An Epidemiological Study of Adult Acute Poisoning in Fez: Morocco

Introduction: Acute poisoning represents a real health threat in the world. It is a common cause of admission to emergency department and in intensive care unit. Periodic clinical and epidemiological studies are required to understand the pattern of poisoning. This study aims to analyze epidemiological aspect, clinical profile, and outcome of acute poisoning in a tertiary care hospital. Material and Methods: A cross sectional study was conducted at Government Medical College Hospital, Kota, Rajasthan. 102 admitted patients were taken for study from January 2020 to August 2020. Epidemiological variables age, sex, type of poison, mode of exposure, clinical presentation and outcome were studied. Results: The median age was 30.23 years with a male predominance (54.9%). The circumstances of poisoning were suicidal, accidental and unknown in 88.2%, 9.8%, and 1.96% respectively. Ingestion was the major route of exposure (98%) followed by inhalation (1.96%). The majority 33(32.4%) of cases were of Organophosphorus poisoning followed by 17(16.7%) cases of Rodenticide poisoning. The main symptoms were nausea and vomiting in 90(88.2%) cases. Convulsions were noted in 3(2.9%) patients. Gastric lavage was done for 92(90.19%). 8 patients (7.84%) were needed mechanical ventilation. 7 patients (6.86%) were needed vasoactive drugs. The rate of mortality was 8.82%. The aluminium phosphide poisoning was responsible for 44.4% deaths. Conclusion: Study revealed the high mortality associated with acute poisoning. Appropriate approach towards poisoning at tertiary care center and prevention remains the best strategy for reducing morbidity and mortality.

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“…In our study 9 patients died. The rate of mortality was 8.82%, which is similar to Boukatta et al 15 (10.9%).…”

Section: Table 2: Comparison Of Age Groups Of Patients With Other Stu...supporting

confidence: 89%

An Epidemiological Study of Acute Poisoning In a Tertiary Care Centre

2021

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“…Cultural factors are pointed out by the authors researching pesticide poisonings in South Africa, where women were poisoned more often than men [16,17]. Incidents in which women were more numerous occurred during field work or as a result of the ingestion of food contaminated by pesticides.…”

Section: Discussionmentioning

confidence: 99%

“…In the publication concerning patients hospitalized at the University Hospital in Fez (Morocco), it was also observed that more women were poisoned with pesticides intentionally. According to the authors, this situation could have been influenced by psychological and social factors [16].…”

Section: Discussionmentioning

confidence: 99%

Pesticide poisonings in 2004−2014 in Łódź, Poland − an analysis of selected clinical and sociodemographic parameters

Krakowiak

Zajdel

Kobza-Sindlewska

et al. 2019

Med Pr

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Background: Acute pesticide poisonings constitute an important toxicological problem in numerous countries. This report refers to patients treated for poisonings at the Toxicology Unit, Łódź, Poland, in the period 2004−2014. Material and Methods: Data to be analyzed were obtained from medical records of hospitalized people. A group of 24 301 patients aged ≥ 15 were selected. In the group of 149 people poisoned with pesticides (0.61% of all poisoning cases), there were 40 women and 109 men. Logistic regression analysis was used to evaluate the impact of age on suicide attempts using pesticides. Results: Suicide attempts significantly more frequently concerned younger people. In this type of behavior, coumarin derivatives were significantly more often used than organophosphorus compounds or pesticides classified as "others. " The patients with suicidal pesticide poisonings stayed in the ward significantly longer than those poisoned unintentionally. Conclusions: In the analyzed population inhabiting an area with a high degree of urbanization, in terms of the place of residence and employment, pesticide poisonings were more common in men than in women. Suicide attempts using pesticides more frequently concerned younger people. Information found in this study may prove useful for education purposes, and also in informing clinicians. Med Pr. 2019;70(6):655-67

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“…Cases of acute poisoning account for 0.7 to 8.8% of all hospital admissions and 3 to 17% of admissions to intensive care units. In developed countries, the rate of mortality from poisoning is 1 to 2%, while in developing countries, mortality is much higher (Rahim et al, Boukatta et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Pattern of Acute Poisoning in Adults Admitted to Kasr Al-Aini National Environmental and Clinical Toxicology and Research Center in 6 Months

mohamed

abdelmeguid²,

Shehab³

et al. 2023

The Egyptian Journal of Forensic Sciences and Applied Toxicolog

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Background: acute poisoning is exposure to a poison on one occasion or during a short period. The toxic effects can occur immediately or within hours of exposure. It is an essential medical emergency, which can be due to accidental or suicidal exposure causing significant mortality and morbidity. Aim of the work: to study the pattern of acute toxicity among adult patients admitted to nectr. Subjects and methods: it is a prospective cross-sectional analytical study that included 106 patients admitted due to acute poisoning. Patients of both sexes and 18 years or older were involved in assessing the pattern of toxicity. Results: the most common age group was 18 to 29 years (67%). Females represented most cases (63.2%) in comparison to males, and most of the cases were from urban regions (71.4%). Suicide was the most common manner of poisoning (77.5%), the oral route of poisoning represented the highest percentage of cases (88.5%), and most of them were admitted within 2 to 4 hours (44.3%). Pesticides were the commonest substances in studied cases (34%). Conclusion and recommendations: strict guidelines for the selling and using of pesticides should be enforced. Patients with suicide attempts should be referred to a psychiatry clinic.

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An Epidemiological Study of Adult Acute Poisoning in Fez: Morocco

Cited by 7 publications

References 15 publications

An Epidemiological Study of Acute Poisoning In a Tertiary Care Centre

An Epidemiological Study of Acute Poisoning In a Tertiary Care Centre

Pesticide poisonings in 2004−2014 in Łódź, Poland − an analysis of selected clinical and sociodemographic parameters

Assessment of the Pattern of Acute Poisoning in Adults Admitted to Kasr Al-Aini National Environmental and Clinical Toxicology and Research Center in 6 Months

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