Assessment of pattern and outcomes of pesticides poisoning in a tertiary care hospital

Abstract

Summary Objectives To assess the socio‐demographic profile, pattern and treatment outcomes of pesticides poisoning. Methods A prospective observational study was conducted at the department of emergency medicine of a South Indian tertiary care hospital for 1.5 years to study the pattern and outcomes of poisoning cases due to pesticides. Level of significance (P) <0.05 was considered as statistically significant. Results A total of 375 poisoning victims with intentional/accidental exposure to pesticides were followed up and documented. The male–female ratio was 1:0.32; mean age was 31.65 ± 13.10 years. 72% of cases were rural residents. Organophosphorus compounds were the most implicated pesticides. Mean Glasgow Comatose Score (GCS) of the patients was 12.22 ± 3.86. 80.3% of patients recovered while 6.4% died. About 13.3% patients were lost to follow‐up as they were discharged against medical advice (DAMA). Conclusion There was a statistical significance seen in the implication of pesticides for intentional poisoning with age, route of administration, area of residence and occupation of the victims. However, there was a strong association of the outcomes of poisoning with the toxic agent implicated for the poisoning.

Suicide by pesticide poisoning in India: a review of pesticide regulations and their impact on suicide trends

“…A-priori, based on our review of state and national pesticide regulations (Table 1) where the date of the ban was recorded, we identified three relevant bans to investigate: the endosulfan bans in Kerala (2005) and all India (2011), and Kerala's ban of 14 pesticides in 2011. The ban of aldicarb in 2001 was not investigated, as reports of it being used for suicide in India are very rare [21,79]. We carried out an interrupted time series analysis for these three periods, analysing trends in suicides by all methods and pesticide suicides, using the periods of stable pre-ban trends identified using joinpoint regression.…”

Clinical and Epidemiological Characteristics of Severe Acute Adult Poisoning Cases in Martinique: Implicated Toxic Exposures and Their Outcomes

“…In a French observational study including about 2500 patients, antidepressants, neuroleptics, benzodiazepines, and heart medication were the leading causes of intoxication-related ICU admission [23]. However, in developing countries, intoxications with pesticides and organophosphates are important causes leading to ICU admission [34,40].…”

Pattern and Clinical Outcome of Poisoning Cases Admitted in Emergency Department of a Tertiary Care Center at High Altitude Nepal.

“…The worldwide pesticides are most common and among which organophosphorus poisoning. (6,(9)(10)(11)(12) The 20% of the global suicide are due to pesticide self-poisoning. (13)The reason behind it is easy availability of the pesticide in the other part of the world where fertile land is available for agriculture and use of rodenticides, herbicides in rural high altitude of Nepal.…”