Pattern of Acute Poisoning Attending a Tertiary Care Hospital of Western Nepal

  • Raju Prasad Shakya Lumbini Medical College
  • Suraj Adhikary Lumbini Medical College
  • Rohit Bajracharya Lumbini Medical College
Keywords: organophosphate poisoning, poisoning, suicide

Abstract

Introduction: Poisoning with various substances is a major public health problem and a reason for significant morbidity and mortality throughout the globe. It is one of the most common presentation in an emergency department. This study was conducted to determine the sociodemographic, poisoning types, and mode of poisoning in cases attending a tertiary hospital of Western Nepal.

Methods: A retrospective observational study of two years was conducted from July 2014 to June 2016. Demography details, name of poisonous substance, and reasons for poisoning were reviewed and analyzed using descriptive statistics.

Results: A total of 65 cases of poisoning were recorded. The occurrence was more common in female (n=44, 67.7%) than in male (n=21, 32.3%) with a F:M ratio of 2.1:1.  Poisoning  was most  common in the age group of 11-20 years (32.3%). Most of the cases were students (37%) followed by farmers (26%). The most commonly abused poisoning substance were organophosphorous compounds, zinc-phosphate,  and  kerosene in adults, adolescents, and children respectively. Oral route was the most common (99%) route of administration. Suicidal attempt, as a mode of poisoning, accounted for 70.8% of total poisoning cases.

Conclusion: Female and young people are at greater risk of acute poisoning. Insecticide was the most common agent and self administer poisoning was the most common mode of poisoning. The occurrence of poisoning and its morbidity and mortality can be reduced by developing and implementation of effective prevention strategies like restricting easy poison sales, establishing drug and poison information centers,  and community awareness programs.

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Author Biographies

Raju Prasad Shakya, Lumbini Medical College

Consultant Family Physician

Department of Emergency

Suraj Adhikary, Lumbini Medical College

Medical Officer

Department of Emergency

Rohit Bajracharya, Lumbini Medical College

Medical Officer

Department of Emergency

Published
2016-12-30
How to Cite
1.
Shakya R, Adhikary S, Bajracharya R. Pattern of Acute Poisoning Attending a Tertiary Care Hospital of Western Nepal. J Lumbini Med Coll [Internet]. 30Dec.2016 [cited 22Sep.2020];4(2):90 -93. Available from: https://jlmc.edu.np/index.php/JLMC/article/view/98
Section
Original Research Article