A STUDY ON TREATMENT PATTERN AND OUTCOMES OF POISONING CASES IN A TERTIARY CARE AND GOVERNMENT DISTRICT HOSPITAL
Objective: Poisoning is a major prevalent problem, with thousands of deaths occurring every year, mainly in developing countries. The present study sought to identify the treatment pattern and outcomes of poisoning cases admitted to Basaveshwara Medical College and Hospital and Research Centre (BMCH and RC) and Government District Hospital and to determine the type of poison cases.
Methods: This is a prospective observational study aimed to analyse the poisoning cases admitted to general medicine departments and emergency departments of BMCH and RC and Government District Hospital, Chitradurga, Karnataka for a period of six months.
Results: A total of 100 cases were enrolled in this study. 63% of the cases were identified from BMCH and RC, with the remainder being from Government Hospital. The study shows that 41% of the cases were 21-30 y old. 48% (n=48) were males and 52% (n=52) were females. Different types of poisoning cases were observed; organophosphorus poisoning (OP) taking the lead, followed by snake bite cases. The study denotes a mortality rate of 4% and morbidity rate of 96%. A majority of cases were reported in the second quarter of the year.
Conclusion: It was concluded from the above findings that young age adults constituted a significant percentage of the subjects. It is essential, therefore, to propose policies that can terminate the free trade of poisonous pesticides and to create awareness and periodically counsel the vulnerable group of the population.
2. World Health Organization. International Programme on Chemical Safety: Poisoning Prevention and Management. Available from: http://www.who.int/ipcs/poisons/en/. [Last accessed on 10 Jan 2017]
3. Pillay VV. Modern Medical Toxicology. 4th ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2013.
4. Jailkhani SMK, Naik JD, Thakur MS, Langare SD, Pandey VO. Retrospective analysis of poisoning cases admitted in a tertiary care hospital. Int J Recent Trends Sci Technol 2014;10:365-8.
5. Ramesha KN, Rao KBH, Kumar GS. Pattern and outcome of acute poisoning cases in a tertiary care hospital in Karnataka, India. Indian J Crit Care Med 2009;13:152-5.
6. Jamil H. Acute poisoning--a review of 1900 cases. J Pak Med Assoc 1990;40:131-3.
7. Senewiratne B, Thambipillai S. Pattern of poisoning in a developing agricultural country. Br J Prev Soc Med 1974;28:32-6.
8. Maharani B, Vijayakumari N. Profile of poisoning cases in a tertiary care hospital, Tamil Nadu, India. J Appl Pharm Sci 2013;3:91-4.
9. Kumar SV, Venkateswarlu B, Sasikala M, Kumar GV. A study on poisoning cases in a tertiary care hospital. J Nat Sci Biol Med 2010;1:35-9.
10. Jesslin J, Adepu R, Churi S. Assessment of prevalence and mortality incidences due to poisoning in a South Indian tertiary care teaching hospital. Indian J Pharm Sci 2010;72:587-91.
11. Kanchan T, Menezes RG. Suicidal poisoning in Southern India: Gender differences. J Forensic Leg Med 2008;15:7-14.
12. Kasule M, Malangu N. Profile of acute poisoning in three health districts of Botswana. Afr J Prim Health Care Fam Med 2009;1:10.
13. Smith AJ. Self-poisoning with drugs: a worsening situation. Br Med J 1972;4:157-9.
14. Chowdhary AN, Banerjee S, Brahma A, Biswas MK. Pesticide poisoning in nonfatal, deliberate self-harm: a public health issue. Indian J Psychiatry 2007;49:117-20.
15. World Health Organization. Media Centre. Suicide: Fact sheet; 2016. Available from: http://www.who.int/mediacentre/ factsheets/fs398/en/. [Last accessed on 10 Jan 2017]
16. Ali MH, Sinha A, Mondal K, Mitra SJ, Mandal A, Maity PK. The scenario of acute poisoning in a subdivision hospital of West Bengal, India. Int J Curr Res Rev 2014;6:53-7.
17. Karki RK, Risal A. Study of poisoning cases in a tertiary care hospital. Kathmandu Univ Med J 2012;10:70-3.
18. Vanishree, Chavan VR, Arshad M, Raghunandan M, Faizuddin. A study on the pattern of acute poisoning in an emergency department of a tertiary care hospital. Asian J Pharm Clin Res 2016;9:361-3.
19. Churi S, Harsha CS, Ramesh M. Patterns of poison information queries received by a newly established South Indian Poison Information Center. Asian J Pharm Clin Res 2012;5:79-82.