Effect of Organophasphate poisoning among patients reporting at a tertiary healthcare facility of Sindh Pakistan

Abstract

Objective:To determine the effect of organophosphate poisoning (OPP) among patients at tertiary healthcare, Pakistan.Methods:This cohort study was conducted over a six-year period (January 2011 to December 2016) of OPP patients admitted to the intensive care unit of Peoples University of Medical & Health Sciences for Women SBA, Hospital Pakistan and their outcome was determined.Results:Total mortality was 17.39% (84 deaths in 483 patients, excluding those referred to Karachi). Out of these 84 deaths, 65 patients (13.46%) expired due to cardiorespiratory failure, 17 deaths (3.52%) followed due to complication of mechanical ventilation & ICU acquired infection and two deaths (0.41%) occurred due to renal failure. The major cause of poisoning was deliberate self-harm /suicidal intention (93.02%), with gender distribution of female (57.07%) and male (35.95%), followed by unintentional/accidental exposure (6.98%) in males. The intensive supportive treatment, precise and appropriate respiratory care, and adequate amount of atropine and pralidoxime doses are keys to reducing the OPP patient’s mortality.Conclusion:Organophosphate poisoning (OPP) intoxication is common in female gender. The easy availability of these harmful compounds has resulted in increased mortality either by accidental exposure or most often by the deliberate suicidal attempt.

Epidemiological, Poisoning Characteristics and Treatment Outcomes of Patients Admitted to the National Poisoning Control Centre at Karachi, Pakistan: A Six Month Analysis

“…The complex socio-economic, psychological, and other aspects of poisoning are beyond the scope of this article. Almost all of the cases are of suicidal intent [2] and undergo medico-legal examination and registration at the ER, given appropriate resuscitative measures, and then admitted. Such sensitive information is kept off limits to most personnel.…”