Trends of Acute poisoning cases in a tertiary care hospital in Odisha, India: a prospective study

Modi, Narayan Prasad

doi:10.9790/0853-131151217

Cited by 3 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, the overall mortality rate among children due to acute poisoning was 9.9%. Similar mortality rates among children due to acute poisoning were observed in studies by Mandal et al and Modi et al [ 25 , 27 ].…”

Section: Discussionsupporting

confidence: 86%

A Study on the Profile of Poisoning in the Paediatric Population in a Tertiary Care Teaching Hospital of Chitradurga Region

Shreekrishna¹,

Singi²,

Chandan³

et al. 2022

Cureus

View full text Add to dashboard Cite

BackgroundMost poisoning events among children are preventable and the major reason is lack of supervision by adults, including poor knowledge and attitude toward storage of such items. So, the prevention policy on children's poisoning shall take into account the age group, gender, socioeconomic status, residence, and other aspects such as the knowledge and attitude of adults. The present study was conducted to describe the profile of poisoning in the paediatric population in a tertiary care teaching hospital. MethodsOur observational study was retrospective and was conducted at Basaveshwara Medical College and Hospital (BMCH), Chitradurga, Karnataka, under the Department of Forensic Medicine for a duration of three months (February 2021 to April 2021). Institutional ethical approval was obtained prior to the start of the study. As our study participants were paediatric patients (0-17 years) with acute poisoning (excluding homeopathic drug ingestion), a total of 81 paediatric patients' case sheets were finally reviewed and analysed. The data of paediatric poisoning cases were collected in a predesigned study proforma and included details about children's age (in years), gender (male, female), residence (rural, urban), outcome (death, discharge), nature of poisoning (accidental, suicidal), and toxic agents in poisoning. The collected data were entered and analysed in the Microsoft Excel spreadsheet (Microsoft Corporation, Redmond, WA). ResultsThe incidence of acute poisoning among the paediatric population in our teaching hospital was 1.4%. The most common age group with acute poisoning was 13-17 years (30.9%). The prevalence of acute poisoning was higher in male children (56.8%) when compared to female children (43.2%). Around three-fourths of paediatric cases (71.6%) with acute poisoning were having a rural residence. The overall mortality rate among children due to acute poisoning was 9.9%. The most common toxic agents involved in acute poisoning among children were organophosphate compounds (35.8%), followed by organochlorine compounds (30.9%) and pyrethrum compounds (11.1%). ConclusionFrom this study, we concluded that acute poisoning among children is mainly accidental, and the most common toxic agent responsible for the poisoning is pesticide or insecticide. Most poisoning events among children are preventable, and the major reason is a lack of supervision by adults, including poor knowledge and attitude toward storage of such items.

show abstract

Section: Discussionsupporting

confidence: 86%

A Study on the Profile of Poisoning in the Paediatric Population in a Tertiary Care Teaching Hospital of Chitradurga Region

Shreekrishna¹,

Singi²,

Chandan³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…Similar rate of mortality has been reported. 4,20 Among 9 cases of death two-third cases were due to poisoning with insecticide/pesticide ingestion (organophosphorus compound). Mortality was higher in children below five years of age.…”

Section: Discussionmentioning

confidence: 99%

Pattern and outcome of poisoning in children: A study from a rural teaching hospital, Western Maharashtra, India

Poyekar

2022

Pediatric Oncall

View full text Add to dashboard Cite

Background: Acute poisoning is a common cause for morbidity and mortality in children. The profile and outcome in children with acute poisoning depend a lot on the socioeconomic status, cultural practices, parental education status, and availability of health care. The present study was aimed to analyze the pattern and outcome of pediatric poisoning in rural area.Methodology: This is a retrospective study conducted over a period of twenty-four months in a rural hospital attached to medical college. Results:The poisoning constituted 4.7% of total admissions in Pediatric Intensive Care Unit (PICU). Male: Female ratio was 1.33. 98(87.5%) of children were less than 5 years of age. Organophosphorus compounds were most commonly (n=55, 49.1%), responsible for poisoning, followed by kerosene (n=20, 17.9%). Thirty percent children had short stay in hospital i.e., less than 48 hours. Overall survival rate noted in the study was 91% (n=103). Conclusion:Poisoning in Pediatric age contributes to significant number of admissions to Pediatric Intensive Care Unit in rural area. Insecticide/Pesticides, Kerosene, and plants were leading causes of poisoning.

show abstract

“…This finding was similar to studies done by Prasad et al, Mandal et al, Gangal R et al, Kohli et al and Budhathoki et al In a study by Prasad et al the male-to-female ratio was 2.4: 1. [23][24][25][26][27] Among the types of poisoning, the most common poisoning was due to organophosphorus, followed by kerosene oil and drugs.…”

Section: Discussionmentioning

confidence: 99%

Psycho-social and psychiatric co-morbidity among children with poisoning

Lodhi

Mir²,

Wani³

et al. 2022

Int J Contemp Pediatr

View full text Add to dashboard Cite

Background: The poisoning in children results from exposures to toxic agents that may lead to harmful effects based on the reaction of the body to these agents. Poisoning can be accidental or suicidal in intent. To assess any psycho-social factor that leads to poisoning and to determine any underlying psychiatric co-morbidity among children with acute poisoning.Methods: A hospital-based prospective observational study conducted in postgraduate department of pediatrics, G. B. Pant children’s hospital an associated hospital of government medical college Srinagar Jammu and Kashmir India. This study was conducted over 2 years with effect from November 2019 to November 2021. Psychiatric co-morbidity was determined by using the MINI- KID scale. Results: In our study, 572 cases with poisoning were studied over two years; the mean age of childhood poisoning was 3.8 years. The majority of the poisoning cases were accidental, with male to female ratio of 1.6:1. Most of the cases were seen in lower-middle-class families (65.7%). Organophosphorus was the most common agent involved. Oral ingestion was the predominant route of poisoning. A total of 46 subjects had a psychiatric diagnosis as assessed by MINI-KID. Among which, 34.7% of the subjects had the diagnosis of panic disorder, followed by depressive episodes (MDD) amounting to 26%, and ADHD in 13%. A total of 53 were having underlying psychosocial factors. Adolescent self-poisoning is commonly associated with underlying psychiatric illness.Conclusions: The underlying psychosocial and psychiatric disorders need proper identification and management.

show abstract

Trends of Acute poisoning cases in a tertiary care hospital in Odisha, India: a prospective study

Cited by 3 publications

References 16 publications

A Study on the Profile of Poisoning in the Paediatric Population in a Tertiary Care Teaching Hospital of Chitradurga Region

A Study on the Profile of Poisoning in the Paediatric Population in a Tertiary Care Teaching Hospital of Chitradurga Region

Pattern and outcome of poisoning in children: A study from a rural teaching hospital, Western Maharashtra, India

Psycho-social and psychiatric co-morbidity among children with poisoning

Contact Info

Product

Resources

About