Acute Renal Failure in Acute Poisoning: Prospective Study From a Tertiary Care Centre of South India

Shah, Sweni; Meenakshisundaram, Ramachandran; Sakthirajan, Ramanathan; Rajendiran, C; Thirumalaikolundusubramanian, Ponniah

doi:10.1111/j.1755-6686.2011.00255.x

Cited by 7 publications

(2 citation statements)

References 21 publications

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“… Saini et al, 2014 Sam et al, 2009 Saravu et al, 2012 Sarkhel et al, 2017 Siddique et al, 2015 Singh et al, 2015 Singh et al, 2014 Srivastava et al, 2005 Swathiacharya et al, 2013 . Sweni et al, 2012 Thapar et al, 2015 Vishwanath, 2019 Yogesh et al, 2017 …”

Section: Appendix 1—tablementioning

confidence: 99%

Trends in snakebite deaths in India from 2000 to 2019 in a nationally representative mortality study

Suraweera

Warrell

Whitaker

et al. 2020

eLife

195

158

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The World Health Organization call to halve global snakebite deaths by 2030 will require substantial progress in India. We analyzed 2833 snakebite deaths from 611,483 verbal autopsies in the nationally representative Indian Million Death Study from 2001 to 2014, and conducted a systematic literature review from 2000 to 2019 covering 87,590 snakebites. We estimate that India had 1.2 million snakebite deaths (average 58,000/year) from 2000 to 2019. Nearly half occurred at ages 30–69 years and over a quarter in children < 15 years. Most occurred at home in the rural areas. About 70% occurred in eight higher burden states and half during the rainy season and at low altitude. The risk of an Indian dying from snakebite before age 70 is about 1 in 250, but notably higher in some areas. More crudely, we estimate 1.11–1.77 million bites in 2015, of which 70% showed symptoms of envenomation. Prevention and treatment strategies might substantially reduce snakebite mortality in India.

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Section: Appendix 1—tablementioning

confidence: 99%

Trends in snakebite deaths in India from 2000 to 2019 in a nationally representative mortality study

Suraweera

Warrell

Whitaker

et al. 2020

eLife

195

158

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“…52 We published our experience of 32 cases that developed AKI in a toxicology unit. 53 The risk of developing AKI was greater among the poisoning caused by bites and stings (6.15%) than by chemical poisoning (0.9%). Copper sulphate and rat killer poisonings were the most common causes of chemical-induced AKI.…”

Section: Chemical Toxinsmentioning

confidence: 95%

Acute Kidney Injury in Tropical Countries

et al. 2017

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Acute kidney injury (AKI) in tropical countries is strikingly different from that in countries with a temperate climate. Tropical regions are characterised by year-round high temperatures and the absence of frost, which supports the propagation of infections that can potentially cause AKI. The aetiology and presentation of AKI reflects the ethnicity, socioeconomic factors, and ecological conditions in tropical countries. Apart from infections, other causes of AKI include exposure to animal toxins, ingestion of plant toxins or chemicals, poisoning, and obstetric complications. The low income status, poor access to treatment, and sociocultural practices (use of indigenous medicines) contribute to poor outcomes of patients with AKI. The exact aetiologic diagnosis often cannot be made due to lack of appropriate laboratory services. The epidemiology of AKI in tropical regions is changing over time. Renal replacement therapy is inaccessible to the majority and late presentation with delayed treatment add to the risk for future development of chronic kidney disease. AKI is often the primary cause of chronic kidney disease in the developing world, which increases demand for renal replacement therapy and transplantation. Most causes of AKI in developing countries are preventable and strategies to improve the public health and increased access to effective medical care are the need of the hour. This review offers comprehensive ideas about epidemiology, aetio-pathogenesis, clinical presentation, diagnosis, treatment, and prevention of community-acquired AKI in the tropics, with special reference to the Indian subcontinent. AKI is an under-recognised cause of morbidity and mortality in developing countries and even small, simple interventions could have an impact on its outcome.

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Renal Disease in the Tropics

Thuraisingham¹,

Adu²

2014

Manson's Tropical Infectious Diseases

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Acute Renal Failure in Acute Poisoning: Prospective Study From a Tertiary Care Centre of South India

Cited by 7 publications

References 21 publications

Trends in snakebite deaths in India from 2000 to 2019 in a nationally representative mortality study

Trends in snakebite deaths in India from 2000 to 2019 in a nationally representative mortality study

Acute Kidney Injury in Tropical Countries

Renal Disease in the Tropics

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