Epidemiological profile and outcome of pediatric poisoning: a prospective observational study from a tertiary care center

Background: Acute poisoning in children is one of the common causes for emergency hospital visit in developing countries. Objectives of the present research was aimed to study the magnitude, nature, age, sex, socioeconomic status and outcome of poisoning in children aged <15 years.Methods: This prospective study was conducted for a period of 1 year between January 2017 to December 2017, at S.V.S. Medical College and Hospital, Mahabubnagar, Telangana. All poisoning cases under the age of 15 years were included in this study.Results: Out of 1975 admitted patients, 98 (5%) cases were due to acute poisoning, 52 (53.1%) were males and 46 (46.9%) were females. The majority of the poisoning was accidental (78, 79.6%) in nature and found to be common in the age group of 0-5 years (69, 70.4%). Majority of children belonged to upper lower (35, 44.9%) and lower (20, 25.6%) socio-economic status. Kerosene (40, 40.8%) was the most common poisoning agent, followed by household compounds (22, 22.4%). 82 (83.7%) children had complete recovery, whereas 5 (5.5%) children died, all due to late visit to the hospital.Conclusions: Kerosene is the most common agent in paediatric poisoning in children, followed by household compounds. It is common in 0-5 years of age group and mostly accidental in nature. Corrosives were the common agent involved in suicidal poisoning.

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EPIDEMIOLOGY AND OUTCOMES OF ELECTRIC BURN INJURY AT TERTIARY CARE CENTER IN JODHPUR, RAJASTHAN

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i6.298 ◽

2019 ◽

Vol 3 (6) ◽

Author(s):

Bharti Saraswat ◽

Ashok Yadav ◽

Krishna Kumar Maheshwari

Keyword(s):

Burn Injury ◽

Low Voltage ◽

Care Center ◽

Tertiary Care ◽

The Body ◽

Electrical Injury ◽

Age Group ◽

Electric Circuits ◽

Medical College ◽

Social Burden

Background- Electric burns and injuries are the result of electric current passing through the body. Temporary or permanent damage can occur to the skin, tissues, and major organs. Methods- This prospective study was carried out on patients admitted in burn unit of department of surgery M.G. Hospital associated with Dr. S.N. Medical College Jodhpur. Records of the patients admitted from January 2018 to December 2018 were studied. Bed head tickets of the patients evaluated in detail. Results- In our study out of 113 patients maximum no. of patients were in age group of 21-30 years 44 (38.94%) followed by age group <11 years in 21 (18.58%) patients and age group of > 60 years in only 3 (2.65%).39 (34.51%) patients were farmer and 15 (13.27%) were electrician in out of 113 total patients, while 37 (32.74%) were without any occupation. 65 (57.52%) cases of high voltage (HV) electrical injury and 48 (42.48%) cases were of low voltage (LV) electrical injury. Conclusion- Morbidity leading to permanent disabilities make the person physically dependent on others. It can be prevented by educating the people about the proper handling to electric circuits & devices. Proper communication among the electricians may help in lowering such accidents. Proper rehabilitation of the handicapped person & employment to the member of the affected family may reduce the social burden caused by such electricity concerned accidents.

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Clinical Profile of Acute Poisoning in Children at a Teaching Hospital in Lalitpur

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v34i2.10139 ◽

2014 ◽

Vol 34 (2) ◽

pp. 100-103 ◽

Cited By ~ 2

Author(s):

Ajaya Kumar Dhakal ◽

D Shrestha ◽

A Shakya ◽

SC Shah ◽

H Shakya

Keyword(s):

