IJCRR - Vol 06 Issue 16, August, 2014
SCENARIO OF ACUTE POISONING IN A SUB DIVISION HOSPITAL OF WEST BENGAL, INDIA
Author: Md. Hamid Ali, Arijit Sinha, Kapildev Mondal, Subhra Jyoti Mitra, Anupam Mandal, Pranab Kumar Maity
Background: Acute poisoning is one of the leading causes of morbidity and mortality throughout the world. Review of the sociodemographic profile of poisoning is of much important for recognizing this public health concern and to find the way out. Objective: Few literatures are available regarding the poisoning in eastern India. . In India incidence of accidental and selfpoisoning are increasing day by day .Our objective is to study the sociodemographic profile of acute poisoning and its outcome. Materials and Methods: This retrospective study was done among patients admitted with acute poisoning in a subdivision hospital of West Bengal,India,during the year 2011 and 2012. Our study included 1237 patients admitted with acute poisoning admitted through emergency in one year period. The demographic pattern, type of poisoning, route of exposure,seasonal variation, patient survival and referral were collected in a pre-structured proforma. Data collection was performed according to hospital regulations after approval by the hospital authorities.Then the data were analyzed by descriptive statistical method by using software. Results: Acute poisoning cases are burden of 2.72% of total admission and 5.08% of medical ward admission. Highest number of admission are seen in September (n=147) and October(n=149) months. Male to female ratio of poisoning is 1.22:1. Organo phosphorus (n=594) poisoning is the commonest and next is snakebite (n=451). Overall death rate is 4.36% (n=54). Commonly affected age groups are 11 to 20 years (n=435), 21 to 30 years(n=414). Death is also common in age group of 11 to 20 (n=18) and 21 to 30 years(n=16).Rate of referral to higher center is 2.10%. Average hospital stay is 2 days. Among self- poisoning cases
(n=746), 1.73% (n=13) were already under treatment for psychiatric illness. Conclusion: As the affected patients are mostly in adolescent and young age group and as they are the future of a nation, it is important to take measure to prevent poisoning. Psychological assessment, social and economic security is important in this regard.
Keywords: Acute poisoning; organophosphorus; snakebite.
Md. Hamid Ali, Arijit Sinha, Kapildev Mondal, Subhra Jyoti Mitra, Anupam Mandal, Pranab Kumar Maity. SCENARIO OF ACUTE POISONING IN A SUB DIVISION HOSPITAL OF WEST BENGAL, INDIA International Journal of Current Research and Review. Vol 06 Issue 16, August, 53-57
1. Government of India(2010). National health profile 2009,Central Bureau of Health Intelligence, Ministry of Health and Family welfare, New Delhi. Chapter 199, page118-119.
2. Thomas S.H.L White J Poisoning Davidson’s Principles and Practice of Medicine, 21st Edition 2010,chapter 9, page203-208.
3. Mahapatra B Warrel DA Suraweera W Bhatia PDhingra N etal(2011), Snake bite mortality in India, A nationally representative mortality survey, 12Apr 2011PLOS Neglected Trop Dis 10.1371/journal .pntd.0001018.
4. Shaffer D Suicide: risk factors and public health, Am J Public Health, 1993, February, 83(2),171-172.
5. WHO (2002) Health situation in the South-East Asia Region, Priorities for Policy and Action, SEA/Injuries/ AI,www.searo.who/int/entity/health_situation_trends/ documents/health_situation_sear_99-2000.pdfS_2560k
6. Thomas SH Watson 1D on behalf of the National Poisons Information Service and Association of Clinical Biochemists. Laboratory analysis for poisoned patients.Ann.Clin. Biochem2002; 39:328-339.
7. Siwach SB Gupta A .The profile of acute poisoning in Haryana, JAPI, 1995, 43(11), 756-9.
8. Maskey A Parajuli M Kohli SC Baral SBasnet S and Poudal N. Scenario of poisoning in adults admitted in Manipal teaching hospital, Pokharan, Nepal. Nepal Journal of Medical Sciences, 2012,1(1), 23--26.
9. Srivastava A Peshin SS Kalec Kal T Gupta SK An epidemiological study of poisoning cases reported to the National Poisons Information center. All India Institute of Medical Sciences, New Delhi, Hum. Exp. Toxicol. 2005, June 24(6) 279-85.
10. MuradZafar Marry Farhat Hussein Mirza Qudsia HassanPattern incidence and mortality rate of acute poisoning at Karachi—one year study. Hum. Exp. Toxicol.1996, www. medforum.pk/index.php
11. Ramesh KN Krishna Murthy BH Ganesh SK etal.Pattern and outcome of acute poisoning cases in tertiary care hospital in Karnataka, India. Indian Journal of Critical care Medicine 2009,13,152-5.
12. Thomas M Anandan S Kuruvilla PJ et al. Profile of hospital admission following acute poisoning—experience from a major teaching hospital in South India. Adverse Drug Toxicol Rev. 2009, 19, 313-317.
13. www.toxonet.nim.nih.gov, National Library of Medicines Toxonet:a hazardous substances data bank, including Toxins for references to literature on drugs and other chemicals 67-56-1.