Characteristics of Acute Adult Poisoning in Gaziantep, Turkey

Göksu, Sıtkı; Yıldırım, Cuma; Koçoğlu, Hasan; Tutak, Atilla; Öner, Ünsal

doi:10.1081/clt-120016953

Cited by 82 publications

(100 citation statements)

References 15 publications

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“…Acute poisoning was seen more in females constituting 64% than in males 36% in our study this is nearly same to the studies conducted in Turkey and India 6,10 and…”

Section: Discussionsupporting

confidence: 79%

Acute Poisoning; Etiological Agents and Demographic Characteristics in Patients Coming to Er of a Tertiary Care Hospital

Owais¹,

Khan²

2015

TPMJ

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Acute poisoning with various substances is common worldwide. Exposure to agrochemicals, medicines and environmental agents are the major causes of poisoning.1 It is one of the commonest causes of morbidity and mortality to the patients which has drawn the world attention. Objectives: To determine the socio-demographic characteristics and causes and agents of poisoning among patients visiting emergency department with acute poisoning. Methods: All the poisoning cases that fulfilled the inclusion criteria and attended the emergency department from February 2014 till March 2015 with acute poisoning were evaluated. A hospital medical record form were used for data collection in which the details of patient's demography, agents of poisoning and intension of poisoning, were entered from hospital records and analyzed. Results: A total of 364 patients attended the emergency department of Zia Uddin university hospital over period of 12 months. In this population 36% were male and 64% were females. Commonest age group for poisoning was 15-30 yrs. and commonest agent was organophosphate. Intentional poisoning comprised of 88% while accidental poisoning comprised of 12%. Conclusion: On the basis of our study we can conclude that female adolescents and adults are more prone to intentional acute poisoning and pesticides are the commonest agents involved in acute poisoning. Key words:acute poisoning, agrochemicals, medicines, environmental agents, morbidity, mortality.

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“…Acute poisoning was seen more in females constituting 64% than in males 36% in our study this is nearly same to the studies conducted in Turkey and India 6,10 and…”

Section: Discussionsupporting

confidence: 79%

Acute Poisoning; Etiological Agents and Demographic Characteristics in Patients Coming to Er of a Tertiary Care Hospital

Owais¹,

Khan²

2015

TPMJ

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“…This situation is in consistent with the other studies in our country (2,15,16). However, many hospital-based studies from our country and from those conducted in the other countries have reported that majority of patients exposed to poisoning was female (3)(4)(5)(6)(7)(8)(17)(18)(19)(20) When the deaths due to poisonings are analysed, carbon monoxide is found to be the most common type of poisoning in south Marmara region, while the insecticides are the most common poison in İzmir, the Aegean region, and in Adana, the Mediterranean region of Turkey (2,15,16). The relatively higher incidence of carbon monoxide intoxication in this study was resulted from the cases that are found to be exposed to carbon monoxide originating from stove smoke driven back from chimneys by strong southwest wind, which is a common experience in our region.…”

Section: Discussionmentioning

confidence: 99%

“…Death due to poisoning has been known since time immemorial. Poisoning is a major problem all over the world although its type and the associated morbidity and mortality vary from country to country (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11). According to the legal system of our country, all poisoning death cases are recorded as unnatural death and in addition, in Turkey, according to the article 89 of the Penal Code Law Judicial Procedure (12); any case of death due to suspected or obvious poisoning must undergo the medico-legal autopsy.…”

Section: Introductionmentioning

confidence: 99%

Fatal Poisonings in the South Marmara Region of Turkey

Fedakar

Türkmen

2008

ELECTRON J GEN MED

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Aim:The aim of this study is to describe the characteristics of medico-legal autopsies of fatal poisonings in the south Marmara region, Turkey, in the period of 1996-2003, in order to provide further data for the characterisation of fatal poisonings, because there is a scarcity of such information from Turkey.Methods: Of the 4242 autopsied cases, 415 (9.8%) deaths due to poisonings were examined; 26.8% females and 73.2% males. The mean age was 40.1±19.2 years old (range 0-88).Results: The three most common types of poison were carbon monoxide (43.5%), insecticides (24.6%), and alcohol (18.4%). The most frequent unnatural manner of death was accidents (67.5%), followed by suicidal (27.5%) deaths. Insecticides were the cause in 71.9% of suicidal poisonings, whereas the cause was carbon monoxide in 63.2%, and alcohol in %27.1% of the unintentional poisonings. The deaths due to carbon monoxide were associated with coal stoves (48.3%), water heaters in bath (31.1%), and fires (17.8%). Organophosphorus insecticides were responsible for 91.1% of total insecticide poisonings. 73.7% of the alcohol poisonings were observed in years [2000][2001][2002], and of the methyl alcohol poisoning, 35.9% and 29.7% were seen in years 2001 and 2002, respectively. Therapeutic drugs were encountered most frequently (75%).Conclusion: In conclusion, in fatal poisoning cases who have undergone medico-legal autopsy in Bursa and province, CO is of great ratio.

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“…Henderson et al (13) in their study with 732 patients have reported the need of mechanical ventilation as 79.5%. Further, Göksu et al (25) in their study with 179 patients have reported that 16 (8.9%) patients required mechanical ventilation, and the mean duration of mechanical ventilation of these cases was 3.81±1.12 days.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Investigation of Intoxication Cases That Require Mechanical Ventilation

Günaydın¹,

Dündar²,

Köylü³

et al. 2015

JAEM

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Aim: Intoxication cases are hospitalized in intensive care units not for intervention but for close observation and monitoring. Endotracheal intubation and mechanical ventilation may sometimes be required. Materials and Methods:In total, 2118 intoxication cases have been hospitalized in our toxicology intensive care unit sequentially between March 2011 and March 2013. Of these patients, 23 cases that required endotracheal intubation and mechanical ventilation were included in this retrospective study; data was obtained by screening the patient files.Results: Twenty-three cases (1.1%) required mechanical ventilation, and only 7 cases (0.33%) died. The most common reasons for requiring mechanical ventilation were unconsciousness and respiratory failure. During hospitalization, they were attached to mechanical ventilator for a mean of 4.17 days. While the mean duration of mechanical ventilation of patients with organophosphate intoxication was 6.92 days, the other non-organophosphate intoxication group was 1.18 days. There is significant statistical difference between two groups (p<0.01). We compared the organophosphate intoxication group with other non-organophosphate intoxication group for Glasgow Coma Scale, arterial blood gas, C-reactive protein, and pro-calcitonin and troponin levels at initial admission. Pro-calcitonin levels were significantly high in the organophosphate group. Conclusion:Intoxication cases that require mechanical ventilation can differ from classical intoxication epidemiology for age and sex. Organophosphate intoxications are one of the intoxication types that require mechanical ventilation and have the highest mortality. (JAEM 2015; 14: 2-7)

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Characteristics of Acute Adult Poisoning in Gaziantep, Turkey

Abstract: These data provide important preliminary information on the pattern of symptomatic poisonings in this south-east part of our country.

Cited by 82 publications

References 15 publications

Acute Poisoning; Etiological Agents and Demographic Characteristics in Patients Coming to Er of a Tertiary Care Hospital

Acute Poisoning; Etiological Agents and Demographic Characteristics in Patients Coming to Er of a Tertiary Care Hospital

Fatal Poisonings in the South Marmara Region of Turkey

Retrospective Investigation of Intoxication Cases That Require Mechanical Ventilation

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