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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 03
Factors Affecting Clinical Management & Outcome among Patients Admitted in Tertiary Care Hospital Due To Acute Poisoning
Dr. Vaibhav Janardhan Pustake, Dr. Kiran V Birari
Published: March 30, 2019 | 58 56
DOI: 10.36347/sjams.2019.v07i03.045
Pages: 1088-1092
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Abstract
Background: Occupational exposure to industrial chemicals and pesticides, accidental or intentional exposure to household and pharmaceutical products and poisoning due to venomous animals, toxic plants and food contamination, all contribute to morbidity and mortality. Early hospitalization, prompt & correct management of poisoning cases can improve outcome of patients. Aim: To study the factors affecting clinical management & outcome among patients admitted in hospital due to acute poisoning. Material & Methods: A hospital based descriptive cross-sectional study carried out in medicine ward for the period of two years. Results: Median age was 28.4 years. The incidence of suicidal poisoning was more common in females (55.74%) while accidental poisoning was more common in males. Maximum number of cases (45.33%) of poisoning were during summer. Out of 19 cases of snake bites, 12 patients required more than 100 ml. of ASV. Out of 30 patients of pesticide poisoning, 17 patients required more than 100 ml of atropine. About 60% cases had complications who reported after 5 to 6 hours after poisoning. Hundred percent mortality for patients presenting with GCS score of <8. Conclusion: First aid, timely hospitalization and intervention are the keys to prevent the high morbidity & mortality among victims. One needs to focus on availability of antitoxins, antidotes, effective medicines & quick availability of transport facility.