Etiological and demographical characteristics of acute adult poisoning in                 Adana, Turkey

Akbaba, Muhsin; Nazlıcan, Ersin; Demırhındı, Hakan; Sütoluk, Zeynep; Gökel, Yüksel

doi:10.1177/0960327107076818

Cited by 30 publications

(27 citation statements)

References 31 publications

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“…En Turquie, pays à vocation agricole, sur l'ensemble des intoxiqués entre janvier et décembre 2004, admis aux urgences à la Cukurova Medical Faculty de Adana, les intoxications par pesticides étaient incriminées dans 18,9 % [10].…”

Section: Discussionunclassified

Facteurs prédictifs de gravité de l'intoxication aux pesticides. Expérience du Centre Antipoison du Maroc

Rhalem¹,

Khattabi²,

Achour³

et al. 2009

Ann Toxicol Anal

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Résumé -Objectif : Déterminer les facteurs prédictifs de gravité des intoxications aiguës aux pesticides reçues au Centre Antipoison du Maroc (CAPM).Méthodes : Une étude rétrospective des cas d'intoxication reçus par téléphone au niveau du CAPM a été réalisée entre janvier 1992 et décembre 2007. L'évaluation de la gravité s'est faite par le poisoning score severity (PSS). L'analyse descriptive a porté sur l'âge, le sexe, les circonstances, le délai post intoxication, le type d'usage et la classe chimique du pesticide. Une analyse univariée a été effectuée afin d'identifier les facteurs de risque. Résultats : Au total, 2609 appels concernant des cas d'intoxication par pesticide ont été reçus au CAPM, soit 11,3 % de l'ensemble des cas d'intoxication. L'âge moyen était de 19,1 ± 14,5 ans. L'étiologie accidentelle était la plus fréquente (50,1 %) suivie de l'autolyse (42,2 %). Le sex ratio était de 0,93. La voie orale était la plus incriminée (81,9 %). Les patients se présentaient en grade 2 ou en grade 3 dans 45,1 % des cas. La mortalité était de 4,8 %. Les insecticides étaient impliqués dans 54,3 % des cas suivis par les raticides (34 %). Les organophosphorés étaient la classe chimique la plus retrouvée (30 %). Les raticides minéraux représentaient la cause la plus fréquente de décès. Plusieurs facteurs ont été considérés comme facteurs prédictifs du décès à savoir le poisoning score severity (PSS) (P < 10 −4 ), l'âge (P = 0,0108), la voie orale (P = 0,0336), la circonstance volontaire (P = 0,95×10 −4 ), le type d'usage (P = 0,016), et la classe chimique du pesticide (P < 10 −4 ). Conclusion : Les intoxications aiguës par pesticides sont une réalité au Maroc. Les parents et les professionnels de santé doivent être conscients du danger potentiel de ces intoxications afin de les prévenir ou de prévenir leurs conséquences. Mots clés : Intoxication, pesticide, organophosphorés, phosphure d'aluminium, centre antipoisonAbstract -Objective: The purpose of our study is to evaluate risk factors for acute pesticide poisoning received in Poison Control Centre of Morocco. Patients and Methods: This is a retrospective study. We collected all cases related to pesticide poisoning received by telephone to the poison control centre of Morocco from January 1992 to December 2007. Patients were classified according to the poisoning score severity (PSS). We analyzed demographic features, circumstances, outcome, type of pesticide and compounds. To detect the possible relationship between two variables; correlations were used. Results: 2609 cases were collected, representing 11.3% of all of poisonings. The mean age was 19.1 ± 14.5 years; range 1 day to 84 years. The female sex is more prevalent; sex ratio was 0.93. 50.1% of cases were accidental exposures and 42.2% were suicide attempts. Oral route was involved in 81.9% of cases and inhalation in 9.27%. Patients were classified in grade 2 (PSS) or grade 3 in 45.1%. The mortality was 4.8%. Insecticides were implicated in 54.3% and included organophosphates (30%). Mineral rodenticides wer...

