Toxicological Pattern of Poisoning in Urban Hospitals of Western India

    Published on:July 2017
    Journal of Young Pharmacists, 2017; 9(3):315-320
    Original Article | doi:10.5530/jyp.2017.9.63
    Authors:

    Raut Asawari1, Pawar Atmaram1, Kakane Bhagwan2, Dave Priti3, Shaj Kavya4, Gulam Ali Jabeen4

    1Department of Clinical Pharmacy, Poona College of Pharmacy, Bharati Vidyapeeth University, Pune, Maharashtra, INDIA.

    2Additional Civil Surgeon, District Hospital, Aundh, Pune, Maharashtra, INDIA.

    3Department of General Medicine, Bharati Medical College, Bharati Vidyapeeth University, Pune, Maharashtra, INDIA.

    4Department of Clinical Pharmacy, Doctor of Pharmacy, Poona College of Pharmacy, Bharati Vidyapeeth University, Pune, Maharashtra, INDIA.

    Abstract:

    Background: Poisoning is a significant global public health problem which leads to nearly a million deaths each year. Incidence of poisoning in India is among the highest in the world. Despite the vast number, evidence on prevalence pattern in India is yet limited. Objective: The present study aimed to characterise acute poisoning cases with respect to the demographics, effect due to time lag and treatment outcomes. Methods: The cross sectional retrospective study was conducted from January 2013 to December 2015 in government and private teaching hospitals. Results: Of all reviewed cases male over female predominance was observed. Maximum poisoning was observed in the age group 20-35 years with an increased incidence of female cases in age category 13-19 years. Household and agricultural agents (56.4%) were associated with most poisoning. Intentional poisoning was more common (53.3%) and predominant in age category 20-35 years. Maximal exposure was observed between 6 pm – 12 am. Maximum patients (77.6%) responded to the therapy given while 12.6% absconded, took discharge against medical advice or were referred to another hospital. The mortality rate was 9.6 % with male predominance. Conclusion: The study concludes that the burden of poisoning demands strategies for prevention, identification and rational management providing optimal treatment outcomes.

    Key words: Poisoning pattern, Acute poisoning, Time lag, Treatment outcomes, Mortality.

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