Study of Clinical Profile of Organophosphorous Compound Poisoning
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 9
Abstract
Organophosphorus (OP) poisoning leads to high morbidity and mortality. Theobjective was to study the clinical profile of patients with Organophosphorous Compound Poisoning admitted in community health centreHaliyal. Aim was also to study the prevalence and outcome of patients with Organophosphorus compound poisoning.A prospective study was undertaken in Community Health Centre Haliyal from DEC 2015 to March 2017. All patients with suspicion and definite history of OP poisoning were admitted. Their history and clinical features were recorded. Patients were categorized according to age/sex, the amount of op compound consumed, severity of presentation, duration of exposure, stage of poisoning, intention of poisoning etc. Standard treatment protocol was followed. Intermittent conventional treatment was implemented. Results were recorded and analyzed.The inclusion criteria of the study was definitive history about ingestion of organophosphorus poison from patient self and relatives (when patient not in condition to give history) All patients with clinical signs of o p poisoning like Excessive salivation, bradycardia, meiosis ,wheezing etc were included in the study.During this one year study period total 51 patients were studied with the diagnosis of OP poisoning. Patients were divided and studied according to different criteria’s. Maximum patients were in age group of 14 to 25 yrs. There was almost equal prevalence among males and females. Most common cause of poisoning was suicidal. The most common route of poisoning was oral. According to severity, 21 (41.17%) were of moderate severity while 20 patients (39.21%) were of severe grade with low GCS and 10 (19.60%) patients were of mild severity Out of 51 patients 20 patients were referred to higher center in view of need of ventilator support. Financial constraint was most important cause in all suicidal attempt cases. Out of 51 patients 8 patients had history of alcohol consumption along with opp. One death occurred in our center. Easy availability of op compounds is main cause of consumption, Also as it occurs more commonly in villages in farmers as they are most commonly available to farmers as pesticides. Though first line of management in form of gastric lavage and atropine is given yet critical patients with respiratory failure who need ventilator support are at risk of losing life due to loss of valuable time in transportation to the higher centre with need of ventilators. In our study non availability of ventilators and ICU set up compelled us to refer high risk patients to higher centre.
Authors and Affiliations
Dr. ShilpaAnand Hakki
Keywords
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