Assessment of Poisoning pattern, Severity and Clinical outcome using Clinical Scoring Systems in secondary care public hospital in South India

Ponnusankar, Sivasankaran; Rangadham, P.; Roy, D.; Kutty, Jennie Joy; Manu, Pranav; Stanly, Steffy

doi:10.5958/0974-360x.2019.00822.9

Cited by 3 publications

(1 citation statement)

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“…(2 & 3) Poisoning and poisonous exposures are major health concerns, as well as the most common means of suicide in the world. (4)(5)(6) Poisoning of children under the age of five is the leading cause of death worldwide, accounting for 80% of all cases7. In actuality, every man and woman is exposed to toxic chemicals in sub-lethal doses8.…”

Section: Introductionmentioning

confidence: 99%

Availability of Treatment Resources in Emergency Department for the Management of Acute Toxic Exposure and Poisionings in Governmental Hospitals in Dessie Town

Tilahun,

Adal,

Alemu

et al. 2023

PAJEC

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Introduction: Accessibility of drugs and over the counter drugs in hospitals are not enough andsuch accessibility of drugs act as preparedness of a hospital emergency departments in health facilities in controlling of emergency poisoning. Methods: Institution wide retrospective cross-sectional study design was conducted. Data was collected using semi-structured questionnaire. Three nurses were trained about the data collection of this study and data entry was done by using SPSS version 20.0. Results- There were a sum of 520 toxic cases were get service (169 from Boru Meda Hospital and 351 from Dessie Referral Hospital). The first cause of poisoning was Organophosphate poison with the case of 140 (26.9%). From decontamination resources sodium sulphate, sorbitol, ipecac syrup, polyethylene glycol and colloids not present from both hospitals. From stabilization resources there were no colloids in both hospitals. From antidots only atropine sulphate, calcium gluconate, polyvalent antivenom and sodium bicarbonate were accessible through all time of the study period in both hospitals. Conclusion and Recommendation: - The supply of drugs and over the counter drugs in those hospitals were partially present, apart from stabilization resources. It is recommended if selected antidotes, stabilization, decontamination and elimination treatments are accessible.

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Section: Introductionmentioning

confidence: 99%

Availability of Treatment Resources in Emergency Department for the Management of Acute Toxic Exposure and Poisionings in Governmental Hospitals in Dessie Town

Tilahun,

Adal,

Alemu

et al. 2023

PAJEC

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Prognostic value of PGI score compared to poison severity score (PSS) and simplified acute physiology score (SAPS) II as predictors of mortality and other adverse outcomes in acute poisoning with aluminum phosphide

ElMehy,

Sharif,

Sobeeh

2024

Toxicology Reports

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Predictors of Serotonin Syndrome in Acute Poisoning with 5-Hydroxytryptamine Modulators

Sharif,

Almulhim,

Almosabeh

et al. 2024

Toxics

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5-Hydroxytryptamine (5-HT) modulators are commonly prescribed medications with potentially life-threatening outcomes, particularly serotonin syndrome (SS). Early prediction of SS is critical not only to avoid lethal drug combinations but also to initiate appropriate treatment. The present work aimed to recognize the significant predictors of SS through a retrospective cross-sectional study that was conducted among patients exposed to an overdose of 5-HT modulators and admitted to a poison control center where 112 patients were enrolled. Of them, 21 patients were diagnosed with SS, and 66.7% of patients with SS were exposed to long-term co-ingestion. There was a noticeable surge in SS between April and May, and 52.4% of patients who suffered from SS were admitted after suicidal exposure (p < 0.05). Patients with SS showed severe presentation indicated by high-grade poison severity scores (PSS) and low Glasgow coma scales (GCS). PSS was a significant predictor of SS with an area under the curve of 0.879. PCO2, pulse, GCS, HCO3, and erythrocytic count were other significant predictors of SS. Combinations of serotonergic agents increase the likelihood of developing SS. Clinicians should be vigilant when prescribing a combination of serotonergic therapy, particularly for patients on illicit sympathomimetic and over-the-counter medications like dextromethorphan.

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Assessment of Poisoning pattern, Severity and Clinical outcome using Clinical Scoring Systems in secondary care public hospital in South India

Cited by 3 publications

References 0 publications

Availability of Treatment Resources in Emergency Department for the Management of Acute Toxic Exposure and Poisionings in Governmental Hospitals in Dessie Town

Availability of Treatment Resources in Emergency Department for the Management of Acute Toxic Exposure and Poisionings in Governmental Hospitals in Dessie Town

Prognostic value of PGI score compared to poison severity score (PSS) and simplified acute physiology score (SAPS) II as predictors of mortality and other adverse outcomes in acute poisoning with aluminum phosphide

Predictors of Serotonin Syndrome in Acute Poisoning with 5-Hydroxytryptamine Modulators

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