A Scenario of Poisoning in Children in Manipal Teaching Hospital

Malla, Tejesh; Malla, Kalpana Karmacharya; Rao, K. Ramachandra; Gauchan, Eva; Basnet, Sahisnuta; Koirala, Deepak

doi:10.3126/jnps.v31i2.3634

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…The previous study from this institute and Patan showed 30% and 33% mortality respectively. 6,7 However, mortality is high as compared to other poisoning. Higher mortality in mushroom poisoning was most likely due to severe liver toxicity and late manifestation of symptoms leading to late arrival to emergency.…”

Section: Discussionmentioning

confidence: 99%

Pattern of acute poisoning in children in a tertiary care hospital in eastern Nepal

Yadav¹,

Yadav²,

Agrawal³

et al. 2016

Int J Contemp Pediatr

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Section: Discussionmentioning

confidence: 99%

Pattern of acute poisoning in children in a tertiary care hospital in eastern Nepal

Yadav¹,

Yadav²,

Agrawal³

et al. 2016

Int J Contemp Pediatr

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“…A cute poisoning is an important cause of emergency department visits and hospital admission in children 1 and it is one of the poten ally preventable causes of childhood morbidity and mortality in Nepal 1,2 . The eff ects of poisoning have both short and long term health implica ons in children as well as in parents.…”

Section: Introductionmentioning

confidence: 99%

Clinical Profile of Acute Poisoning in Children at a Teaching Hospital in Lalitpur

Dhakal¹,

Shrestha²,

Shakya³

et al. 2014

J. Nepal Paedtr. Soc.

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Introduction: Acute poisoning is one of the common cause of emergency visits and hospital admissions and is a potentially preventable cause of childhood mortality and morbidity. The objectives of this study were to identify the common type of poisoning in children, to determine types of poisoning according to age and to find out the the common age group in which the incidence of poisoning was high. Materials and Methods: It was a descriptive observational study done in a teaching hospital in Lalitpur, Nepal in patients aged 1 month to 18 years who visited the emergency department and were admitted to hospital with history of alleged poisoning from Results: Fifty patients were included. Drugs, kerosene and organophosphorus were most common cause of poisoning. Drugs and kerosene below 10 years of age and organophosphorus and drugs above 10 years of age were common types of poisoning. Maximum numbers (50%) of children with poisoning cases were below five year of age. Mean duration of hospital stay was 2.1 days and mean age of poisoning was 7.8 years with a male (54%) predominance. Majority of poisoning occurred at home (84%) and 68% of patients were symptomatic at presentation to hospital with 84% of patients presenting to hospital within six hours. Conclusion: This study showed that drugs, kerosene and organophosphorus were most common forms of poisoning. While young children were most vulnerable for acute poisoning.

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“…[13][14][15] Boys had a higher incidence of poisoning at 64.8% compared to girls, which is consistent with findings from other Asian studies. [16][17][18][19] The male-to-female ratio was twofold up to the age of 10 years, after which the ratio equalized beyond this age threshold.…”

Section: Discussionmentioning

confidence: 99%

Acute Poisoning and Envenomation in Children: Clinico-Epidemiological Profile and Outcome in Central Nepal

Parajuli,

Pandit,

Sah

et al. 2023

JCMC

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Background: Acute poisoning and envenomation are significant concerns among children, demanding specialized approaches. This study aimed to assess the current scenario, clinico-etiological profile and outcome of acute poisoning and envenomation in children within Bagmati province, excluding the valley area. Methods: A retrospective observational analysis was conducted involving children aged 28 days and above to 18 years admitted to Chitwan Medical College’s Pediatric department between July 2020 to January 2023. Cases involving poison exposure or envenomation regardless of signs and symptoms, were included. Demographics, triage, interventions and outcomes were collected in predesigned data proforma and descriptive analysis was performed using SPSS 20. Results: Results revealed, 179 admissions (3.49% of total) with most cases being accidental (87.3%), frequently among boys (64.8%) and age group 1-5 years old (53.1%) and median (IQR) age of 3 (2-8) years. Common presenting symptoms included vomiting (48%) and altered sensorium (21.2%). The median (IQR) time to hospital presentation post exposure was 3.75(2-7) hours. Organophosphorus (17.3%) and kerosene poisoning (8.4%) were the commonest poison, along with 11 cases of envenomation. Treatment included supportive care with antidote used in 17.9%. A majority (58.88%) only required 24- hour observation. There were a total of 5 deaths (2.79%) and 6 (3.35%) left against medical advice. Conclusions: Our results align with previous similar studies conducted in Nepal and across Asia. Accidental cases predominated, particularly among young children. Organophosphorus remained a significant poison, while cypermethrin and alcohol poisoning were new observations. Basic supportive care saves more lives than all the antidotes put together.

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A Scenario of Poisoning in Children in Manipal Teaching Hospital

Cited by 5 publications

References 8 publications

Pattern of acute poisoning in children in a tertiary care hospital in eastern Nepal

Pattern of acute poisoning in children in a tertiary care hospital in eastern Nepal

Clinical Profile of Acute Poisoning in Children at a Teaching Hospital in Lalitpur

Acute Poisoning and Envenomation in Children: Clinico-Epidemiological Profile and Outcome in Central Nepal

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