A prospective study of pattern of acute poisoning and treatment outcome in paediatric age group in tertiary care hospital of Konaseema region of Andhra Pradesh, India
DOI:
https://doi.org/10.18203/2349-3291.ijcp20180558Keywords:
Acute poisoning, Paediatric age, Treatment outcomeAbstract
Background: Konaseema region of Andhra Pradesh is little different from other area as it is the delta of Godavari river with agriculture and aqua main source of income to the people. This area has mainly rural establishment and no study has been conducted on children to know the pattern of acute poisoning and treatment outcome. Present study has been designed with an aim to study of the pattern of acute poisoning and treatment out come in Konaseema region of Andhra Pradesh.
Methods: In present study all the children from birth to 16 years of age who has been admitted in emergency department were recruited. Patients with snake bite, scorpion bites, unknown bites, idiosyncratic reaction to prescribed drugs, food poisoning were excluded from this study. Information were obtained from mother of the patients in most of the cases but father or other guardian were also interview if mother was not available. A pre-designed questionnaire was used for collection of data. This contains demography data of the patient, profile of poisoning, symptoms of the patient presenting with and the outcome of the treatment.
Results: Insecticide and pesticides poisoning patients were 122 but of that 60 were organophosphorus, 30 were organochlorines, 10 were carbamates, 20 were rat poisoning and two pts were having herbicides and fungicides poisoning. Fourteen patients were having poisoning by house hold things out of then, four having kerosene oil poisoning, 6 patients having turpentine oil poisoning, two patients with phenyl and rest two patients with KMnO4 poisoning.
Conclusions: In Konaseema region pesticides, insecticides and rodenticides are used commonly in agricultural fields and easily available that is the reason for its poisoning in paediatric age group, so awareness about the proper handling of pesticides container and use is required to reduce the incidence.
Metrics
References
Swiss - Scientist Paracelsus Quotes, November 11, 1493 - September 24, 1541. Available at https://www.britannica.com/biography/Paracelsus.
Peden M, Smith J, Hyder AA, Branche C. World report on child injury prevention. WHO Press World Health Organization 20 Avenue Appia, 1211 Geneva 27, Switzerland. Available at http://apps.who.int/iris/bitstream/10665/43851/1/9789241563574_eng.pdf
Gupta SK, Peshin SS, Srivastava A, Kaleekal T. A study of childhood poisoning at national poisons information centre, All India Institute of Medical Sciences, New Delhi. J Occup Health. 2003;45:191-6.
Bandyopadhyay A, Mandal PK. Clinical profile and outcome of acute poisoning in children and adolescent in a tertiary care center. Asian J Med Sci. 2017;8(3).
Randev S, Grover N, Sharma R, Sharma H. Acute poisoning in children: seven-year experience at a tertiary care hospital of north India. Curr Pediatr Res. 2011;15(1):65-8.
Kohli U, Kuttiat VS, Lodha R, Kabra SK. Profile of childhood poisoning at a tertiary care centre in North India. Indian J Pediatr. 2008;75(8):791-4.
Dutta AK, Seth A, Goyal PK, Aggarwal V, Mittal SK, Sharma R, et al. Poisoning in children: Indian scenario. Indian J Pediatr. 1998;65(3):365-70.
Ravindra HS. A study of pediatric poisoning cases. Indian J Com. 2010;10(1);47-50.
Kumar SV, Venkateswarlu B, Sasikala M, Kumar GV. A study on poisoning cases in a tertiary care hospital. J Nat Sci Biol Med. 2010;1(1):35-9.
Ramesha KN, Rao KBH, Kumar GS. Pattern and outcome of acute poisoning cases in a tertiary care hospital in Karnataka, India. Indian J Crit Care Med. 2009;13(3):152-5.
Raman R, Kumar S, Muthukrishnanasia L. A hospital based epidemiologic study on acute pediatric poisonings in Chennai, India. Pacific J Med Toxicol. 2015;4(4):156-60.
Gangal R, Haroon A. Profile of acute poisoning in paediatric age in district Moradabad: a hospital based study. J Indian Acad Forensic Med. 2015;37(2):971-3.
Akhtar S, Rani GR, Al-Anezi FA. Risk factors in acute poisoning in children-A retrospective study. Kuwait Med J. 2006;38(1):33-6.
Vashishtha VM. Cassia occidentalis poisoning as the probable cause of hepatomyoencephalopathy in children in western Uttar Pradesh. Indian J Med Res. 2007;125:756-62.