THE OBSERVATIONAL & CROSS-SECTIONAL STUDY OF CLINICAL PATTERN AND OUTCOME OF ORGANOPHOSPHORUS POISONING AT MGM MEDICAL COLLEGE AND HOSPITAL, JAMSHEDPUR, JHARKHAND

Abstract

OBJECTIVES: To study the clinical presentation and outcome of acute organophosphorus(OP) poisoning. METHODS: This case series included 94 cases from medical wards/emergency/I.C.U. of MGM Medical College, Jamshedpur, Jharkhand from March 2019 to February 2020. all patients of organophosphorus poisoning showing either sign of muscarinic or nicotinic effects were included. We did exclude those patients with doubtful poisoning. RESULTS: Ninety-Four patients with organophosphate poisoning were admitted. Among these 61% were males and 39% were females. Modes of poisoning were suicidal in 61% of cases, accidental in 35%, and 4% were homicidal. The clinical presentation of acute poisoning was variable however the most consistent feature was miosis (98%). As per WHO classification for severity of organophosphorus poisoning; 57% of cases were moderate, 27% were severe, and 16% were mild. The mortality rate was 17% and mostly among patients who presented with severe symptoms and presented late. CONCLUSION: OPs are the main chemical threat to young people, depressed individuals, and farmworkers. so rapid diagnosis and early treatment is essential to save