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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 10, Issue 2, March 2014 pp 365-368
Retrospective Analysis of Poisoning Cases Admitted in a Tertiary Care Hospital
Sheetu M. K. Jailkhani1, Naik J. D. 2, Thakur M. S.3, Langare S. D.4, Pandey V. O.5
1, 3Junior Resident, 2Associate Professor and Head, 4Ex-Assistant Professor, 5Statistician
Department of Community Medicine, Government Medical College, Miraj, Maharashtra, INDIA.
Academic Editor : Dr. Aher K. R.
Background: Poisoning is a major public health problem worldwide, with thousands of deaths occurring every year, mainly in the developing countries. India, holding 70% of agricultural land, accounts for one third of pesticide poisoning cases in the third world, the farm workers being the worst affected. Most of the poisonings occur due to deliberate self ingestion of the poison. Organo-phosphorus (OP) compounds occupy the greatest burden of poisoning related morbidity and mortality. The present study was aimed to know the profile of various poisonings. Objectives: 1.To determine the socio-demographic profile of poisoning cases.2.To assess their pattern and outcome. Methodology: A record based retrospective study from December 2010-November 2011 was conducted in a tertiary care hospital and data regarding age, gender, residence, time elapsed after intake, type of poison, manner and route of poisoning, duration of hospitalization and outcome was collected in a pre-structured proforma. The data was analyzed using standard statistical methods. Results: Out of total 196 cases recorded, 52% were males and 48% females. Maximum cases among both genders occurred in the age group of 21-30years.67.3% cases were from rural areas. 76.2% patients died when the time lapse before hospitalization was >2hours.OP compounds account for 27% of cases and 61.9%(13) of deaths.29 (14.8%) cases of various poisonings were associated with alcohol intake along with the poison. The route of exposure was oral (97.4%) in majority of cases. Suicidal poisoning was the most common mode of poisoning(69.9%).Most of the suicidal cases was seen in patients with History of psychiatric disorders. Out of 196 cases, 21 died.20 out of 25 patients who were given ventilator support died. Conclusion Poisoning is more common in young males, suicidal being the most common mode. OP compounds are the commonly used poison. Time lapse has a significant role on the mortality in cases of acute poisoning. Early care in a tertiary care centre may help to reduce mortality due to poisonings.