évora, Evora, Portugal.
| | - Anabela Afonso
- School of Sciences and Technology, Department of Mathematics, University of Évora, Evora, Portugal
- Research Center for Mathematics and Applications - CIMA, Evora, Portugal
| | - Sofia de Oliveira-Martins
- Faculty of Pharmacy of the University of Lisbon, Lisbon, Portugal
- CHRC - Comprehensive Health Research Centre, Evora, Portugal
| | - Manuel José Lopes
- Pharmacovigilance Regional Unit of the Central and North Alentejo, University of Évora, Evora, Portugal
- School of Nursing S. João de Deus, Department of Nursing, University of Évora, Evora, Portugal
- CHRC - Comprehensive Health Research Centre, Evora, Portugal
| | - Ana Margarida Advinha
- Pharmacovigilance Regional Unit of the Central and North Alentejo, University of Évora, Evora, Portugal
- CHRC - Comprehensive Health Research Centre, Evora, Portugal
- School of Health and Human Development, Department of Health and Medical Sciences, University of Évora, Evora, Portugal
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