KNOWLEDGE OF DRUG ALLERGY AND FACTORS RELATED TO KNOWLEDGE SCORE OF PATIENTS WITH HISTORY OF DRUG ALLERGY IN ONE COMMUNITY HOSPITAL
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Abstract
Background: A drug allergy is an adverse drug reaction that may result in severe patient harm. Patients having good knowledge of a drug allergy can prevent repeated allergic reactions, which is the pivotal goal in providing pharmaceutical care to patients with a history of drug allergy.
Objectives: To evaluate the knowledge of drug allergy and factors related to knowledge score of patients with a drug allergy history.
Methods: This descriptive study was conducted by collecting the data from patients with a history of drug allergy who visited Ongkarak Hospital during 1 January 2017 - 31 December 2019. The questionnaires were sent to study participants by post. Descriptive statistics were used to describe the knowledge of drug allergy. Inferential statistics were used to analyze factors related to knowledge score of drug allergy. P-value < 0.05 was considered statistically significant.
Results: Forty-four patients were eligible for study participation. The majority of patients had a knowledge score of drug allergy at a good level (27 patients; 61.40%). The highest percentage of patients giving the correct answer was found with a question asking about the symptom of allergic reaction (43 patients; 97.73%) followed by the question asking about the indication of allergic drug (34 patients; 77.27%). The factors that significantly related to knowledge score of drug allergy were age, education level, having a drug allergy card and having caregiver taking care of medication use (p<0.001, 0.008, 0.023 and 0.028 respectively).
Conclusions and Recommendations: The majority of participants had good knowledge of drug allergy. Age, education level, having a drug allergy card and having caregiver taking care of medication use were significantly related to knowledge score of drug allergy. These results emphasize the importance of giving information about drug allergy history to patients that should be concern for developing the pattern of patient care in order to improve the repeated drug allergy prevention system.
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References
Edwards IR, Aronson JK. Adverse drug reactions: definitions, diagnosis, and management. Lancet. 2000;356(9237):1255-9.
Chaipichit N, Jarernsiripornkul N, Chumworathayi P. Knowledge, understanding of drug allergy and drug allergy card carrying behavior of drug allergic patients in Srinagarind Hospital. Srinagarind Med J. 2009; 24(3):224-30.
Li W, Zhu LL, Zhou Q. Safe medication use based on knowledge of information about contraindications concerning cross allergy and comprehensive clinical intervention. Ther Clin Risk Manag. 2013;9:65–72.
Swasdimongkol P. In-dept analysis of repeated drug allergy in Siriraj Hospital [internet]. (n.d.) [cited 2020 July 26]. Available from: https://www.si.mahidol.ac.th/th/division/soqd/admin/news_files/641_18_2.pdf
Wimon P. Effects of psychological intervention with pharmacist counseling on patients’ knowledge and active notification of drug allergy history. Thai J Pharm Prac. 2014;6(1):3-21.
Wiboonsirikul K. Development of repeated drug allergy prevention system in health promotion hospital etwork of Bang Pahan district, Phra Nakhon Si Ayutthaya province by evaluating the accuracy of patient drug allergic history. JPMAT. 2015;5(3):245-61.
Rakangtong C, Lerkiatbundit S. Factors affecting patients’ notification of drug allergy history. Thai J Pharm Prac. 2010;2(1):46-59.
Thanomsieng N. Quality assessment of questionnaire [internet]. (n.d.) [cited 2020 September 6]. Available from: https://home.kku.ac.th/nikom/item_relia_validity_2007_u1.pdf
Panya O, Chaiyasong S. Guidance for preventing repeated drug allergy in sub-district health promoting hospitals, Kamalasai district, Kalasin province. J Sci Technol MSU. 2016;35(5):549-58.
Jarernsiripornkul N, Chaipichit N, Chumworathayi P, Krska J. Management for improving patients' knowledge and understanding about drug allergy. Pharm Pract (Granada). 2015;13(1):513.
Sooksripeng B. Social Support Theory [internet]. 2012 [cited 2020 September 1]. Available from: https://www.gotoknow.org/posts/115753
