The Epidemiology of Deliberate Self-Poisoning Presenting at a Tertiary Care Hospital in Hyderabad Sindh, Pakistan

Qaisar, Faizan; Shafi, Mohsin; Majeed, Ayesha Isani; Kumar, Dileep; Memon, Awais; Memon, Umer

doi:10.9734/bjmmr/2014/6416

Cited by 4 publications

(6 citation statements)

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“…Moreover, it has been found that the majority of poisoning cases were among singles as compared to married (56.3% vs. 43%). This is consistent with studies conducted in other cities of Pakistan [16,17]. Similarly, the proportion of poisoning was most common among the uneducated people and residents of rural areas, which is consistent with published studies [17,24].…”

Section: Discussionsupporting

confidence: 92%

“…This is consistent with studies conducted in other cities of Pakistan [16,17]. Similarly, the proportion of poisoning was most common among the uneducated people and residents of rural areas, which is consistent with published studies [17,24]. Patient's educational status has link with poisoning as reported in a study where a statistically meaningful relationship was observed between self-poisoning to commit suicide and absence of academic education [25].…”

Section: Discussionsupporting

confidence: 90%

“…The above observation is in accordance with study, which detected male preponderance in Karachi city of Sindh province [16]. However, the studies from other cities of Sindh like Hyderabad [17] and other tertiary care hospitals of Karachi [18,19] reported predominance of females. The incidence of high prevalence of poisoning in males is may be due of the higher level of exposure to stressful situations or may be due to the improper handling of insecticide [20].…”

Section: Discussionsupporting

confidence: 89%

“…Studies conducted in Sindh province of Pakistan, showed that in 2 nd and 3 rd decade of people's life, there are maximum number of poisoning cases [16][17][18][19]21]. Similarly, studies from other provinces also reported that most vulnerable age to poisoning is 2 nd and 3 rd decade of life [22,23].…”

Section: Discussionmentioning

confidence: 99%

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Gravity of Poisoning Cases in Shaheed Benazirabad Sindh, Pakistan: A Prospective Study

Muhammad

Kumar

Qureshi

et al. 2020

JPRI

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Aim: It is estimated that more than half a million of people die worldwide due to various incidences of intentional and unintentional poisoning and of them 84% occur in low- and middle-income countries. The clinical presentation of poisoning cases differs by age group, reason of poisoning, geographic region, substances involved and economic development of the country. The aim of present research was to estimate the incidence of poisoning in Shaheed Benazirabad based on above reasons. Study Design: Cross-sectional prospective study. Place and Duration of Study: Over a period of 6 months between July to December 2019 in a tertiary care hospital in Sindh, Pakistan. Methodology: Study was carried out by enrolling poisoned patients admitted in a tertiary care hospital. A standardized questionnaire was designed based on different variables in surveys conducted by American Association of Poison Control Centers. In total 263 poisoning cases were presented during the study period. The data obtained was coded, entered and analyzed using SPSS 24. Results: It was found that poisoning was more common in male (58.9%) in the age group of 16 to 30 years (48.7%) and single individuals (56.3%) with uneducated (55.1%) and jobless (54%) background. The common reasons of poisoning were suicide (36.5%) and substance involved in poisoning cases were pesticides (42.6%). Of the total cases reported during study period, 17.5% were admitted in Intensive Care Unit and death was reported in 5.3% of cases. Conclusion: It was found that improved regulatory controls for hazardous chemicals, establishing poison control centers and decreasing exposure and reporting time can decrease poisoning cases.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Gravity of Poisoning Cases in Shaheed Benazirabad Sindh, Pakistan: A Prospective Study

Muhammad

Kumar

Qureshi

et al. 2020

JPRI

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“…5,6 Pakistan is among the countries bearing considerable burden of organophosphate poisoning due to poor control over unregulated access and insufficient training and knowledge to handle pesticides in occupational settings. [7][8][9] Organophosphates poisoning is among the most prevalent forms of intentional and unintentional poisoning resulting in morbidity and mortality. [8][9][10] However, the actual burden of AKI secondary to organophosphate poisoning in Pakistani population is still not known.…”

