Generic placeholder image

Current Drug Safety

Editor-in-Chief

ISSN (Print): 1574-8863
ISSN (Online): 2212-3911

Research Article

A Randomized, Single Centered, Parallel and Open Labelled Interventional Study on Effectiveness of Clinical Pharmacists on Adverse Event Following Immunization (AEFI) in Pediatric Population

Author(s): Ronit K. Arvind, Faizan A. Beerwala, Shashikala C. Wali*, Ashish S. Parihar, Madiwalayya S. Ganachari and Ramesh Bhandari

Volume 17, Issue 4, 2022

Published on: 14 April, 2022

Page: [357 - 365] Pages: 9

DOI: 10.2174/1574886317666220103092844

Price: $65

Abstract

Background: Adverse events are a major threat to any immunization programs, which have proven to be a boon for developing nations like India. Hindering factors, such as inadequate knowledge, inappropriate attitude, incorrect practices, etc., of the guardian affect the vaccination rate.

Aim: This study aims to assess the effectiveness of clinical pharmacist intervention on an adverse event following immunization in the pediatric population receiving immunization.

Methods: Pediatric subjects <5 yrs of both genders receiving immunization in a tertiary care hospital during the period of 8 months were considered. Subjects were randomized into control and interventional groups. Pharmaceutical intervention was done in interventional group in the form of patient counselling, and a patient information leaflet. Adverse event following immunization was recorded and analysed for both groups along with Knowledge, Attitude, and Practice scores of guardians’ pre and post intervention through customized data collection forms. Microsoft excel and statistical software SPSS IBM version 22 was used to analyse the data.

Results: The study was conducted on a total of 88 subjects (n) in which 79 were <2 years, 1 and 8 were between 2-4 years and 4-5 years, respectively. Forty-nine subjects (55.69%) were female, while 39 were male (44.31%) with a response and completion rate of 91.66%. 97.7% of subjects received Bacillus Calmette-Guerin vaccination (majority), while 8.88% received pneumococcal special vaccine (minority). Adverse event following immunization was recorded in 31(35.22%) cases. Knowledge, Attitude and Practice scores increased by 42.17%, 52% and 12.67%, respectively in guardians after clinical pharmacist intervention.

Conclusion: This study demonstrates that educational inputs, awareness programs, and proper medical professional intervention can act as a helping factor to fight against AEFI and towards the success of an immunization program.

Keywords: AEFI, adverse effect, immunization, clinical pharmacist, KAP, Indradhanush.

