Assessment of Poisoning Cases in a Tertiary Care Hospital.

Acharya, Swathi; Lakshminarayana, K; Sharanappa, M

doi:10.7439/ijbr.v5i9.773

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…treatment, and mortality (10%) was low. Other studies also agreed with our findings, where total mortality was low [16,[19][20][21]. The mortality in other patients might be due to various factors like delay in arrival to hospital and lack of information related to type and dose of poison consumed.…”

Section: Discussionsupporting

confidence: 91%

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: Discussionsupporting

confidence: 91%

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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“…[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] However, some studies show that incidence of poisoning was more in women than men. 20,21,22 Majority of cases (40.53%) were from age group 21-30 years (both in male and female). This can be explained by the fact that the persons of this age suffer from stress of the modern lifestyles, unemployment, marital problems, failure in love, failure in education, family problems, impulsive behaviour, etc.…”

Section: Resultsmentioning

confidence: 98%

Study of Pattern and Outcome of Acute Poisoning Cases at Tertiary Care Hospital in North India

Ali¹,

Sawlani²,

Himanshu³

et al. 2017

jebmh

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BACKGROUND Poisoning is a global public health problem causing significant morbidity and mortality. It is important to know the pattern and outcome of acute poisoning cases for proper planning, prevention and management of these cases. The aim of the study is to determine the mode (suicidal, accidental, homicidal) and type of poisoning in North Indian population; relation to age, sex, occupation, marital status; outcome of different type of poisons and requirement of ventilatory support in different type of poisonings. MATERIALS AND METHODS This observational study was conducted in Department of Medicine of a tertiary care hospital in North India. A total of 379 patients were enrolled in the study after obtaining informed consent. RESULTS Poisoning was more common among males (59.89%). Maximum number of patients were in the age group 21-30 years (40.63%) and consumption was found to be more prevalent in rural population (75.99%). Most of the patients were farmers and students. Most common types of poisoning were organophosphate (n=95, 25.07%), snake bite (n=77, 20.32%) followed by aluminium phosphide (n=71, 18.73%). Out of 379 patients, 318 (83.91%) improved while 61 (16.09%) expired. Mortality was highest in aluminium phosphide poisoning. Requirement of ventilatory support was most commonly associated with aluminium phosphide poisoning (37.89%) followed by organophosphate poisoning (28.42%). CONCLUSION Poisoning was more common in young males. Pesticides and snake bite were major causes of poisoning. Of the total, 318 improved while rest of the 61 expired. Mortality was higher with use of aluminium phosphide poisoning (57.38%), snake bite (21.31%) and organophosphate consumption (9.84%). Requirement of ventilator was most commonly associated with aluminium phosphide poisoning. We suggest strict statutory measures covering import, manufacture, sale, transport, distribution and use of pesticides. Training of peripheral health center personnel to manage cases of poisoning, to provide ventilatory support and escalation in public awareness about the importance of problem should be done.

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“… Mishra et al, 2019 Mitra et al, 2015 Mittal et al, 2012 Monteiro et al, 2012 Nagaraju et al, 2015 Palappallil, 2015 Panda et al, 2015 Padhiyar et al, 2018 Pandey et al, 2016 Patil et al, 2013 Patil et al, 2011 Pore et al, 2015 Punde, 2005 Raina et al, 2014 Ramanath and Naveen Kumar, 2012 Ramesha et al, 2009 . 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

194

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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Assessment of Poisoning Cases in a Tertiary Care Hospital.

Cited by 6 publications

References 7 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

Study of Pattern and Outcome of Acute Poisoning Cases at Tertiary Care Hospital in North India

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

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