Zeitschrift für klinische Toxikologie

Zeitschrift für klinische Toxikologie
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ISSN: 2161-0495

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Current Trends of Poisoning: An Experience at a Tertiary Care Hospital Hadoti Region, Rajasthan, India

Surendra Khosya and SR Meena

Aims: The aim of this prospective study was to analyze the characteristics of acute poisoning cases admitted to M.B.S Hospital kota, Rajasthan, India. We report the socio-demographic and clinical features of cases and mortality rate. Methods: The study was done in patients admitted with history of poisoning in the department of medicine at M.B.S Hospital, Kota; Rajasthan, India from the year July ‘2009 to December 2011 This study includes 799 consecutive poisoning Patient who were admitted to medicine department. Detailed history and clinical examination were done in all patients. Results: During the study period 55,428 emergency cases were admitted, out of which 799 cases were of poisoning (1.41%). Out of 799 cases there were 674 cases of suicidal poisoning and 125 cases of accidental poisoning. The highest number of poisoning cases were in lower socio-economic status 592 cases (74.09%), followed by middle class 171 cases (21.4%) and then the upper class which constituted 47 cases (5.88%). Insecticides group which constituted 245 (30.65%) which was most common cause of poisoning, out of which organophosphorus poisoning was 139 (17.39%), Carbamate 47 (5.88%) and organocholorine was 59 (7.38%) cases. Next common poisoning cause was drugs like Diazepam, Alprazolam, Crocin, Iron, were most commonly used. Out of 799 cases drug consisted 121 cases (15.14%). Out of 799 patients 163 (20.40%) were expired in study period. Maximum number of people died because of Aluminium phosphate (31.4%) followed by OPC (20%) and Rodenticide (9.6%). Conclusion: Pesticides were the major cause of poisoning; the reasons are agriculture based economy, poverty and easy availability of highly toxic pesticides in India. The poisoning related mortality could be decreased by improving ICU bed condition and appropriate supportive care at medical college and general hospital.

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