Pattern of acute poisoning in children in a tertiary care hospital in eastern Nepal

Yadav, Satish Kumar; Yadav, Suman; Agrawal, Jyoti; Shah, Gaurishankar

doi:10.18203/2349-3291.ijcp20162380

Cited by 7 publications

(9 citation statements)

References 9 publications

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“…In our study, the nature of poisoning among more than two-thirds of children (67.9%) was accidental, which was similar to the studies done by Kohli et al, Polasa et al, Gupta et al, Gummin et al, Ghosh et al, and Yadav et al [ 8 , 19 , 20 , 22 - 24 ], where the majority of cases were accidental and it demonstrates a lack of supervision by adults, including a lack of understanding and attitude toward storage of such items, as well as exploration of surroundings and a tendency for children to put every object rescued in their mouths.…”

Section: Discussionsupporting

confidence: 90%

A Study on the Profile of Poisoning in the Paediatric Population in a Tertiary Care Teaching Hospital of Chitradurga Region

Shreekrishna¹,

Singi²,

Chandan³

et al. 2022

Cureus

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BackgroundMost poisoning events among children are preventable and the major reason is lack of supervision by adults, including poor knowledge and attitude toward storage of such items. So, the prevention policy on children's poisoning shall take into account the age group, gender, socioeconomic status, residence, and other aspects such as the knowledge and attitude of adults. The present study was conducted to describe the profile of poisoning in the paediatric population in a tertiary care teaching hospital. MethodsOur observational study was retrospective and was conducted at Basaveshwara Medical College and Hospital (BMCH), Chitradurga, Karnataka, under the Department of Forensic Medicine for a duration of three months (February 2021 to April 2021). Institutional ethical approval was obtained prior to the start of the study. As our study participants were paediatric patients (0-17 years) with acute poisoning (excluding homeopathic drug ingestion), a total of 81 paediatric patients' case sheets were finally reviewed and analysed. The data of paediatric poisoning cases were collected in a predesigned study proforma and included details about children's age (in years), gender (male, female), residence (rural, urban), outcome (death, discharge), nature of poisoning (accidental, suicidal), and toxic agents in poisoning. The collected data were entered and analysed in the Microsoft Excel spreadsheet (Microsoft Corporation, Redmond, WA). ResultsThe incidence of acute poisoning among the paediatric population in our teaching hospital was 1.4%. The most common age group with acute poisoning was 13-17 years (30.9%). The prevalence of acute poisoning was higher in male children (56.8%) when compared to female children (43.2%). Around three-fourths of paediatric cases (71.6%) with acute poisoning were having a rural residence. The overall mortality rate among children due to acute poisoning was 9.9%. The most common toxic agents involved in acute poisoning among children were organophosphate compounds (35.8%), followed by organochlorine compounds (30.9%) and pyrethrum compounds (11.1%). ConclusionFrom this study, we concluded that acute poisoning among children is mainly accidental, and the most common toxic agent responsible for the poisoning is pesticide or insecticide. Most poisoning events among children are preventable, and the major reason is a lack of supervision by adults, including poor knowledge and attitude toward storage of such items.

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Section: Discussionsupporting

confidence: 90%

A Study on the Profile of Poisoning in the Paediatric Population in a Tertiary Care Teaching Hospital of Chitradurga Region

Shreekrishna¹,

Singi²,

Chandan³

et al. 2022

Cureus

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“…More boys were affected than girls in this review which is consistent with the majority of studies [4][5][6][7]19,20]. This may be a consequence of the more curious and daring nature of boys.…”

Section: Discussionsupporting

confidence: 89%

“…However, a study conducted in a neighbouring state with similar characteristics found organophosphates to be the commonest agent of poisoning amongst children [11]. Organophosphates are also the most frequent agents of poisoning in parts of Egypt and India [9,19].…”

Section: Discussionmentioning

confidence: 99%

Acute Childhood Poisoning in Azare North Eastern Nigeria

Imoudu¹,

Afegbua²,

Elike³

et al. 2018

JAMMR

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“…Poisoning pattern of a country is very crucial in determining the health need of the society and planning the infrastructure and manpower requirement for dealing these cases effectively and efficiently 5 . It varies in different parts of the country depending on various factors such as demography, education, socio-economic status, local beliefs and customs 6 . Thus each region of the country needs specific epidemiological surveillance to determine the extent and pattern of the problem to take preventive measures.…”

Section: Introductionmentioning

confidence: 99%

A retrospective study of poisoning cases in Manmohan Memorial Teaching Hospital

Bajracharya

Khadka

Wagle

2018

J. Manmohan Memorial Inst. Health. Sci.

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Background: Poisoning is one of the leading causes of morbidity and mortality in Nepal and also a major public health problem worldwide. It needs specific epidemiological surveillance to determine the extent and pattern of poisoning of a place, and to take preventive measures. Hence this study is aimed to explore the demographic, etiological, and clinical characteristics of poisoning cases of MMTH and to assess the effect of variables such as age, sex, and agent of poisoning frequency.Methods: A retrospective, descriptive, unicentric and semi-quantitative study was conducted in a year of 2074 at Manmohan memorial teaching hospital after institution review committee approval in customised data collection form. Data from Baishakh 2070 (April 2013) to Kartik 2074 (October 2017) were reviewed. The data was entered in SPSS 16 version for analysis.Result: Among 144 patients, poisoning was common among people from the age group of 15-25 years and 26-40 years. The females were more vulnerable than male. The male to female ratio was 1:1.4. Married females (32%) and married males (31%) were more vulnerable than unmarried ones. Poisoning incidence was found more during night (40.3%) and midnight (18.80%). 81.2% of poisoning cases were found with suicidal intention. Organophosphorous poisoning was abundant with 75 cases.Conclusion: This study reveals that OP poisoning is most common for self-harm with females and young at more risk. Therefore, awareness among youths is a must.JMMIHS.2018;4(1):55-65

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Pattern of acute poisoning in children in a tertiary care hospital in eastern Nepal

Cited by 7 publications

References 9 publications

A Study on the Profile of Poisoning in the Paediatric Population in a Tertiary Care Teaching Hospital of Chitradurga Region

A Study on the Profile of Poisoning in the Paediatric Population in a Tertiary Care Teaching Hospital of Chitradurga Region

Acute Childhood Poisoning in Azare North Eastern Nigeria

A retrospective study of poisoning cases in Manmohan Memorial Teaching Hospital

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