Validity of referral hospitals for the toxicovigilance of acute poisoning in Sri Lanka

Senarathna, Lalith; Buckley, N.; Jayamanna, S. F.; Kelly, PJ; Dibley, MJ; Dawson, Andrew

doi:10.2471/blt.11.092114

Cited by 18 publications

(25 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Acute poisoning is a major public and preventable health issue contributing to morbidity and mortality in many parts of the world. It is estimated that poisoning events are responsible for more than one million illnesses annually 2 3. Low mortality contrasts with high morbidity in acute poisoning; however, patients who attempt suicide usually have higher mortality 4–6.…”

Section: Introductionmentioning

confidence: 99%

Acute poisoning in Shenyang, China: a retrospective and descriptive study from 2012 to 2016

Zhang

Wang

et al. 2018

BMJ Open

View full text Add to dashboard Cite

ObjectivesUp-to-date information on the patterns of acute poisoning is crucial for the proper management of poisoning events. The objectives of this study were to analyse the characteristics of patients suffering from acute poisoning admitted to the emergency department (ED) in a tertiary medical centre in Northeast China and to compare these characteristics with those of a previous comparable study.DesignRetrospective and descriptive study.SettingData were collected from the hospital information system in Shengjing Hospital, China, from January 2012 to December 2016.ParticipantsAll cases aged ≥11 years old with a diagnosis of acute poisoning.ResultsIn total, 5009 patients aged ≥11 years presented to the ED with acute poisoning during the study period. The average age of the patients was 36.0±15.1 years and over half (52.7%) were in the 20–39age group. The female to male ratio was 1.2:1. Patients with acute poisoning mainly lived in rural areas rather than in urban areas. The majority of patients consumed poison as suicide attempts (56.7%). Men were more commonly poisoned by drug abuse than women, but women outnumbered men in suicidal poisoning. The most common form of poison intake was ingestion (oral intake; 86.2%). The five most common toxic agent groups, in descending order, were therapeutic drugs (32.6%), pesticides (26.9%), alcohol (20.7%), fumes/gases/vapours (11.4%) and chemicals (3.6%). Sedatives/hypnotics in the therapeutic drugs group and paraquat in the pesticides group were the most common toxic agents, respectively. The mortality rate of study participants was 1.3%, with 64 deaths.ConclusionsThe results of this study indicate the need to strengthen education on the rational and safe use of drugs in Shenyang.

show abstract

Section: Introductionmentioning

confidence: 99%

Acute poisoning in Shenyang, China: a retrospective and descriptive study from 2012 to 2016

Zhang

Wang

et al. 2018

BMJ Open

View full text Add to dashboard Cite

show abstract

“…[8] Continuous surveillance of cases of acute poisoning is important for planning and evaluating public health interventions. [9] It is important to know the nature and severity of poisoning in order to take appropriate preventive measures. There has been no study of this nature conducted at Jimma University Specialized Hospital (JUSH) to date, hence this study was carried out with the objectives to assess patterns of acute poisonings along with various parameters such as poisoning mode, type of poison used, and outcomes of acute poisoning cases presented to JUSH over a period of one year.…”

Section: Introductionmentioning

confidence: 99%

Pattern of acute poisoning in Jimma University Specialized Hospital, South West Ethiopia

Teklemariam¹,

Tesema²,

Jemal³

2016

World Journal of Emergency Medicine

View full text Add to dashboard Cite

“…It is estimated that poisoning events are responsible for more than one million illnesses annually. 1,2 Although acute poisoning is either intentional or accidental, most admissions are due to intentional self-poisoning with a highly toxic agent, such as pesticide. 1 The epidemiology of poisoning in Kenya, as in other African countries, is not well established.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Although acute poisoning is either intentional or accidental, most admissions are due to intentional self-poisoning with a highly toxic agent, such as pesticide. 1 The epidemiology of poisoning in Kenya, as in other African countries, is not well established. 3 However, in countries like Kenya with few established poison information centres, hospital toxicovigilance is important in providing toxicoepidemiological information that can be used in the design of focused interventions.…”

Section: Introductionmentioning

confidence: 99%

Acute poisoning in the Rift Valley Provincial General Hospital, Nakuru, Kenya: January to June 2012

Bundotich

Gichuhi

2015

South African Family Practice

View full text Add to dashboard Cite

Information on the patterns of acute poisoning in Kenyan hospitals is limited, and yet such information is crucial for the appropriate management of poisoning. This study attempted to address this knowledge gap by examining admissions in a regional hospital in Kenya. Method: This was a retrospective review of the hospital records of 96 acute poisoning patients in Rift Valley Provincial General Hospital, Nakuru, in the first six months of 2012. A pretested data collection form was used to obtain data on important variables. Results: The prevalence of acute poisoning was 0.07% (96 of 141 769 cases). The average age of the patients was 22.6 years ± 11.20 years, the majority of whom were males [odds ratio (OR) 2.06]. The most prevalent toxic agent was pesticide (50, 52.08%). The majority of cases were intentional poisoning (48.96%) versus unintentional poisoning (43.75%), and involved mainly males (OR 3.06). Conversely, females were the majority with respect to accidental poisoning (25%) versus males (17.7%). However, accidental poisoning was most prevalent in patients aged 12 years and younger (23, 23.96%). Overall, acute poisoning was most prevalent in the age category of 20-30 years (40, 41.66%), in which intentional poisoning was predominant (26, 27.08%). The majority of cases of acute poisoning were incorrectly diagnosed (OR 1.79). The three patients who died were males (3.13%). Conclusion: This study showed that the majority of acute poisoning cases affected males and were intentional. The study also showed that the most prevalent acute toxic agent was pesticide and that acute toxic agents were often misclassified and hence misdiagnosed. These observations should be included when designing focused hospital poison management protocols.

show abstract

Validity of referral hospitals for the toxicovigilance of acute poisoning in Sri Lanka

Cited by 18 publications

References 11 publications

Acute poisoning in Shenyang, China: a retrospective and descriptive study from 2012 to 2016

Acute poisoning in Shenyang, China: a retrospective and descriptive study from 2012 to 2016

Pattern of acute poisoning in Jimma University Specialized Hospital, South West Ethiopia

Acute poisoning in the Rift Valley Provincial General Hospital, Nakuru, Kenya: January to June 2012

Contact Info

Product

Resources

About