Study on the pattern of poisoning and their management in tertiary care hospital

GSC Biological and Pharmaceutical Sciences Pub Date : 2024-07-30 DOI:10.30574/gscbps.2024.28.1.0253

Sanjeev Khanal, Hemank KC, Dibash Sapkota, Pradip Kumar Mahato, Kavita Shrestha

{"title":"Study on the pattern of poisoning and their management in tertiary care hospital","authors":"Sanjeev Khanal, Hemank KC, Dibash Sapkota, Pradip Kumar Mahato, Kavita Shrestha","doi":"10.30574/gscbps.2024.28.1.0253","DOIUrl":null,"url":null,"abstract":"Background: Poisoning is a common medico-social problem now days all over the world. The study evaluates the cases admitted in TUTH, Maharajgunj, Kathmandu. Various parameters like Age, Sex, Marital status, Educational status, Type of poisoning, Intent of poisoning, Duration of treatment and Treatment pattern were analyzed. Objectives: The aim of this study was to study the Pattern of Poisoning and their Management. Methods: This is a cross sectional descriptive study in which the data of the 120 poisoning patients in emergency ward of Tertiary Care Hospital, TUTH, Maharajgunj was recorded from the data collection form and through the inquiry. The collected data was enter in Microsoft Excel and data analysis was done in Statistical Package for Social Sciences (SPSS) software of version 25. Result: Most of the poisoning cases were found in the age group of 21-30 years i.e. 42.5% and least poisoning cases were found in 56 -70 and 61-70 years i.e. 4.2%. The mean age of the study population was found to be 30.06 ± 12.82 years. The numbers of female patient were 56.7% which is higher than males 43.3%. The percentage of unemployed patients was 40% which also illustrated the cause for poisoning. The common agents involved in poisoning were Organophosphate Compounds i.e. Metacid and Chlorpyrifos within 51.7% cases and followed by Zinc Phosphorus Poisoning i.e. 13.3% cases. It was found that 92.5% of the cases were intentional and 7.5% of the cases were accidental. The main reason for intentional poisoning was family dispute i.e. 87.9%. The mean hospital stay was 4.44±2.49 Days. Gastric Lavage was perform on 87% cases along with Antidotes on 65% cases and Gastric Acid Inhibitors on 89.2% cases. Conclusion: The numbers of female patient were higher than males. Most of the poisoning cases were found in the age group of 21-30 years. The unemployed patients were 40% which also illustrated the cause for poisoning. Common agents involved in poisoning were Organophosphate Compounds. It was found that 92.5% of the cases were intentional for suicidal attempt. Gastric Lavage was perform on 91.6% cases. Atropine and Pralidoxime were used in Organophosphate Poisoning while N-Acetyl Cysteine was used as antidote on Paracetamol and Mushroom Poisoning. Pneumonia was found in 1.7% cases whereas other complications were not found on rest of the sample.","PeriodicalId":12808,"journal":{"name":"GSC Biological and Pharmaceutical Sciences","volume":"10 3","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"GSC Biological and Pharmaceutical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30574/gscbps.2024.28.1.0253","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Poisoning is a common medico-social problem now days all over the world. The study evaluates the cases admitted in TUTH, Maharajgunj, Kathmandu. Various parameters like Age, Sex, Marital status, Educational status, Type of poisoning, Intent of poisoning, Duration of treatment and Treatment pattern were analyzed. Objectives: The aim of this study was to study the Pattern of Poisoning and their Management. Methods: This is a cross sectional descriptive study in which the data of the 120 poisoning patients in emergency ward of Tertiary Care Hospital, TUTH, Maharajgunj was recorded from the data collection form and through the inquiry. The collected data was enter in Microsoft Excel and data analysis was done in Statistical Package for Social Sciences (SPSS) software of version 25. Result: Most of the poisoning cases were found in the age group of 21-30 years i.e. 42.5% and least poisoning cases were found in 56 -70 and 61-70 years i.e. 4.2%. The mean age of the study population was found to be 30.06 ± 12.82 years. The numbers of female patient were 56.7% which is higher than males 43.3%. The percentage of unemployed patients was 40% which also illustrated the cause for poisoning. The common agents involved in poisoning were Organophosphate Compounds i.e. Metacid and Chlorpyrifos within 51.7% cases and followed by Zinc Phosphorus Poisoning i.e. 13.3% cases. It was found that 92.5% of the cases were intentional and 7.5% of the cases were accidental. The main reason for intentional poisoning was family dispute i.e. 87.9%. The mean hospital stay was 4.44±2.49 Days. Gastric Lavage was perform on 87% cases along with Antidotes on 65% cases and Gastric Acid Inhibitors on 89.2% cases. Conclusion: The numbers of female patient were higher than males. Most of the poisoning cases were found in the age group of 21-30 years. The unemployed patients were 40% which also illustrated the cause for poisoning. Common agents involved in poisoning were Organophosphate Compounds. It was found that 92.5% of the cases were intentional for suicidal attempt. Gastric Lavage was perform on 91.6% cases. Atropine and Pralidoxime were used in Organophosphate Poisoning while N-Acetyl Cysteine was used as antidote on Paracetamol and Mushroom Poisoning. Pneumonia was found in 1.7% cases whereas other complications were not found on rest of the sample.

查看原文本刊更多论文

关于三级医院中毒模式及其处理的研究

背景：中毒是当今世界常见的医疗社会问题。本研究对加德满都 Maharajgunj TUTH 的住院病例进行了评估。研究分析了各种参数，如年龄、性别、婚姻状况、教育状况、中毒类型、中毒意图、治疗时间和治疗模式。研究目的本研究旨在研究中毒模式及其处理方法。方法：这是一项横断面描述性研究：这是一项横断面描述性研究，研究人员通过数据收集表和询问的方式记录了马哈拉贡杰第三医疗保健医院急诊病房 120 名中毒患者的数据。收集到的数据用 Microsoft Excel 输入，数据分析用 25 版社会科学统计软件包（SPSS）进行。结果：大多数中毒病例发生在 21-30 岁年龄组，占 42.5%；56-70 岁和 61-70 岁年龄组中毒病例最少，占 4.2%。研究对象的平均年龄为 30.06 ± 12.82 岁。女性患者占 56.7%，高于男性的 43.3%。失业患者占 40%，这也说明了中毒的原因。51.7% 的中毒病例涉及有机磷化合物，即 Metacid 和毒死蜱，其次是锌磷中毒，占 13.3%。调查发现，92.5%的病例是故意中毒，7.5%的病例是意外中毒。故意中毒的主要原因是家庭纠纷，占 87.9%。平均住院时间为 4.44±2.49 天。87%的病例进行了洗胃，65%的病例使用了解毒剂，89.2%的病例使用了胃酸抑制剂。结论女性患者人数高于男性。大多数中毒病例的年龄在 21-30 岁之间。失业患者占 40%，这也说明了中毒的原因。常见的中毒物质是有机磷化合物。调查发现，92.5%的中毒病例为蓄意自杀。91.6%的病例进行了洗胃。阿托品和普拉唑肟被用于有机磷中毒，N-乙酰半胱氨酸被用于扑热息痛和蘑菇中毒的解毒剂。1.7%的病例出现肺炎，其余样本未发现其他并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

GSC Biological and Pharmaceutical Sciences

自引率

0.00%

发文量