Profile of Poisoning at a Tertiary Care Hospital in Haryana
Journal Title: International Journal of Current Research and Review - Year 2018, Vol 10, Issue 5
Abstract
Introduction: Poisonings continues to be a frequent reason for admission to hospitals and intensive care units in the developing countries. The fatal issue is often related to delay in diagnosis and improper management. Aim: The purpose of the study is to report the morbidity, mortality and survival pattern of poisoning cases received at a tertiary care centre at Haryana. The focus was also in depicting the signs and symptoms of various poisoning for early diagnosis. Methods: This was a retrospective study consisting of patients admitted with poisoning during the period January 2017 to December 2017, in a tertiary care centre in Haryana. Total of 200 patients admitted with poisoning were analyzed. Diagnosis was made on basis of history of exposure and characteristic clinical picture, with emphasis given to age, sex, month of year, motive of poisoning, type of compound, clinical presentation and final outcome of poisoning Results: Among the 200 cases, 127 (63.5%) cases of aluminium phosphide and 58 (29%) cases of organophosphate poisoning were observed. Few cases of tricyclic antidepressents poisoning (2%), zinc phosphide poisoning (2%) herbicide (2.5%), phenol and transfluthrin (all out) ingestion(0.5%) each were reported. The most common motive of poisoning (95.5%) was with a suicidal intent. Out of the 200 poisoning cases 146(73%) cases admitted survived on treatment and a mortality rate of 27% was reported. 90.7% of the deaths were due to aluminium poisoning ingestion, while mortality due to organophosphate poisoning was just 7.4%. Maximum cases were observed in the age-group of 21-30 years which holds 72 (36%) cases followed by 49 (26%) cases in 31-40 years. Males outnumbered females in every age group. 92.5% of the cases were from rural background, while only 7.5% of the urban inhabitants were affected by poisoning. Conclusion: Aluminium phosphide ingestion is the leading cause of deaths due to poisonings observed in Haryana, predominantly seen in youths residing in rural areas with male preponderance. Low cost of these compounds, easy availability at peak moments of frustration; due to marital discord, poor economic growth has pushed up the incidence of self poisoning. Hence up gradation of primary health care facilities to render immediate management of these poisoning cases could go a long way in helping to reduce mortality and morbidity.
Authors and Affiliations
Dr. Navtej Singh
Keywords
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- EP ID EP539167
- DOI 10.7324/IJCRR.2018.1057
- Views 136
- Downloads 0
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