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Section: Discussionunclassified

Facteurs prédictifs de gravité de l'intoxication aux pesticides. Expérience du Centre Antipoison du Maroc

Rhalem¹,

Khattabi²,

Achour³

et al. 2009

Ann Toxicol Anal

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“…Akbaba ve ark. 'nın 33 yaptığı diğer bir çalışmada ise, acil servise başvuran zehirlenmelerin %71'ini ilaçlar, %18,9'unu organofosfatlı tarım ilaçlarının oluşturduğunu saptamışlardır. Bunun aksini bildiren çalışmalarda mevcuttur.…”

Section: İstatistiksel Analizunclassified

Retrospective Evaluation of Patients Admitted to the Pediatric Emergency Department with Intoxication

Yorulmaz¹,

Akbulut²,

Yahya³

et al. 2017

cayd

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Giriş: Bu çalışmada çocuk acil polikliniğine zehirlenme nedeniyle kabul edilen hastaların demografik ve epidemiyolojik özelliklerini, klinik seyir, laboratuvar sonuçları ve prognozlarını geriye dönük olarak analiz etmeyi amaçladık. Yöntemler: Bu çalışmaya 1 ay-18 yaşları arası zehirlenme nedeni ile başvuran 430 hasta alındı. Hastaların tıbbi verileri geriye dönük olarak dosya bilgilerine göre incelendi. Hastaların yaş, cinsiyet gibi demografik verileri, olayın oluş zamanı, başvuru zamanı, ilacın alınmasından sonra ilk tıbbi müdahaleye kadar geçen süre, zehirlenme nedeni, alınan etken madde, alım şekli, alınan etken madde sayısı, hastaneye başvuru şikayeti incelendi. Methods: This trial enrolled a total of 430 patients aged 1 month to 18 years. The medical data of the patients were reviewed retrospectively according to patient's medical record. Demographic data such as age, sex, time of occurrence, time of patient presentation to the emergency department, time to first medical intervention after taking the drug, cause of poisoning, received active substances, ways of taking, number of active substances received, and symptoms at admission to the hospital were analyzed. Results: The study population consisted of 0.74% of all patients who were admitted to the department of pediatric emergency. 243 (56.5%) patients were female and 187 (43.5%) were male. The age of the patients ranged from 4 months to 220 months (72.89±66.38). One hundred-thirteen (26.3%) of our patients were referred to our hospital in the summer, 111 (25.8%) in the spring, 110 (25.6%) in the autumn and 96 (22.3%) in the winter. Eighteen patients were admitted to our emergency department with poisoning in 2014, 193 in 2015, 178 in 2016 and 41 in 2017. 12.3% of our patients were referred to our emergency department between hours 00:00 and 08:00, 35.1% between 08:00 and 16:00 and 52.6% between 16:00 and 24:00. Ninety-six of the patients were admitted to our emergency department due to suicidal poisoning and 334 due to accidental poisoning. Nausea was present at the time of presentation in 142 (33.02%) of our patients, vomiting in 122 (28.37%) and dizziness in 102 (23.72%). Conclusion:We believe that determination of the epidemiological features of the poisonings in our country by large scale studies and public consciousness will contribute significantly to the prevention of childhood poisoning.

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“…Akbaba et al 60 a survey conducted in Turkey showed that suicides were 2.4% of hospital admissions (ICU and clinics). Although, the international literature supported that suicide is one of the leading causes of adolescent death.…”

Section: Suicide In Intensive Care Unitmentioning

confidence: 99%

Risk Factors for Suicide. Suicide in Primary Care Units and in Intensive Care Units

Saloustrou¹,

Zyga²,

Pavlakis³

et al. 2017

NCOAJ

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Background: The most powerful of instincts is that of survival. The primary concern of human being is staying alive in every way. Many times it is characteristic the agonizing, people attempt survival when they faced with risks to life, serious illness, old age, even when death seems inevitable. But in all cultures and in all historical periods have been and there are still cases of people who at some point decide to terminate their existence. The purpose of this special article is to examine the risk factors such as age, race, marital status and religion-related suicides. Understanding these factors associated with suicide are deemed useful and necessary.Methods: Literature review studies, articles have been recovered for review of computer searches. No time limit was set. Used those articles written in Greek and English. Conclusion:The involvement of risk factors such as age, race, marital status and religion-related suicides play an important role in suicide event. Future efforts must focus on the development, prevention and treatment protocols of suicide in Primary Care. Medical and nursing staff in the Intensive Care Units must be aware of their attitudes towards the patients that have committed suicide as part of their therapeutic role.

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Etiological and demographical characteristics of acute adult poisoning in Adana, Turkey

Cited by 30 publications

References 31 publications

Facteurs prédictifs de gravité de l'intoxication aux pesticides. Expérience du Centre Antipoison du Maroc

Facteurs prédictifs de gravité de l'intoxication aux pesticides. Expérience du Centre Antipoison du Maroc

Retrospective Evaluation of Patients Admitted to the Pediatric Emergency Department with Intoxication

Risk Factors for Suicide. Suicide in Primary Care Units and in Intensive Care Units

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