Frequency of Carbon Monoxide Poisoning in Turkey in 2010

Abstract

AIM: In Turkey, studies about frequency of carbon monoxide (CO) poisoning are rare. In this study, it is aimed to determine the frequency of the CO poisoning cases occurring all around the country. METHOD: This study was planned as a descriptive study covering Turkey in general as stage. In this study, the CO poisoning case records of Ministry of Health Treat Services General Directorate in 2010 have been examined. The distribution of cases among regions-provinces, mortality rates, types of CO sources, seasonal and monthly dispersions have been examined. RESULTS: According to the records, totally 10.154 cases of CO poisoning were detected in Turkey in 2010 and only 39 of them were ended with death. It is determined that the frequency of cases is 0,0137% (approximately 14 in every 100.000) and mortality rate is about 5 in every 10 million. Poisoning cases have been occurred mostly in Marmara Region (3.426 cases, 33,7%). When it is evaluated in regard to the population, cases are mostly seen in Kilis (0,1998%). As of mortality rates, Bursa has the most number of cases ending with death (18 cases). CONCLUSION: Compared to studies in other countries, according to our data, Turkey was faced with more frequent cases of CO poisoning. The number of cases has increased, especially during the winter months. [TAF Prev Med Bull 2011; 10(5.000): 587-592

Evaluation of neurological and cardiological findings in carbonmonoxide poisoning in children

“…Since there is no direct pathognomonic finding, the main determinant in the diagnosis is "suspicion". The most common complaints have been found to include nausea-vomiting, headache, somnolance-weakness and loss of consciousness (3,4,11,12). In our study, the most common complaints included nausea-vomiting, headache and loss of consciousness which was compatible with the literature.…”

“…In a study conducted in our country, 10 154 CO cases were found in one year and 0.3% of these were reported to result in mortality (11). In a study performed by Yarar et al (5), it was reported that 3 of 107 pediatric patients who were followed up because of CO poisoning were lost.…”

Does Age Affect Presenting Symptoms in Children With Carbon Monoxide Poisoning?

“…1,7,8 The use of coal for fuel, without adequate ventilation, may be a common cause of CO poisoning in some countries. 9 Families tend to sleep in the same room around a centrally located stove, which explains why presentations to the emergency department usually involve more than 1 individual from the same family, particularly in the hours between 6 PM and midnight. 10 There are 4 aspects to the pathophysiologic changes induced by CO: hemoglobin binding, direct cellular toxicity, protein binding, and increased production of nitric oxide.…”

A Rare Cause of Carbon Monoxide Intoxication: Hookah

“…CO intoxication findings are seen in vital organs with high oxygen dependence such as central nervous system and cardiovascular system (Karaca et al, 2013). Suicidal or fire exposure related intoxications are more commonly reported in developed countries, whereas in our country, poisonings due to stoves, water heaters and combi boiler use are more common (Metin et al, 2011). The use of barbecues and hookah smoking in small areas with insufficient ventilation are rare causes of CO intoxication.…”