PMID- 27510377 OWN - NLM STAT- MEDLINE DCOM- 20170713 LR - 20220331 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 31 IP - 9 DP - 2016 Sep TI - Signal Detection of Adverse Drug Reaction of Amoxicillin Using the Korea Adverse Event Reporting System Database. PG - 1355-61 LID - 10.3346/jkms.2016.31.9.1355 [doi] AB - We conducted pharmacovigilance data mining for a beta-lactam antibiotics, amoxicillin, and compare the adverse events (AEs) with the drug labels of 9 countries including Korea, USA, UK, Japan, Germany, Swiss, Italy, France, and Laos. We used the Korea Adverse Event Reporting System (KAERS) database, a nationwide database of AE reports, between December 1988 and June 2014. Frequentist and Bayesian methods were used to calculate disproportionality distribution of drug-AE pairs. The AE which was detected by all the three indices of proportional reporting ratio (PRR), reporting odds ratio (ROR), and information component (IC) was defined as a signal. The KAERS database contained a total of 807,582 AE reports, among which 1,722 reports were attributed to amoxicillin. Among the 192,510 antibiotics-AE pairs, the number of amoxicillin-AE pairs was 2,913. Among 241 AEs, 52 adverse events were detected as amoxicillin signals. Comparing the drug labels of 9 countries, 12 adverse events including ineffective medicine, bronchitis, rhinitis, sinusitis, dry mouth, gastroesophageal reflux, hypercholesterolemia, gastric carcinoma, abnormal crying, induration, pulmonary carcinoma, and influenza-like symptoms were not listed on any of the labels of nine countries. In conclusion, we detected 12 new signals of amoxicillin which were not listed on the labels of 9 countries. Therefore, it should be followed by signal evaluation including causal association, clinical significance, and preventability. FAU - Soukavong, Mick AU - Soukavong M AUID- ORCID: 0000-0003-2958-7936 AD - Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea. FAU - Kim, Jungmee AU - Kim J AUID- ORCID: 0000-0002-1955-843X AD - Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea. FAU - Park, Kyounghoon AU - Park K AUID- ORCID: 0000-0001-5800-917X AD - Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea. FAU - Yang, Bo Ram AU - Yang BR AUID- ORCID: 0000-0002-8771-8829 AD - Medical Research Collaborating Center, Seoul National University Hospital and Seoul National University College of Medicine, Seoul, Korea. FAU - Lee, Joongyub AU - Lee J AUID- ORCID: 0000-0003-2784-3772 AD - Medical Research Collaborating Center, Seoul National University Hospital and Seoul National University College of Medicine, Seoul, Korea. FAU - Jin, Xue Mei AU - Jin XM AUID- ORCID: 0000-0003-1132-7271 AD - Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea. FAU - Park, Byung Joo AU - Park BJ AUID- ORCID: 0000-0003-4630-4942 AD - Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea. bjpark@snu.ac.kr. LA - eng PT - Journal Article PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 RN - 0 (Anti-Bacterial Agents) RN - 804826J2HU (Amoxicillin) SB - IM MH - Amoxicillin/*adverse effects MH - Anti-Bacterial Agents/*adverse effects MH - Bayes Theorem MH - Data Mining MH - *Databases, Factual MH - Humans MH - Odds Ratio MH - Pharmacovigilance MH - Republic of Korea PMC - PMC4974175 OTO - NOTNLM OT - Adverse Event OT - Amoxicillin OT - Data Mining OT - KAERS Database OT - Patient Safety OT - Pharmacovigilance COIS- DISCLOSURE: The authors have no conflicts of interest to disclose. EDAT- 2016/08/12 06:00 MHDA- 2017/07/14 06:00 PMCR- 2016/09/01 CRDT- 2016/08/12 06:00 PHST- 2015/12/24 00:00 [received] PHST- 2016/05/29 00:00 [accepted] PHST- 2016/08/12 06:00 [entrez] PHST- 2016/08/12 06:00 [pubmed] PHST- 2017/07/14 06:00 [medline] PHST- 2016/09/01 00:00 [pmc-release] AID - 31.1355 [pii] AID - 10.3346/jkms.2016.31.9.1355 [doi] PST - ppublish SO - J Korean Med Sci. 2016 Sep;31(9):1355-61. doi: 10.3346/jkms.2016.31.9.1355.