Graphical Abstract

[1]
Bonhoeffer J, Kohl K, Chen R, et al. The Brighton Collaboration: Addressing the need for standardized case definitions of Adverse Events Following Immunization (AEFI). Vaccine 2002; 21(3-4): 298-302.
[http://dx.doi.org/10.1016/S0264-410X(02)00449-8] [PMID: 12450705]
[2]
Adverse Events Following Immunization - Surveillance and Response Operational Guidelines, MOHFW. 2015. Available from: http://itsu.org.in/repository-resources/AEFI-Surveillanceand-Response-Operational-Guidelines-2015.pdf
[3]
Global manual on surveillance of adverse events following immunization. World health organization. 2014. Available from: http://www.who.int/vacinesafety/publications/aefi surveillance/nt
[4]
Tozzi AE, Asturias EJ, Balakrishnan MR, Halsey NA, Law B, Zuber PL. Assessment of causality of individual Adverse Events Following Immunization (AEFI): A WHO tool for global use. Vaccine 2013; 31(44): 5041-6.
[http://dx.doi.org/10.1016/j.vaccine.2013.08.087] [PMID: 24021304]
[5]
Gold MS, Balakrishnan MR, Amarasinghe A, MacDonald NE. An approach to death as an adverse event following immunization. Vaccine 2016; 34(2): 212-7.
[http://dx.doi.org/10.1016/j.vaccine.2015.11.018] [PMID: 26608326]
[6]
Alshammari TM, Alsubaie YS, Ali S, et al. Assessment of knowledge, attitude and practice of parents about immunization in Hail City, 2018. Egypt J Hosp Med 2018; 73(3): 6377-81.
[http://dx.doi.org/10.21608/ejhm.2018.14358]
[7]
Shah B, Sharma M, Vani SN. Knowledge, attitude and practice of immunization in an urban educated population. Indian J Pediatr 1991; 58(5): 691-5.
[http://dx.doi.org/10.1007/BF02820193] [PMID: 1813417]
[8]
Angadi MM, Jose AP, Udgiri R, Masali KA, Sorganvi V. A study of knowledge, attitude and practices on immunization of children in urban slums of Bijapur city, Karnataka, India. J Clin Diagn Res 2013; 7(12): 2803-6.
[PMID: 24551642]
[9]
World Health Organization. Causality assessment of an adverse event following immunization (AEFI): User manual for the revised WHO classification.
[10]
Saleh A, Alrashidi AA, Bukhari MA, et al. Assessment of knowledge, attitude and practice of parents towards immunization of children in Saudi Arabia, 2018. Egypt J Hosp Med 2018; 71(2): 2585-9.
[http://dx.doi.org/10.12816/0045660]
[11]
Bhardwaj S, Misra A, Gulati S, Anoop S, Kamal VK, Pandey RM. A randomized controlled trial to evaluate the effects of high Protein Complete (lActo) VEgetaRian (PACER) diet in non-diabetic obese Asian Indians in North India. Heliyon 2018; 3(12): e00472.
[http://dx.doi.org/10.1016/j.heliyon.2017.e00472] [PMID: 29387815]
[12]
Al-Zahrani J. Knowledge, attitude and practice of parents towards childhood vaccination. Majmaah JHealth Sci 2013; 216(1216): 1-20.
[13]
Qutaiba B Al-lela O, Bahari MB, Al-Qazaz HK, Salih MR, Jamshed SQ, Elkalmi RM. Are parents’ knowledge and practice regarding immunization related to pediatrics’ immunization compliance? A mixed method study. BMC Pediatr 2014; 14(1): 20.
[http://dx.doi.org/10.1186/1471-2431-14-20] [PMID: 24460878]
[14]
Vickers NJ. Animal communication: When I’m calling you, will you answer too? Curr Biol 2017; 27(14): R713-5.
[http://dx.doi.org/10.1016/j.cub.2017.05.064] [PMID: 28743020]
[15]
Prusty RK, Kumar A. Socioeconomic dynamics of gender disparity in childhood immunization in India, 1992-2006. PLoS One 2014; 9(8): e104598.
[http://dx.doi.org/10.1371/journal.pone.0104598] [PMID: 25127396]
[16]
Riccò M, Cattani S, Casagranda F, Gualerzi G, Signorelli C. Knowledge, attitudes, beliefs and practices of occupational physicians towards vaccinations of health care workers: A cross sectional pilot study in North-Eastern Italy. Int J Occup Med Environ Health 2017; 30(5): 775-90.
[http://dx.doi.org/10.13075/ijomeh.1896.00895] [PMID: 28661516]
[17]
Awadh AI, Hassali MA, Al-lela OQ, Bux SH, Elkalmi RM, Hadi H. Immunization knowledge and practice among Malaysian parents: A questionnaire development and pilot-testing. BMC Public Health 2014; 14(1): 1107.
[http://dx.doi.org/10.1186/1471-2458-14-1107] [PMID: 25346471]
[18]
Braeckman T, Van Herck K, Meyer N, et al. Effectiveness of rotavirus vaccination in prevention of hospital admissions for rotavirus gastroenteritis among young children in Belgium: Case- control study. BMJ 2012; 345: e4752.
[http://dx.doi.org/10.1136/bmj.e4752] [PMID: 22875947]
[19]
Agrawal A, Hanspal R. To study the Knowledge regarding immunization schedule among parents and the source of information regarding vaccination. Pediatric Review. Int J Pediatr Res 2016; 3(12): 869-74.
[http://dx.doi.org/10.17511/ijpr.2016.i12.02]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy