The Pattern of Poisoning in Southwestern Region of Iran: Envenoming as the Major Cause

Jalali, Amir; Savari, Marzie; Dehdardargahi, Shaiesteh; Azarpanah, Armita

doi:10.17795/jjnpp-3504

Cited by 15 publications

(24 citation statements)

References 25 publications

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“…In this study, majority of the poisoning cases presented between 15 and 40 year age group (59.2%).This is similar to a study conducted in Iran which reported that the 18-30 age group is more liable to poisoning (Jalali A et al,2012).This was in accordance with Zhou et al, 2005 who reported that at China emergency hospitals the age group between 15-34 years was the highest presentable age group and in an Indian study by Anthony and Kulkarni,2012 ,54.9% of cases were in the age group of 21-30 years. A possible explanation could be factors like financial, emotional, and social stresses.…”

Section: Discussionsupporting

confidence: 90%

“…CNS depressants reported as the highest in the current study followed by analgesics. The same was found in a study in Iran which reported that CNS acting drugs were the commonest (Jalali A et al,2012 ), while Barrag and Farahat 2011 study reported paracetamol being the highest in Saudi Arabia . Also in the US the most frequent types of drug ingestion reported by poison centers during 2014 were analgesics (Mowry et al, 2015).…”

Section: Discussionsupporting

confidence: 68%

“…However, males outnumbered females, as found in the literature (Ramesha et al,2009 andAnthony andKulkarni,2012).While according to studies in Saudi Arabia and Iran, males and females were both affected similarly (Barrag andFarahat 2011 andJalali A et al,2012).…”

Section: Discussionmentioning

confidence: 75%

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Evaluation of Poisoning and Drug Overdose among Cases Presented to Poison Control Centre, Ain Shams University Hospital during the Year 2015

Vinayak

Goyal

Rai³

et al. 2017

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

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Background: Poisoning and drug overdose are important health problems in developing countries.The Poison Control Center of Ain Shams University Hospitals (PCCA) was established in 1981 as first one of its kind in the Middle East. Since then it has provided adequate services in diagnosis and treating cases of intoxication. The information released by the PCC has always been a trigger for an increasing hazard challenging the community. The aim of the study: To assess the prevalence of poisoning and to review the determinants, circumstances and outcome of patients with intoxication in PCCA, Egypt during the year 2015 to recognize changes in trends of poisoning to highlight threats to which the Egyptian community is exposed. Methods: This is a retrospective observational hospital record-based study conducted in PCCA, Egypt. In the present study, 21898 cases of poisoning including all admissions during one year (2015) were investigated.Data on demography, hospitalization, type of poison/drug, clinical and management data and outcome of patients with poisoning were collected. Data were analyzed using descriptive analysis and statistics., Results: This study included 21898 cases.Most cases of acute poisoning presented among 15-40 years age group (59.2%), 25.4% under 7 years old. Incidence was more common among females (54.8%) compared to males (45.2%). More than 94% of cases were toxic exposure through oral route.Most poison exposures were unintentional (49.5%).Drug poisoning constituted the majority of cases (55.1%), while non-drug poisoning was the second in incidence (44.9%), CNS drugs (9.95% ) were the most common drugs involved, chemicals (24.1%), were the commonly used poisons. Clinical severity was mild in 81.3% of cases, 13.2% was moderate and 5.5% was severe. Mortality was found to be 0.56%. Management of these cases was described. Conclusions: Poisoning is more common in15-40 age group followed by children younger than 7 years. CNS drugs were the most common consumed drugs over-dosage, while chemicals were the most common among poisons. There is a change in pattern of poisoning as regard decline in number of poisoning cases from kerosene and petroleum distillates, drug of abuse overdose and animal envenomation. In addition poisoning by drugs outnumbered non-drug poisoning. D

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 68%

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Evaluation of Poisoning and Drug Overdose among Cases Presented to Poison Control Centre, Ain Shams University Hospital during the Year 2015

Vinayak

Goyal

Rai³

et al. 2017

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

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“…When the data was analyzed by month, July was found to have the greatest number of admitted patients (14.6%).This is likely because it is the month when the most chemicals are used by farmers to increase their crop yield.An apparent decrease in the number of the patients was observed in March (2.6%), which is likely due to seasonal variation. In general more cases were reported during spring (28.8%) followed by the rainy and winter season (27.5% and 27% respectively), which was similar with other findings (Jalali et al 2012). However, other studies found the incidence during summer to be higher (Maharani et al2013).…”

