Intentional versus accidental pesticide poisoning in hospitalized patients in poisoning referral center in Isfahan, Iran: A cross sectional study

Mirmoghtadaei, Parisa; Eizadi-Mood, Nastaran; Mahvari, Razieh; Mohammadbeigi, Ehsan; Savari, Mahsa Akafzadeh; Feizi, Awat; Sami, Ramin; Meamar, Rokhsareh

doi:10.5958/0974-4614.2022.00014.6

Cited by 1 publication

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“…However, the pattern of poisoning differed between the two groups, with pharmaceutical poisoning being more prevalent in the younger age group (20–40 years) and non- pharmaceutical poisoning being more prevalent in the older age group (over 40 years). Another study found that women aged 19–44 had the highest rate of suicide cases; however, there was no significant difference between gender and type of exposure 28 , 29 . Older patients may use more pesticides for poisoning compared to younger patients who use drugs for suicide purposes 30 .…”

Section: Discussionmentioning

confidence: 95%

Clinico-epidemiological evaluation of pharmaceutical/non-pharmaceutical poisoning in a referral poisoning emergency in the Central part of Iran

Eizadi-Mood,

Sanjari,

Feizi

et al. 2024

Sci Rep

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The pattern of poisoning varies in different societies. In this study, we investigated the clinical-epidemiological features and outcomes of poisoned patients based on the substances involved, whether pharmaceutical or non- pharmaceutical toxins. This cross-sectional study involved a retrospective chart review of all poisoned patients who presented to the poisoning emergency hospital in the center of Iran between January 2015 and December 2019. We collected data on socio-demographics, the nature of the poisoning, and the outcomes. Backward stepwise binary regression analysis was conducted to predict the mortality. Throughout the study period, 5777 patients with acute poisoning met the inclusion criteria. Of these, 3524 cases (61%) were attributed to pharmaceutical, and 2253 cases (39%) were due to non-pharmaceutical poisoning. The majority of pharmaceutical poisonings (82.9%) were intentional, whereas non-pharmaceutical poisonings accounted for 46.2% of intentional exposures (P < 0.001). Patients with non-pharmaceutical poisoning were predominantly men, older in age, and had a history of addiction compared to those with pharmaceutical poisoning (P < 0.001). In binary logistic regression analysis, patients poisoned by non-pharmaceutical substances had a significantly higher risk of mortality [Odds ratio, 3.14; (95% CI 1.39–7.10); P = 0.006] compared to those poisoned by pharmaceutical substances (P < 0.001). The pattern of poisoning differs in terms of age and gender when comparing pharmaceutical to non-pharmaceutical poisoning. Patients poisoned by non-pharmaceutical may have a worse outcome compared to those poisoned by pharmaceutical substances.

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Section: Discussionmentioning

confidence: 95%