Teaching Hospital ◽

Hospital Admissions ◽

Acute Poisoning ◽

Childhood Mortality ◽

Age Group ◽

Common Cause ◽

Mortality And Morbidity ◽

History Of ◽

The Common ◽

Poisoning In Children

Introduction: Acute poisonings are one of the common cause of emergency visits and hospital admissions and is potentially preventable cause of childhood mortality and morbidity. The objectives of this study were to identify the common type of poisoning in children, to determine types of poisoning according to age and to find out the common age group in which the incidence of poisoning was high.Materials and Methods: It was a descriptive observational study done in a teaching hospital in Lalitpur, Nepal in patients aged 1 month to 18 years who visited the emergency department and were admitted to hospital with history of alleged poisoning from 2009 July to 2014 January.Results: Fifty patients were included. Drugs, kerosene and organophosphorus were most common cause of poisoning. Drugs and kerosene below 10 years of age and organophosphorus and drugs above 10 years of age were common types of poisoning. Maximum numbers (50%) of children with poisoning cases were below five year of age. Mean duration of hospital stay was 2.1days and mean age of poisoning was 7.8 years with a male(54%) predominance. Majority of poisoning occurred at home (84%) and 68% of patients were symptomatic at presentation to hospital with 84% of patients presenting to hospital within six hours.Conclusion: This study showed that drugs, kerosene and organophosphorus were most common forms of poisoning. Young children were most vulnerable for acute poisoning.DOI: http://dx.doi.org/10.3126/jnps.v34i2.10139J Nepal Paediatr Soc 2014;34(2):100-103

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Profile of Paediatric Poisoning at a Tertiary Care Center in Karnataka

International Journal of Applied Sciences and Biotechnology ◽

10.3126/ijasbt.v2i2.10140 ◽

2014 ◽

Vol 2 (2) ◽

pp. 142-145

Author(s):

DK Dnyanesh ◽

Suma Dnyanesh ◽

Roopa Bellad

Keyword(s):

Urban Areas ◽

Care Center ◽

Tertiary Care ◽

Gastric Lavage ◽

Acute Poisoning ◽

Definitive Treatment ◽

Accidental Poisoning ◽

Age Group ◽

Tertiary Care Center ◽

Paediatric Patients

Objectives: To determine the profile and outcome of paediatric patients presenting with poisoning to a tertiary care center in Karnataka. Methods: Retrospectively we studied the PICU records of all the paediatric patients who presented with acute poisoning during the 4-years period from Feb 2010 to Jan 2014. All children aged less than 18 years with a definite history and suspected cases of poisoning were included. Results: 106 patients presented with acute poisoning during the study period. The majority of our patients were in the 0 - 6 year age group. Poisoning in this age group was most common with higher frequency in males, the ratio being 1.2:1. The agents most frequently used were hydrocarbons (43.1%), pyrethrine compounds 15.5%, Organo-Chlorine compounds 12.1%drugs, Organo-Phospherous compounds 12.1%, drugs 1.8%. In 1 - 6 year age group 54.7% cases were accidental in nature, whereas in the 12 - 18 year group 93.3% were suicidal. All patients were symptomatic and needed symptomatic or definitive treatment. 21 patients required mechanical ventilation. Almost 3/4th of patients underwent Gastric lavage. Specific antidote was given to 41 patients. 2 patients of OP poisoning died. Conclusion: Our study concluded that accidental poisoning is common in 0-6 year children, the common substance being used in rural areas was kerosene and in urban areas it was found to be pyrethrin compounds. Lack of awareness of parents regarding appropriate storage of these dangerous household products is the main cause. Measures should be taken to educate the parents and public in order to decrease the poisoning cases. Suicidal cases are increasing in adolescents and precipitating factors like exam fear, exam failure, love failure and parental pressure regarding studies needs counseling of both parents and childrenDOI: http://dx.doi.org/10.3126/ijasbt.v2i2.10140Int J Appl Sci Biotechnol, Vol. 2(2): 142-145

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Clinico-epidemiological features of Japanese encephalitis patients hospitalized in a tertiary care center

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20184008 ◽

2018 ◽

Vol 5 (10) ◽

pp. 4548

Author(s):

Abu Hasan Sarkar ◽

Bishnu Ram Das

Keyword(s):

