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- Title
A Toxidromic based Assessment of Patterns of Poisoning in a Tertiary Hospital in India.
- Authors
Choudhury, Richa; Karoli, Ritu; Agrawal, Dipti
- Abstract
Acute poisoning is an important and common medical emergency. Acute poisoning is one of the major health challenges both in developing as well as developed countries2, 3 Aim of the Study-We had conducted a study with the objective to investigate the pattern of acute poisoning cases by utilizing the toxidromic approach in a tertiary care hospital in Uttar Pradesh. Material & Methods We had done an observational study on acute poisoning patients presenting in the Emergency, Medicine, and Pediatrics department of Dr RMLIMS from January 2020 to January 2021.All consenting patients of both sexes with suspected poisoning were studied. Toxidromic approach based on clinical presentation of poisoned patients was utilized in identification of the type of poisoning. Observations & Results –total 82 cases were studied, we came across a total of 82 poisoning cases seen over a period of 1 year in the emergency, medicine and paediatric wards of RMLIMS. There were 40 males and 42 females, with Cluster A containing 28 males and 27 females, whereas Cluster B had 12 males and 15 females, The relative risk and Odd’s ratio of total cases came out as 0.49 and 0.45 respectively. Majority of the cases in Cluster A &B showed features of Cholinergic Toxidrome, followed by corrosives and sympatholytics, anticholinergic toxidromes and medical toxins. Conclusion: we need to develop appropriate medical facilities like extracorporeal membrane oxygenation (ECMO) as a rescue modality for patients with acute reversible life threatening cardiopulmonary conditions. Poison control centre with Analytical Toxicology laboratory should be developed to handle and assist in advising the specific and appropriate management of poisoning cases.
- Subjects
UTTAR Pradesh (India); INDIA; POISONING; POISONS; HEALTH facilities; EXTRACORPOREAL membrane oxygenation; MEDICAL emergencies; PARASYMPATHOLYTIC agents; SYMPATHOLYTIC agents; HOSPITALS
- Publication
Indian Journal of Forensic Medicine & Toxicology, 2021, Vol 15, Issue 3, p4054
- ISSN
0973-9122
- Publication type
Article
- DOI
10.37506/ijfmt.v15i3.15929