A STUDY OF PROFILE OF ACUTE POISONING PATIENTS AT A TERTIARY CARE HOSPITAL OF CENTRAL INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 36
Abstract
[b]OBJECTIVE:[/b] To determine the profile and outcome of patients presenting with acute poisoning to a tertiary care centre in central India. [b]METHODS[/b]: A three year (March 2011 to March 2014) hospital records of patients admitted in pediatric and medicine emergency room with age less than 18 years and history of poisoning were retrospectively reviewed and their outcome noted. [b]RESULTS[/b]: 72caseswith age less than 18 years presented to the pediatric and medicine emergency ward with poisoning during the study period. Mean age of our patients was 4.72 ± 1.74 yrs. (SD). The majority of our patients (45.8%) were in the 1-6 yrs. age group. Males outnumbered females by a factor of two; the majority of our patients resided in urban areas. Kerosene (31.9%), drugs (23.6%) and insecticides (8.3%) were the agents most frequently implicated. Almost all (97.7%) ingestions were accidental in nature. 16 patients (22.2%) were asymptomatic after 6 hrs. of observation in the emergency ward; 56 patients (77.8%) developed symptoms related to toxic ingestion. The common serious symptoms included altered sensorium, respiratory distress, seizures, hypotension, cyanosis and burns; three patients required intubation and mechanical ventilation. Almost one third of our patient’s underwent gastric lavage; no patient with kerosene poisoning or any other inappropriate indication underwent the same. [b]CONCLUSION:[/b] Comparative data has revealed that while poisoning in developed countries is mostly due to common household products, in developing countries like ours, it is due to toxic substances which should not have been accessible to children in the first place
Authors and Affiliations
Maheshwari M, Tariq Jalaly, Roshan Chanchlani
Keywords
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- EP ID EP153854
- DOI 10.14260/jemds/2014/3227
- Views 81
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