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Use of a Text Message-Based Pharmacovigilance Tool in Cambodia: Pilot Study
- Source :
- Journal of Medical Internet Research, Journal of Medical Internet Research, JMIR Publications, 2013, 15 (4), pp.e68. ⟨10.2196/jmir.2477⟩, Journal of Medical Internet Research, Journal of Medical Internet Research, 2013, 15 (4), pp.e68. 〈10.2196/jmir.2477〉, Journal of Medical Internet Research, 2013, 15 (4), pp.e68. ⟨10.2196/jmir.2477⟩, Journal of Medical Internet Research, Vol 15, Iss 4, p e68 (2013)
- Publication Year :
- 2013
- Publisher :
- HAL CCSD, 2013.
-
Abstract
- BackgroundThere is no functional pharmacovigilance system in Cambodia to our knowledge. Mobile phone–based tools, such as short message service (SMS) text messages, are increasingly used for surveillance purposes. ObjectiveTo pilot-test the FrontlineSMS mobile phone–based tool for notification of adverse events, using Cambodia’s only International Vaccination Center at the Institut Pasteur du Cambodge as a field site. MethodsPeople receiving vaccinations, aged over 18 years, and who owned a cell phone were recruited in the study following informed consent. The names and mobile phone numbers of the participants interviewed were entered each day into the FrontlineSMS software. Two days after being vaccinated, participants received an automatically generated SMS text message asking whether any adverse events had occurred. Their SMS reply was number-coded and exported from the software daily to an Excel spreadsheet and examined before being saved. If the participant replied with a code for a severe adverse event (8 or 9), they were automatically advised to consult the nearest doctor. ResultsThe active surveillance study was conducted over 72 days in the spring of 2012. Patients agreed to be asked by SMS text message whether unwanted events had occurred after vaccination. Of 1331 persons aged over 18 years referred to the vaccination unit, 184 (13.8%) were asked and agreed to participate. When texted for clinical status 48 hours after vaccination, 52 (28.3%) participants did not reply, 101 (54.9%) sent an immediate SMS reply, and 31 (16.8%) sent an SMS reply after additional prompting. Of the initial 184 participants, 132 (71.7%) replied. These 132 participants received 135 vaccine doses and 109 (82.6%) reported no adverse events, whereas 23 (17.4%) reported adverse events, all benign. ConclusionsNotification using an SMS-based text message system is already used in Cambodia for syndromic surveillance in health centers and reporting by health care workers. Our results show that such tools can also be useful for notification by patients or health users in Cambodia, especially in an urban setting.
- Subjects :
- Male
MESH: texting
Pilot Projects
MESH: adverse events
Santé publique
Pharmacovigilance
0302 clinical medicine
Phone
Informed consent
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
short message service
Health care
Medicine
030212 general & internal medicine
MESH: pharmacovigilance
Aged, 80 and over
0303 health sciences
lcsh:Public aspects of medicine
Vaccination
vaccines
Middle Aged
MESH: adverse drug reaction reporting systems
Telemedicine
3. Good health
[ SDV.MHEP.MI ] Life Sciences [q-bio]/Human health and pathology/Infectious diseases
C30 - Documentation et information
S50 - Santé humaine
surveillance
lcsh:R858-859.7
Female
Medical emergency
Cambodia
Télécommunication
Adult
Short Message Service
Adolescent
text messages
Health Informatics
MESH: short message service
lcsh:Computer applications to medicine. Medical informatics
World Wide Web
Young Adult
03 medical and health sciences
Système d'alerte rapide
Adverse Drug Reaction Reporting Systems
Humans
Surveillance épidémiologique
Adverse effect
Aged
Original Paper
Text Messaging
texting
[ SDV ] Life Sciences [q-bio]
030306 microbiology
business.industry
lcsh:RA1-1270
MESH: vaccines
medicine.disease
adverse events
MESH: text messages
MESH: cellular phone
Mobile phone
cellular phone
business
MESH: surveillance
Software
Subjects
Details
- Language :
- English
- ISSN :
- 14388871
- Database :
- OpenAIRE
- Journal :
- Journal of Medical Internet Research, Journal of Medical Internet Research, JMIR Publications, 2013, 15 (4), pp.e68. ⟨10.2196/jmir.2477⟩, Journal of Medical Internet Research, Journal of Medical Internet Research, 2013, 15 (4), pp.e68. 〈10.2196/jmir.2477〉, Journal of Medical Internet Research, 2013, 15 (4), pp.e68. ⟨10.2196/jmir.2477⟩, Journal of Medical Internet Research, Vol 15, Iss 4, p e68 (2013)
- Accession number :
- edsair.doi.dedup.....1d4a240307f552c445a6ea8007258c58