The global problem of acute poisoning has constantly increased over the last few years. It is a major cause of morbidity and mortality in developing countries. Appropriate preventive and management strategies can be developed if the incidence and pattern of acute poisoning is known. This study aimed to determine the profile and outcomes of acute poisoning patients admited to the hospital through emergency department of a tertiary care hospital. Material and Methods: A hospital based retrospective study was performed in the patients admitted to tertiary hospital with the history of poisoning for the period of one year. Several parameters were analyzed and compared with other studies. Results: Seventy-nine patients were presented with acute poisoning during our study period. The age of the patient varied from 11 to 63 years. The mean age was 27.76±15.5%. Females (53.2%) were dominant over males (46.8%). Patients aged between 21 to 30 years were the most common age group involved with poisoning. Subjects were most commonly affected by organophosphorous poisoning followed by chemical poisoning. Conclusion: Poisoning by agents like drugs (pesticides) and organophosphorus compounds are alarming situation and these occur mostly during adolescent period. Government regulations, educational awareness and poison information centres will help to decrease the growth of this public health problem
Oral morphine is extracted from a naturally occurring opium plant. It has been reviewed as a potent analgesic and according to the World Health Organization (WHO) its use is recommended as the drug of choice for the treatment of severe pain, including cancer pains and various other types of pains. However, a large proportion of doctors are hesitant to prescribe morphine because of the unfounded fear of addiction. The main aim of this study was to assess the morphine prescribing pattern of doctors in conformity with the international guidelines. Material and Methods: The present study was a descriptive analysis of oral morphine prescriptions made within a 6 months period, between 2016 and 2017. All the prescriptions for the patients with pain under oral morphine in the hospital records were reviewed. Results: The results showed that (53.6%) of all morphine prescriptions were from the Oncology Department/OPD, while the newly created Day Care Unit accounted for 43.9% of the prescriptions. Almost nil prescriptions were seen from the Labour ward. Only 1.2% of all the prescriptions conformed to international guideline Conclusion: The results reflected that there was a need for more education and advocacy programmes to increase awareness among doctors about morphine prescriptions. The cancer study revealed the useful information related to epidemiology of cancer among both the genders in Nepal which will prove to be useful in health planning and future research.
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