Section: Introductionmentioning

confidence: 99%

Frequency of Acute Kidney Injury (AKI) among patients presenting with Organophosphate Poisoning at National Poison Control Centre, Karachi: A prospective cross-sectional survey

Hanif

Sattar²

2022

Pak J Med Sci

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Background and Objective: Organophosphates poisoning is among the most prevalent forms of intentional and unintentional poisoning in Pakistan. However, the actual burden of AKI secondary to organophosphate poisoning in Pakistani population is still not known. This study aimed to determine the actual burden of AKI among patients admitted at National Poison Control Centre, Karachi. Methods: A cross-sectional survey was conducted at National Poison Control Centre, Karachi November, 2013 to April, 2014. A sample of 300 patients of age 18 years and above, presenting with organophosphate poisoning within 24 of exposure or ingestion were included in the study. Frequency of acute kidney injury was calculated using the diagnostic criteria of serum creatinine level of >1.4 mg/dL. Data was analyzed using SPSS version 19. Results: The frequency of AKI which was defined as creatinine level >1.4 mg/dL was 22.3% (n=67). However, there was no statistically significant difference was found in frequency of AKI on the basis of age, sex, amount of organophosphates ingested and BMI. This study found statistically significant differences in the AKI frequency on the basis of lag time. Those who presented earlier after poisoning had relatively low frequency of AKI. Conclusion: This study concludes that AKI is a common complication among patients presenting with organophosphate poisoning at National Poison Control Center, Karachi. Lag time is a key determinant of AKI among patients with organophosphate poisoning. Timely treatment can prevent this critical complication among patients with organophosphate poisoning. doi: https://doi.org/10.12669/pjms.38.3.4819 How to cite this:Hanif S, Sattar RA. Frequency of Acute Kidney Injury (AKI) among patients presenting with Organophosphate Poisoning at National Poison Control Centre, Karachi: A prospective cross-sectional survey. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.4819 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Poverty and suicide research in low- and middle-income countries: systematic mapping of literature published in English and a proposed research agenda

et al. 2016

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Approximately 75% of suicides occur in low- and middle-income countries (LMICs) where rates of poverty are high. Evidence suggests a relationship between economic variables and suicidal behaviour. To plan effective suicide prevention interventions in LMICs we need to understand the relationship between poverty and suicidal behaviour and how contextual factors may mediate this relationship. We conducted a systematic mapping of the English literature on poverty and suicidal behaviour in LMICs, to provide an overview of what is known about this topic, highlight gaps in literature, and consider the implications of current knowledge for research and policy. Eleven databases were searched using a combination of key words for suicidal ideation and behaviours, poverty and LMICs to identify articles published in English between January 2004 and April 2014. Narrative analysis was performed for the 84 studies meeting inclusion criteria. Most English studies in this area come from South Asia and Middle, East and North Africa, with a relative dearth of studies from countries in Sub-Saharan Africa. Most of the available evidence comes from upper middle-income countries; only 6% of studies come from low-income countries. Most studies focused on poverty measures such as unemployment and economic status, while neglecting dimensions such as debt, relative and absolute poverty, and support from welfare systems. Most studies are conducted within a risk-factor paradigm and employ descriptive statistics thus providing little insight into the nature of the relationship. More robust evidence is needed in this area, with theory-driven studies focussing on a wider range of poverty dimensions, and employing more sophisticated statistical methods.

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The Epidemiology of Deliberate Self-Poisoning Presenting at a Tertiary Care Hospital in Hyderabad Sindh, Pakistan

Cited by 4 publications

References 4 publications

Gravity of Poisoning Cases in Shaheed Benazirabad Sindh, Pakistan: A Prospective Study

Gravity of Poisoning Cases in Shaheed Benazirabad Sindh, Pakistan: A Prospective Study

Frequency of Acute Kidney Injury (AKI) among patients presenting with Organophosphate Poisoning at National Poison Control Centre, Karachi: A prospective cross-sectional survey

Poverty and suicide research in low- and middle-income countries: systematic mapping of literature published in English and a proposed research agenda

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