Section: Discussionsupporting

confidence: 88%

Pattern of acute poisoning in teaching hospital, northwest Ethiopia

Adinew

Asrie

2016

IJPT

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Background: Acute poisoning is considered a major health problem worldwide and is a frequent cause of hospital admission. It is estimated that poisons are responsible for more than 1 million illnesses worldwide annually. Objective: To evaluate retrospectively the pattern of acute poisoning in teaching hospital, northwest Ethiopia. Materials and methods:This was an observational, retrospective study. The study population includes all patients who visiting Gondar teaching hospital emergency room who were diagnosed with acute poisoning from September 2010 to December 2014. All data were analyzed using SPSS 20. Result: Acute poisoning cases constituted 0.67% of the 34320 admissions to the emergency department. Of these 233 patients, 148 (63.5%) were female and 85 (36.5%) were male.88.42% were younger than 30 years of age and the frequency of acute poisoning declined with advanced age. Organophosphates were the most frequent cause of poisoning and accounted for 89 cases (38.2%). Intentional poisoning comprised 57.5 %.83.6 %( 195 cases) of the cases were ingested orally, the mean arrival time to the emergency unit after poisoning was 4.2 hours and the average duration of hospital stay was 11.26hours. It was found that 60 % of the cases were simply received supportive therapy. The most common factors contributing to intentional poisoning was quarreled with their family (54.2%) followed by love affairs (18.4%). The mortality rate was 0.43% Conclusions: The data observed in this hospital based shows acute poisoning remains a major public health problem with pesticide poisoning remaining the most common and therefore concerning poison.

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“…Different poisoning situations exist across the cultures (Wananukul, Sriapha, Tongpoo, Sadabthammarak, Wongvisawakorn & Kaojarern, 2007) and it is an important health problem (Mutlu, Cansu, Karakas, Kalyoncu & Erduran, 2010).Poisoning comprehensive definition is available (Belson, Schier, Patel& Centers for Disease Control and Prevention (2005 (Jalali, Savari, Dehdardargahi & Azarpanah, 2012), agrochemical pesticides (49%), drugs (17%), alcohols (13%) (Singh &Unnikrishnan, 2006), anxiolytic/hypnotic drugs (lorazepam), acetaminophen (Lin, Liu, Liu, Chang, Chou & Wu, 2011), DSP, benzodiazepines (36.6%), paracetamol (22.2%), and antipsychotics (12.1%) (Cheri, Ramesh, Bhakta& Chris, 2012), sedative-hypnotics, opioids, pesticides organophosphates OPs (Shadnia, Esmaily, Sasanian, Pajoumand, Hassanian-Moghaddam&Abdollahi, 2007), alcohol (54.55%), medication (25.95%), pesticide (5.65%), drug (4.88%) (Chen, Wen, Wang, Lin & Lin, 2010), pharmaceuticals (63.1%), alcohol and surrogates (49.3%), and corrosives (21.8%) (Ostapenko, Matveev, Gassimova&Khonelidze, 2001).…”

Section: Introductionmentioning

confidence: 99%

Poisoning Observation and Assessment

Shibli¹,

Parveen²,

Rana³

2019

Preprint

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Records of 360 poisoning patients were evolved with observation by trained experts for 6 months on a structured taxonomy sheet (STS) on first entry to a selected poisoning ward. Observations made were about the patients' appearance, facial expressions, vocal signs, social interaction and other observable signs. It was assumed that (STS) could help to distinguish between self, accidental and pretended poisoning behaviors as a quick measure as compared with existing hospital emergency diagnosis procedures. (STS) records were compared with emergency diagnosis. Comparison revealed (STS) capacity to report otherness in three poisoning types with workable similarity. Importance of observational methods emerged in high emergency for 2 diagnosis/ assessment that could be utilized in areas having less advanced facilities for diagnosis. Methodology suitability emerged as objective diagnosis/ assessment possibility in other kinds of emergency situations in less developed areas. More cross cultural comparison would highlight utility in developing cultures?

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The Pattern of Poisoning in Southwestern Region of Iran: Envenoming as the Major Cause

Cited by 15 publications

References 25 publications

Evaluation of Poisoning and Drug Overdose among Cases Presented to Poison Control Centre, Ain Shams University Hospital during the Year 2015

Evaluation of Poisoning and Drug Overdose among Cases Presented to Poison Control Centre, Ain Shams University Hospital during the Year 2015

Pattern of acute poisoning in teaching hospital, northwest Ethiopia

Poisoning Observation and Assessment

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