Japanese Encephalitis ◽

Care Center ◽

Tertiary Care ◽

Clinical Signs ◽

Signs And Symptoms ◽

Complete Recovery ◽

High Morbidity ◽

Medical College ◽

Clinical Signs And Symptoms ◽

One Year

Background: Japanese encephalitis (JE) is of particular interest as it has a high morbidity and mortality. Neurological sequale is the most dreaded damage caused by JE. It is a preventable disease with specific interventions. The objective of the study was to study the demography, clinical profile and outcome of patients with Japanese Encephalitis admitted to the wards of Internal Medicine and Pediatrics at Jorhat Medical College Hospital.Methods: Hospital based observational study for one year in Jorhat Medical College, Jorhat, Assam.Results: The mean age for JE was 32.25±27 years for male, 27.47±22 years for female and 29.94±24 years overall. Assessment of clinical signs and symptoms showed that fever and change in mental status were present in 100% of JE cases followed by neck rigidity in 79.3% and headache in 68.9%. 44.8% of JE cases had history of seizure, 37.9% had vomiting, 34.5% had irritability, 13.8% were unconscious. The peak of JE incidence occurred in the month of July (77.6%). Complete recovery was seen in 39.2%, followed by death in 32.6% and recovery with neurological sequalae in 28.2% at the time of discharge.Conclusions: Vigorous awareness activities should be carried out to sensitize people on prevention of JE.

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A study of patients with acute poison: a single center experience

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20181313 ◽

2018 ◽

Vol 6 (4) ◽

pp. 1450

Author(s):

Ashvin Chaudhari ◽

Dalchand C. Kumawat

Keyword(s):

Care Center ◽

Tertiary Care ◽

Epidemiological Studies ◽

Acute Poisoning ◽

Health Care Facilities ◽

Organophosphate Poisoning ◽

Socioeconomic Class ◽

Young Males ◽

Medical College ◽

Single Center Experience

Background: Periodic experimental and epidemiological studies are essential to understand the pattern of poisoning in society. These studies are useful for planning of providing better and fast health care facilities to decrease poisoning connected mortality. This study was intended to assess the pattern & consequence of acute poisoning cases.Methods: This study was conducted with 100 patients admitted at a Geetanjali Medical college and hospital from June 2015 to December 2017 were studied. We retrospectively analyzed the gender, age, causes of poisoning, types of poisons, poisoning route, emergency diagnoses, outcomes, and prognoses of these patients.Results: Most of the patients were from the age group of 21 - 30 years (49 %) followed by 31-40 years (33%). Males (59%) prevailed females (41%). Out of all subjects, 53% belonged to middle socioeconomic class, whereas only 19% were from high socioeconomic class. Out of all patients, 62% were from illiterate class and 38% were literate. Suicide (77%) was the most communal nature of poisoning. Phenyl (19%) was the most commonly used poison. Mortality was found to be 4% and was mainly related to organophosphate compounds.Conclusions: Poisoning is further common in young males so they should be emotionally maintained in stressful conditions. Mortality was found significantly to organophosphate poisoning. Easy availability of this compound should be checked. Early care in tertiary care center may assistance to reduce mortality in India.

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Study of common clinical types of cutaneous tuberculosis: two years study experience in a tertiary care centre

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20200596 ◽

2020 ◽

Vol 6 (2) ◽

pp. 199

Author(s):

Raghu M. T. ◽

Ashwini S. ◽

Yogendra M. ◽

Virupakshappa H. E. ◽

Gangaraju Harish ◽

...

Keyword(s):

