AN INVESTIGATION INTO THE PREVALENCE AND CAUSES OF DRUG AND CHEMICAL POISONING IN PATIENTS
DOI:
https://doi.org/10.22159/ajpcr.2018.v11i7.26080Keywords:
Chemical Poisoning, Drugs, Emergency wardAbstract
Objective: Oral or intravenous use of drugs in amounts higher than therapeutic doses can cause poisoning or death. This condition which is called poisoning accounts for 15–20% of referrals to emergency units. Most death cases in adults are also reported to be attributed to this condition. The present study was carried out to investigate the prevalence and causes of poisoning in patients who had referred to the emergency department of Tabriz's Sina Hospital in 2012–2013.
Methods: In so doing, a cross-sectional analytic descriptive study was carried out to examine the prevalence and causes of poisoning among the patients who had referred to the poisoning ward of Sina Hospital affiliated with Tabriz University of Medical Sciences.
Result: The results of the present study showed that toxicity was prevalent among 44.16% of the patients who had referred to the emergency department, and it was significantly higher among the women compared to the men. Of the studied 988 patients, 567 had used only one drug and 16 two drugs at the same time, 14 patients had abused drug and chemical materials, 80.3% of them had no history of suicide, and 49.7% were reported with poisoning with home drugs. The results also indicated no significant relationship between the type of drug and intentional poisoning.
Conclusion: It could be concluded that marital and occupational status were significantly related to intentional poisoning.
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References
Olson KR. Poisoning and Drug Overdose. 6th ed. New York: Mc Graw Hill; 2011.
Zarefazlohahi Z, Maleki M, Shaikhi N. Epidemiology of adult poisoning in Talegani hospital of Urmia 1383-1386. J Urmia Nur Midwifery Fac 2010;8:69-75.
Dayan AD. Paine AJ. Mechanism of ehromium toxicity. Carcinogenicity and allergencity: Review of the literature from 1985 to 2004. Hum Exp Toxicol 2004;20:439-51.
Ghazinour M. Age and Gender differences in the use of various poisoning methods for deliberate parasuicide cases admitted to Loghman in Tehran. Suicide Life Threat Behav 2009;39:231-9.
Ahmadi H, Hosseini J, Rezaei M. Epidemiology of tramadol overdose in Imam Khomeini hospital, Kermanshah, Iran (2008). Behbood J 2011;15:72-77.
Masoumi G, Eizadi-Mood N, Akabri M, Sohrabi A, Khalili Y. Pattern of poisoning in Isfahan. J Isfahan Med Sch 2011;29:2003-10.
Kapur N, Turnbull P, Hawton K, Simkin S, Sutton L, Mackway-Jones K, et al. self poisoning suicides in England: A multicenter study. QJM 2005;98:589-978.
Eddleston M, Gunnell D, Karunaratne A, de Silva D, Sheriff MH, Buckley NA. Epidemiology of intentional self-poisoning in rural Sri Lanka. Br J Psychiatry 2005;187:583-4.
Shaw D, Fernandes JR, Rao C. Suicide in children and adolescents: A 10-year retrospective review. Am J For Med Pathol 2005;26:309-15.
Ellenhorn MJ, Barcelloux DG. Medical Roxicology; Prevention, Diagnosis and Treatment. 2nd ed. New York: Elsevier; 1988. p. 4-5.
Fauci AS, Braunwuald E. Isselbacher KJ. Harrison s Principles of Internal Medicine. 14th ed. New York: Mcgraw-Hill Company; 1998. p. 2523-42.
Hawton K, Fayg J. Trends in deliberate self-harm in oxford, 1985-1995. Br J Psychiatry 1997;171:55060.
Melev V, Mikhor D. Attempted suicide by poisoning in the Sofia region. Br J Psychiatry 1992;160:560-2.
Carlston A, Waern M, Allbeck P. Suicides by drug poisoning among the elderly in Sweden 1969-1996. Soc Psychiatr Epidemiol 1999;34:609-14.
Krulewitch CJ. The national strategy for suicide prevention. J Midwifery Women’s Health 2001;46:304.
Roesler J. The incidence of child suicide in Minnesota. Minn Med 1997;50:45-7.
Zacharakis CA, Madianos MG, Papadimitriou GN, Stefanis CN. Suicide in Greece 1980-1995: Patterns and social factors. Soc Psychiatry Psychiatry Epidemiol 1998;33:471-6.
Sobhani AR, Shojaii-Tehrani H, Nikpour E, Noroozi-Rad N. Drug and chemical poisoning in Northern ran. Arch Iran Med 2000;3:32-6.
Lester D, Cantor CH, Leenaars AA. Suicide in the United Kingdom and Ireland. Eur Psychiatry 1997;12:300-4.
Suzuki O, Seno H, Watanabe-Suzuki K, Ishii A. Situations of poisoning and analytical toxicology in Japan. For Science Int 2000;113:331-8.
Groholt B, Wichstrom L. Suicide among children and adolescents in Norway. J Child Adolesc Psychiatry 1998;37:47381.
Townsend E, Hawton K, Harriss L, Bale E, Bond A. Substances used in deliberates self-poisoning 1985-1997: Trends and associations with age, gender, repetition and suicide intent. Soc Psychiatry Psychiatr Epidemiol 2001;36:228-34.
Joranson DE, Ryan KM, Gilson AM, Dahl JL. Trends in medical use and abuse of opioid analgesics. JAMA 2000;583:1710-4.
Cattell H, Jolley DJ. One hundred cases of suicide in elderly people. Br J Psychiatry 1995;166:451-7.
Drummer OH, Ranson DL. Sudden death and benzodiazepines. Am J For Med Pathol 1996;17:33642.
Malgorzata K, Slawmir C, Wieslawa J, Anastazja J. The pattern of acute poisonings with drugs during the period 1991-1995. Toxicol Lett 1996;88:96.
Abdollahi M, Jalali N. Aretrospective study of poisoning in Teharan. J Toxicol Clin Toxicol 1997;33:387-93.
Gossel TA, Bricker JD. Poisoning due to analgesics during a period of 124 years in Denmark. Vgeskr Larg 1995;157:881-5.
Van-der-Hock W, Konradsen F, Athukora K. Pesticide poisoning: A major health care oroblem in Srilanka. Soc Sci Med 1998;46:495504.
Kotwica M, Czerczak S, Rogacsewska A. The pattern of poisoning with pesticides in Poland during the periods 1989-1990 and 1994-1995. Przegl Lek 1997;54:689-92.
Gny PK, Lewandowska-stanek H. The analysis of organophosphate poisoning cases treated at the center for acute poisonings in Lublin provinicial hospital in 1994-1996. Przegl-Lek 1997;54:734-6.
Nielsen AS, Nielsen B. Pattern of choice in preparation of attempted suicide by poisoning-with particular reference to changes in the pattern of prescriptions. Urgeskr Laeger 1992;154:1972-6.
Beautrais AL, Joyce PR, Mulder RT. Youth suicide attemps: A social and demographic profile. Aust NZJ Psychiatry 1998;32:349-57.
Bill-Brahe U, Kerkhof A, Deleo D. A repetition prediction study of European parasuicide population. Acta Psychiatr Scandin 1997;95:81-6.
Kassem M, Taweelh A. The role of honey with royal jelly in protecting the graafian follicles from the toxicity of the Adriamycin drug. Int J Pharm Pharm Sci 2015;7:376-85.
Sheela1 D, Geetha RV, Mohan SK, Vijayaraghavan R. A concept on the development of buprenorphine autoinjector for self and emergency administration. Int J Pharm Pharm Sci 2015;7:253-7.
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