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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/183635
Strengthening the Bolivian pharmacovigilance system: New surveillance strategies to improve care for Chagas disease and tuberculosis.
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"Chagas disease (CD) and tuberculosis (TB) are important
health problems in Bolivia. Current treatments for both
infections require a long period of time, and adverse drug
reactions (ADRs) are frequent. This study aims to strengthen the
Bolivian pharmacovigilance system, focusing on CD and TB. A
situation analysis of pharmacovigilance in the Department of
Cochabamba was performed. The use of a new local case report
form (CRF) was implemented, together with the CRF established by the Unidad de Medicamentos y Tecnolog\xC3\xADa en Salud
(UNIMED), in several healthcare centers. Training and follow-up
on drug safety monitoring and ADR reporting was provided to all
health professionals involved in CD and TB treatment. A
comparative analysis of the reported ADRs using the CRF provided
by UNIMED, the new CRF proposal, and medical records, was also performed. Our results showed that out of all patients starting
treatment for CD, 37.9% suffered ADRs according to the medical
records, and 25.3% of them were classified as moderate/severe
(MS). Only 47.4% of MS ADRs were reported to UNIMED. Regarding
TB treatment, 9.9% of all patients suffered ADRs, 44% of them
were classified as MS, and 75% of MS ADRs were reported to
UNIMED. These findings show that the reinforcement of the
Bolivian pharmacovigilance system is an ambitious project that
should involve a long-term perspective and the engagement of
national health workers and other stakeholders at all levels.
Continuity and perseverance are essential to achieve a solid ADR
reporting system, improving patient safety, drug efficacy and
adherence to treatment."
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CORTES SERRA, Nuria, SARAVIA, Ruth, GRÁGEDA, Rosse mary, APAZA, Amílcar, GONZÁLEZ, Jorge armando, RÍOS, Brenda, GASCON, Joaquim, TORRICO, Faustino, PINAZO, Maria-jesus. Strengthening the Bolivian pharmacovigilance system: New surveillance strategies to improve care for Chagas disease and tuberculosis.. _PLoS Neglected Tropical Diseases_. 2020. Vol. vol 14, núm. num. [consulta: 23 de gener de 2026]. ISSN: 1935-2735. [Disponible a: https://hdl.handle.net/2445/183635]