Tertiary Care ◽

Age Group ◽

Lupus Vulgaris ◽

Tertiary Care Centre ◽

Cutaneous Tuberculosis ◽

Medical College ◽

Plaque Type ◽

Study Experience ◽

The Common ◽

Work Up

Background: Cutaneous tuberculosis (TB) is frequently found worldwide, especially in tropical countries. The number of extrapulmonary TB reaches up to 14%, and 1% to 2% are cutaneous TB. Diagnosis of cutaneous tuberculosis (CTB) is complicated and requires a full work-up. Clinical manifestation of cutaneous TB is varied and causes difficulties to diagnose. Scrofuloderma and plaque type of lupus vulgaris (LV) are common forms of cutaneous TB.Methods: A retrospective study was conducted on patients attending Department of Dermatology, Venereology and Leprosy, at Basaveshwara Medical College and Hospital, Chitradurga over a period of 2 years. A total of 15 cases of cutaneous tuberculosis were diagnosed.Results: A total of 15 cases out of which included predominantly males, with age group being affected commonly are 20-40 decades, histopathology showing tuberculoid granuloma in 11 cases, and common clinical variant being lupus vulgaris seen in 66.6% of the cases and. Second common being scrufuloderma seen in 26.6% of the cases and least common is TB verrucosa cutis (TBVC) seen in 6.6% of the cases.Conclusions: The study showed that the common clinical type of cutaneous tuberculosis during the study period was lupus vulgaris, scrofuloderma and less common being TBVC.

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A OBSERVATIONAL STUDY CLINICAL, EPIDEMIOLOGICALAND ETIOLOGICAL PROFILE IN PEDIATRIC STATUS EPILEPTICUS IN A TERTIARY CARE CENTER IN WEST BENGAL

10.36106/ijsr/4900237 ◽

2020 ◽

pp. 3-5

Author(s):

Dipanjan Halder ◽

Neha Karar ◽

Sabyasachi Som ◽

Debarshi Jana

Keyword(s):

Status Epilepticus ◽

West Bengal ◽

Economic Status ◽

Care Center ◽

Tertiary Care ◽

Pediatric Intensive Care ◽

Lower Class ◽

Age Group ◽

Tertiary Care Center ◽

Pediatric Age Group

INTRODUCTION: Status epilepticus (SE) is a medical and neurological emergency. The objectives of the study were to determine the clinical, etiological and epidemiological profile of SE in pediatric age group admitted to pediatric intensive care unit (PICU) in a tertiary care center at West Bengal. MATERIAL AND METHOD: An observational descriptive study, 108 children with age more than 28 days and upto 12 years presenting with SE were included in Department of Pediatric Medicine, R.G.Kar Medical College and Hospital, Kolkata from January 2016 to January 2017. RESULTS AND DISCUSSION: Test of proportion showed that the proportion of the patients in the age group 5-10 years (54.6%) were significantly higher than other age group (Z= 2.75; p=0.006). 11(10.2%) patient was with age<1 year. Acute Symptomatic (38.9%) was the commonest among the etiologies followed by Idiopathic (31.5%) which were significantly higher than other etiologies (Z=4.36;p<0.001). CONCLUSION: Patients with younger age are more vulnerable to develop SE. Most of the children belonged to lower class socio-economic status. Acute symptomatic is the most common etiology followed by idiopathic.Convulsive SE with generalized tonic clonic type of convulsion is the most common variety.

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PATTERN OF CANCER CASES REGISTERED IN A TERTIARY CARE CENTER IN KATHUA DISTRICT OF J&K: A CROSS SECTIONAL STUDY

10.36106/ijsr/0400712 ◽

2020 ◽

pp. 1-2

Author(s):

Deepak Abrol ◽

Anuj Kapoor ◽

Pawan Kumar

Keyword(s):

Care Center ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Age Group ◽

Important Public Health Problem ◽

Cross Sectional ◽

Medical College ◽

Area Distribution ◽

The Government

Introduction:Cancer is an important public health problem in India, with 10 lakh new cases occurring every year in the year. Cancer pattern varies in different regions and depends on genetic, environmental, dietary, social and other factors. Aim and objectives: This study was undertaken to determine magnitude and pattern of cancer cases reporting in the hospital. Methodology: This was a hospital-based retrospective study undertaken in the Government Medical College Kathua. GMC, Kathua is one among st the ve new medical colleges established in Jammu & Kashmir. The records of cancer patients generated from 1st November 2018 to 1 November 2019 were analyzed. All the cancer cases who reported either for diagnosis in any of the hospital OPD or for the treatment (radiotherapy/ chemotherapy/ surgery) were included. Data was entered in the MS Excel for analysis Results: Out of total 272 patients registered, females accounted for 56.6% and males for 43.3%. Hindu patients were in majority (84.2%). Most of the cases (37.1%) were in the age group 60-80. Pattern of cancer was different in the two sexes. In males, maximum cases were of lung cancer and in females, Ca breast was the most common followed by the cervical cancer Conclusion: This hospital-based study indicates the cancer prole in Kathua district. Females were found to be more affected than that of males with majority of the cases in the late 40s age group. Rural area and urban area distribution was found to be almost similar.

