Assessment of Pattern, Severity and Outcome of Poisoning in Emergency Care Unit

Maheswari, Eswaran; Abraham, Lydia; Chacko, Chinju Susan; Saraswathy, G.R.; Ramesh, Aruna C

doi:10.7324/japs.2016.601225

Cited by 18 publications

(25 citation statements)

References 2 publications

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“…The proper treatment with antidote may remarkably neutralize the toxic action of the poison and increase its elimination. Our findings were similar to other studies conducted [13][14][15][16] Atropine and PAM were commonly administered by parenteral routes in those patients among insecticide poisoning consumed the organophosphorus compound. Hence, atropine competitively antagonizes muscarinic effects of those compounds and PAM reactivates cholinesterase enzyme.…”

Section: Resultssupporting

confidence: 92%

A Incidence, Prevalence, and Clinical Management of Poisoning Cases in Telangana State Region – A Prospective Study

HARISHWARREDDY¹,

NAGALATHA²,

VEENA³

2020

Asian J Pharm Clin Res

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Objectives: This study aimed to find the incidence, prevalence, and clinical management of poisoning cases in Telangana state region. Methods: It was a prospective and observational study done for 9 months and the data were obtained from the case sheets of 600 patients admitted in tertiary care hospital with poisoning. Data were analyzed according to age, gender, type and route of poisoning, treatment of poisoning, and mortality and morbidity rate. Results: Out of 600 cases admitted, female patients were 312 (52%) and males were 288 (48%) and the age group ranged from 6 months to 70 years of age. The most common route of exposure was ingestion (oral) (91.5%) followed by topical (dermal) (8%), and the agents which were used included organophosphate (33%) in most of the cases followed by chemical poisoning (24%). The average duration of therapy till the discharge of the patients was 1–5 day. About 80% of the cases were from the low socioeconomic background. More or less, the treatment is restricted to symptomatic and supportive care if the poisonous agent is unknown. A specific antidote is given, where there is enough information regarding the poison. Conclusion: The present study revealed increasing incidence of poisoning cases from rural areas and below the poverty line due to lack of knowledge, easy availability, stress, depression, and familial disharmony. By providing educational, awareness programs, and establishing a poison information center, there is a possibility for a decline in the incidence of poisoning.

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Section: Resultssupporting

confidence: 92%

A Incidence, Prevalence, and Clinical Management of Poisoning Cases in Telangana State Region – A Prospective Study

HARISHWARREDDY¹,

NAGALATHA²,

VEENA³

2020

Asian J Pharm Clin Res

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“…Our study showed that Organophosphorus poisoning was the fi rst cause (55%) while paracetamol poisoning 15% was the second cause which indicated the similarity in the other study. Suicidal manner (87.5%) of poisoning is more common than the accidental and homicidal pattern in our study and the result are similar to the other stud 1,9,10 . Family disputes, unemployment problem and stress in the profession may be the contributing factors for committing suicide for both male and female.…”

Section: Vijay Mate From South India Observed Thatsupporting

confidence: 91%

Demographic profiling of poisoning in Emergency Department of Kathmandu Medical College - A cross sectional study

Kushwaha

Singh

2018

J. Kathmandu Med. Coll.

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Background: Poisoning is a very common medico-social problem in our part of the world. It significantly contributes to the morbidity and mortality, which is a big concern and burden to our society. Objective: To determine the demographic profiling of poisoning in Emergency Department of Kathmandu Medical College. Methododogy: This is a cross sectional study conducted for the period of six months from March 2017 to September 2017 at the Emergency Department Kathmandu medical college teaching hospital. The study includes the cases of poisoning brought to the above mentioned institute for management. The data thus collected was entered in the SPSS and analysed to find the poisoning profile. Ethical clearance was taken from Institutional Review Board of Kathmandu Medical College. Results: A total of 40 cases of poisoning came to Emergency Department over the period of six months of which 14 (35%) were males and 26 (65%) were females. The mean ages for males were 32.07 years and females were 26.23 years. Regarding time of consumption 42.5% of cases consumed poison at night. The most common poison consumed was Organophosphorus (55%) and next in kin was paracetamol (15%). However, type of Organophosphorus could not ascertained due to lack of information from the patent party. Conclusion: People in the productive age groups are more prone to poisoning with various products due to stress or other social economic factors. Social education and strict rules and regulation for the sale of the pesticides can be useful in containing this problem.

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“…In this study younger patients were significantly observed as the majority of the poisoning cases ranged in the age groups ≤3 0 y (57.89%). A pattern similar to this has been reported in Indian studies [14,15]. As young adults progress through generations, their traditional households generally get less supportive of their choices pertaining to financial social sectors, marriage age, premarital sex, rehabilitation, stress in academics as well as inability in achieving the targets in professional and educational fronts [16].…”

Section: Discussionsupporting

confidence: 72%

Sociodemographic Profile of Patients With Acute Poisoning in the Emergency Wards of a Tertiary Care Hospital

Reddy

Revathi

Prasanna

et al. 2018

Int J Pharm Pharm Sci

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Objective: To assess the socio-demographic profile and outcomes in the patients with poisoning admitted to the emergency wards of a tertiary care hospital.Methods: The prospective observational study was conducted for a period of six months in the emergency wards of a tertiary care hospital. The demographic data, hospital admission variables and outcomes were collected from various sources and documented. Cluster analysis was used to find the interaction between the socio-demographic and hospital admission variables in association with outcomes of poisoning.Results: A total of 133 patients were admitted with acute poisoning. The mean age was 27.76±15.5%. Females (51.1%) were dominant over males (48.8%). Incidents of poisoning were predominant in married (49.6%), literates (41.35%), abiding in urban region (86.4%) and belonging to upper lower class (37.6%). The poisonings were intentional (69.17%) occurring through oral route (81.2%) at home (82%). Reason for poisoning was the most significant (1.00*) predictor followed by route of poisoning. Patients with mild symptoms were 85.71% 10.5% moderate and severe symptoms 3.75%. Majority of the victims recovered (82.71%) whilst 4.51% died.Conclusion: Poisoning patterns vary with socio-demographic and socio-economic status, which is a prevalent social and economic issue in developing countries. Depression acts as a slow poison and is common among younger age groups leading to increased cases of intentional poisoning, thereby indicating a necessity for appropriate psychiatric counselling, medical and peer management strategies to identify the individuals in need that can reduce the risk of next attempt.

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Assessment of Pattern, Severity and Outcome of Poisoning in Emergency Care Unit

Cited by 18 publications

References 2 publications

A Incidence, Prevalence, and Clinical Management of Poisoning Cases in Telangana State Region – A Prospective Study

A Incidence, Prevalence, and Clinical Management of Poisoning Cases in Telangana State Region – A Prospective Study

Demographic profiling of poisoning in Emergency Department of Kathmandu Medical College - A cross sectional study

Sociodemographic Profile of Patients With Acute Poisoning in the Emergency Wards of a Tertiary Care Hospital

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