Lessons from the field: compound-specific management in acute pesticide poisoning.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Vasundhara R Verma, Thomas Lamb, Md Abdus Sattar, Aniruddha Ghose, Michael Eddleston
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引用次数: 0

Abstract

Pesticide poisoning is a common medical emergency in the rural tropics, with significant associated mortality. Pesticide poisoning is an umbrella term that encompasses a wide variety of substances with differing clinical toxidromes and outcomes. Despite this, confirmation of the specific compound ingested is rarely performed. In this Lessons from the Field, we argue that pesticide-specific management is integral to optimise management. Using data from a quality improvement project in Chittagong, Bangladesh, we demonstrate that identifying the specific compound is possible in most patients through careful history taking and examination of the pesticide bottle. Identification of the specific compound is essential for anticipating and reducing complications, administering appropriate and timely management and reducing the length of hospital stay and cost of unnecessary medical intervention.

来自实地的经验:急性农药中毒的特定化合物管理。
农药中毒是热带农村地区常见的急诊病人,死亡率很高。农药中毒是一个总括性术语,包括临床毒理和结果各不相同的多种物质。尽管如此,对摄入的特定化合物进行确认的情况却很少。在这篇 "实地经验 "中,我们认为针对特定农药的管理是优化管理不可或缺的一部分。利用孟加拉国吉大港质量改进项目的数据,我们证明,通过仔细询问病史和检查农药瓶,大多数患者都能确定摄入的特定化合物。识别特定化合物对于预测和减少并发症、实施适当和及时的管理以及减少住院时间和不必要的医疗干预成本至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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