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A clinical study of pattern of geriatric dermatosis in tertiary care hospital of Rajasthan

IP Indian Journal of Clinical and Experimental Dermatology ◽

10.18231/j.ijced.2021.028 ◽

2021 ◽

Vol 7 (2) ◽

pp. 148-152

Author(s):

Bajrang Soni ◽

Priyanka Meena

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Age Group ◽

Physiological Changes ◽

Geriatric Population ◽

Detailed History ◽

Medical College ◽

Pathological Conditions ◽

The Common

: Geriatric health care has received lot of attention nationwide due to increase in life expectancy over the time. Among the various health issue geriatric dermatosis are one of the most common reason for regular OPD visits. This study was done to inquest the spectrum of cutaneous manifestation and the factors responsible for causing physiological and pathological changes in the skin of elderly people.: Three hundred consecutive patients aged more than 60 yrs of age attending the out patient department of dermatology at PDU Medical College & hospitals Churu were subjected for study. A detailed history was taken. A complete general, systemic & Cutaneous examination was done along with relevant investigation were carried out. Findings were collated in Performa for analysis and interpretation of data. A total of 300 patients were enrolled in the study out of which 59 % were male and 41 % were female. Pruritis was the commonest complain elicted in 68.5 % of patients. Among the physiological changes xerosis was the commonest seen in 63 % of patients and infecions followed by eczems was the common pathological conditions. The population of 60 yrs and above is a rapidly growing dermatology clientele with both physiological and pathological manifestations. This study highlights the various dermatoses peculiar to the geriatric population and aims at sensitizing the fraternity to the specific needs of this special age group.

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A study on clinical characteristics of herpes zoster in a tertiary care center

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20170081 ◽

2017 ◽

Vol 3 (1) ◽

pp. 79

Author(s):

Rachana R. ◽

Shivaswamy K. N. ◽

Anuradha H. V.

Keyword(s):

Herpes Zoster ◽

Clinical Characteristics ◽

Care Center ◽

Tertiary Care ◽

Age Groups ◽

Age Group ◽

Female Ratio ◽

Varicella Zoster ◽

Medical College ◽

Male To Female

Background: Herpes zoster (HZ), also known as shingles, derived from the Latin word Cingulum, for “girdle”. This is because a common presentation of HZ involves a unilateral rash that can wrap around the waist or torso like a girdle. HZ results due to reactivation of an earlier latent infection with the varicella zoster virus (VZV) in dorsal root ganglia. It occurs at all age groups, common over 60 years of age. It is estimated that in non-immune populations, approximately 15 cases per 1000 people occur per year. The objective of the study was to study the clinical characteristics in patients with uncomplicated herpes zoster.Methods: A total of 72 patients attending dermatology OPD at Ramaiah medical college between June 2013 to September 2014 were recruited after obtaining informed consent. A detailed history regarding onset of rash, pain, progression, duration and distribution of the lesions were recorded. Demographic information including age, sex, and any other co morbidities noted. Tzanck smear and serology for HIV was done where-ever necessary.Results: Of the 72 patients, females outnumbered males [M=35(48.61%), F=37 (51.39%)] with male to female ratio of 0.9 to 1. The mean age of presentation was 58±18 years. Majority of the patients (54%) were in the age group of 51 to 70 years followed by 31-50 years (25%). Least number of cases (9%) was in the age group of 21 to 30 years. Of the 72 subjects, thoracic involvement was noted in 30.6%, followed by lumbar (22%), and trigeminal (16%). Cervical (4%) and sacral (2%) involvement was the least. Conclusions: Herpes zoster commonly occurs in old age and the presenting symptom being pain and burning sensation. Thoracic dermatome is the commonest site. Immunocompromised states like diabetes, malignancy and HIV can increase the risk of developing herpes zoster.

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