Background
Zinc phosphide (ZnP) is a dark gray crystalline compound used as a rodenticide against rodents such as mice. ZnP poisoning may be accidental or suicidal. The aim of this study was to investigate the clinical manifestations and treatment management of hospitalized patients with ZnP poisoning in Mazandaran Province, northern Iran.
Methods
Between 2013 and 2017, a cross-sectional study was performed on hospitalized patients with ZnP poisoning who were referred to two training hospitals in Mazandaran Province, northern Iran.
Results
A total of 127 patients participated in this trial, including 71 (55.9%) men and 56 (44.1%) women. The patients’ average (standard deviation) age was 25.5 (±16.82) years, and it took 2.18 (±2.23) hours to refer them to the hospital. There were 42 (33%) cases with less than one package, 9 (7%) cases with several packages, and 76 (60%) cases with no particular usage.
Conclusions
This study has shown that ZnP poisoning may be asymptomatic initially or with mild clinical symptoms that may gradually worsen. Therefore, hospitalization and obtaining a history and a careful physical examination should be considered.
Hypothermia is defined as a core temperature less than 35 which is commonly seen in patients with loss of consciences. It increases the mortality due to impaired cardio respiratory function, peripheral vasoconstriction, bleeding diathesis, metabolic acidosis, diminished hepatorenal function and impaired immune response. We decide to investigate the prevalence of hypothermia and its relationship with patients’ outcome considering the problem mentioned and inadequate attention to hypothermia. Investigation was done in 100 emergent patients who presented to Iran university hospital, Tehran, Iran. This descriptive study was done during 4 month; tympanic infrared thermometer was used to measure the temperature. The temperature was measured 0.1 and 6 hr. after arrival and then gathered data was processed by SPSS statistical software. Our goal was to find the relation between patients’ core temperature and their outcomes in emergent patients. Some other data such as mortality and need for critical care or ward admission, was also included. Hypothermia was detected in 35.3% of the patients. There was significant correlation between hypothermia and mortality P; 0.002. Hypothermia was more prevalent in patients who were died but there was no significant correlation between hypothermia and the need for critical care length of stay.
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