A Comparative Study of Acute Poisoning in Nepal at Tertiary and Secondary Level Hospitals

Ghimire, Ram Hari; Sharma, S.P.; Pandey, K R

doi:10.31729/jnma.473

Cited by 6 publications

(5 citation statements)

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“…12 This is consistent with other studies carried out in Nepal. [13][14][15][16][17][18][19] In a small study from eastern part of the country, 62% of poisoning patients consumed Metacid as poison. However, a study done in Turkey revealed that the most common substance used for self-poisoning were medicinal druges, antidepressants being the most common of them.…”

Section: Discussionmentioning

confidence: 99%

Pattern of Acute Poisoning Attending a Tertiary Care Hospital of Western Nepal

Shakya¹,

Adhikary²,

Bajracharya³

2016

J Lumbini Med Coll

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Introduction: Poisoning with various substances is a major public health problem and a reason for significant morbidity and mortality throughout the globe. It is one of the most common presentation in an emergency department. This study was conducted to determine the sociodemographic, poisoning types, and mode of poisoning in cases attending a tertiary hospital of Western Nepal. Methods: A retrospective observational study of two years was conducted from July 2014 to June 2016. Demography details, name of poisonous substance, and reasons for poisoning were reviewed and analyzed using descriptive statistics. Results: A total of 65 cases of poisoning were recorded. The occurrence was more common in female (n=44, 67.7%) than in male (n=21, 32.3%) with a F:M ratio of 2.1:1. Poisoning was most common in the age group of 11-20 years (32.3%). Most of the cases were students (37%) followed by farmers (26%). The most commonly abused poisoning substance were organophosphorous compounds, zinc-phosphate, and kerosene in adults, adolescents, and children respectively. Oral route was the most common (99%) route of administration. Suicidal attempt, as a mode of poisoning, accounted for 70.8% of total poisoning cases. Conclusion: Female and young people are at greater risk of acute poisoning. Insecticide was the most common agent and self administer poisoning was the most common mode of poisoning. The occurrence of poisoning and its morbidity and mortality can be reduced by developing and implementation of effective prevention strategies like restricting easy poison sales, establishing drug and poison information centers, and community awareness programs.

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Section: Discussionmentioning

confidence: 99%

Pattern of Acute Poisoning Attending a Tertiary Care Hospital of Western Nepal

Shakya¹,

Adhikary²,

Bajracharya³

2016

J Lumbini Med Coll

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“…Acute poisoning was seen more in females constituting 64% than in males 36% in our study this is nearly same to the studies conducted in Turkey and India 6,10 and Unlike the studies carried out in other countries of the world. 7,8,9 In our study most common age group for poisoning is from 15-30 years. This is similar to the findings of the other researches from Bangladesh, India and Norway.…”

Section: Discussionmentioning

confidence: 56%

Acute Poisoning

Owais¹,

Khan²

2015

TPMJ

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Acute poisoning with various substances is common worldwide. Exposure toagrochemicals, medicines and environmental agents are the major causes of poisoning.1 It isone of the commonest causes of morbidity and mortality to the patients which has drawn theworld attention. Objectives: To determine the socio-demographic characteristics and causesand agents of poisoning among patients visiting emergency department with acute poisoning.Methods: All the poisoning cases that fulfilled the inclusion criteria and attended the emergencydepartment from February 2014 till March 2015 with acute poisoning were evaluated. A hospitalmedical record form were used for data collection in which the details of patient’s demography,agents of poisoning and intension of poisoning, were entered from hospital records andanalyzed. Results: A total of 364 patients attended the emergency department of Zia Uddinuniversity hospital over period of 12 months. In this population 36% were male and 64%were females. Commonest age group for poisoning was 15-30 yrs. and commonest agentwas organophosphate. Intentional poisoning comprised of 88% while accidental poisoningcomprised of 12%. Conclusion: On the basis of our study we can conclude that femaleadolescents and adults are more prone to intentional acute poisoning and pesticides are thecommonest agents involved in acute poisoning.

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“…Housewives occupied the first place in studies from other centers as well. 2,[10][11][12] In similar studies by Thapa et al 6 involved (40.75%) followed by housewives (31.49%) and students (16.67%). Housewives and students can thus be considered at a higher risk for poisoning which may be due to fact that they are under considerable stress in life.…”

Section: Discussionmentioning

confidence: 99%

“…This is consistent with studies carried out in other centres. [2][3][4][5][6][7][8] Higher incidence in this economically productive young age group has profound implications in the society. We found higher incidence of poisoning in married (61.6%) than unmarried (37.7%) individuals.…”

Section: Discussionmentioning

confidence: 99%

“…Incidence of poisoning depends upon the socio-economic status, degree of intent of self-harm and the availability of the poison. 2 Our study aims to find out the incidence of poisoning in a tertiary level teaching hospital and the related common variables like age, sex, occupation, history of psychiatric illness, reasons for exposure and routes of exposure to the poison, vital signs, chief complaints, treatment and the outcome of the patients.…”

Section: Introductionmentioning

confidence: 99%

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Acute poisoning cases in emergency department of tertiary level hospital, Kathmandu

Baral¹,

Rajbhandari²,

Shrestha³

et al. 2011

jgpeman

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Introduction: To determine the pattern of acute poisoning cases presenting to the Tribhuvan University Teaching Hospital (TUTH), Nepal. Method: A hospital based cross sectional study was carried out in the emergency department of TUTH analyzing the data of poisoningw cases that attended emergency during one year period. Result: A total of 276 cases presented to the emergency during the period of one yearfrom February 9, 2010 to February 8, 2011. There were 111 males (40.2%) and 165 females (59.8%). Most of the patients (42%) were in age group of 20-30 years. 170 (61.6%) patients were married. Occupation wise, 31.5% of the cases were housewives, 30.1% were students and 14.5% were laborers. Most of the cases were suicidal (75.4%). Insecticide was the most common poison (40.2%) whereas in 46 patients the poisons could not be identified. Oral was the route of poisoning in almost all cases (99.6%). Most of the cases had presented within 12 hours of intake of poison. Previous psychiatric illness was present in 13 cases (4.7%). Only 12 cases (4.3%) were admitted. Conclusion: Females and young people are at greater risk of poisoning. The most common agent is insecticide and selfpoisoning is the most common mode of poisoning.

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A Comparative Study of Acute Poisoning in Nepal at Tertiary and Secondary Level Hospitals

Cited by 6 publications

References 0 publications

Pattern of Acute Poisoning Attending a Tertiary Care Hospital of Western Nepal

Pattern of Acute Poisoning Attending a Tertiary Care Hospital of Western Nepal

Acute Poisoning

Acute poisoning cases in emergency department of tertiary level hospital, Kathmandu

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