scholarly journals Study of Drug Utilization on Acute Poisoning Cases Treated at Tertiary Care Hospital

2018 ◽  
Vol 3 (10) ◽  
Author(s):  
Dr. Sreya Todi
Keyword(s):  
Drug Utilization ◽  
Urban Areas ◽  
Tertiary Care ◽  
Acute Poisoning ◽  
Medical Emergency ◽  
Poison Control ◽  
Care Hospital ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Cross Sectional

Acute poisoning is common everywhere in medical emergency.  Acute poisoning may be due to deliberate exposure to drugs, chemicals and natural toxins or accidental which is emergency for common medical health.  The main aim of this study was to investigate the pattern of drug utilization, poisoning agents, and outcome in patients with treated acute poisoning. Material and Methods:  This prospective cross sectional study was carried out in the emergency department of a tertiary care centre over a one year period. Result: During the period of 1 year total 310 Acute poisoning cases were recorded by us. Out of 310 acute poisoning cases 170(54.8%) were male where as females were 140(45.2%). The majority of cases were from age group of 20 -50 years in males whereas mean age of female patients was 37.3 years and majority of the cases were from 25-50 age group. The most common route of exposure to poisons (69.6%) was ingestion and followed by dermal exposure (in cases of venomous animal exposures) (25.8%) and inhalation (4.6%).The most common symptomatic treatments given to the patients were antimicrobials (88.7% of cases),  antiemetics (82.6%% of cases), H2 blockers (72.9% of cases) and Atropine (51% of cases), pralidoxime (41.6% of cases)  Proton pump inhibitors and  Vasopressor agents  etc respectively. The most commonly prescribed specific antidotes were Anti-snake venom (ASV) (12.9% of cases).Conclusion: In the present study, the main causes of poisoning were identified as household products in urban areas of India. Awareness about the dangers of such poisons should be the added responsibility of  health and hospital authorities. Poison control center establishment in the region will also help in preventing and controlling such poisoning events.

PATTERN AND OUTCOME OF ACUTE POISONING IN CHILDREN OF 1-12 YEARS AGE GROUP ADMITTED IN THE PAEDIATRIC WARD OF A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 19-22
Author(s):  
Soumya Gayen ◽  
Bapan Kabiraj ◽  
Jadab Kumar Jana ◽  
Syama Prasad Sit
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Survival Rates ◽  
Acute Poisoning ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Paediatric Department ◽  
Cross Sectional Design ◽  
Poisoning In Children

BACKGROUND: Acute poisoning, a common, yet an important preventable cause of morbidity and mortality in children, is a paediatric emergency globally, responsible for 0.33% to 7.6% of the total paediatric admissions among various hospitals of India. This study was done to assess the changing trends, in the pattern and outcome of poisoning among 1-12 years children. METHODS: This is an institution-based descriptive epidemiological study with cross-sectional design that includes a hundred children of one to twelve years age, conducted over a period of one and half years in the paediatric department of a tertiary care hospital in India. RESULTS: In the study period, majority of the patients out of 100 admitted, were male (65%).Most of those (68%) belonged to the 1-3 years age group. The share of hydrocarbon poisoning (46%) was highest with 26 cases of Kerosene ingestion being the most in it. Important presenting complaints were vomiting, pain abdomen, tachypnoea, and pneumonitis. Only 1 patient died during the course, the cause of which remained unknown. CONCLUSION: The pattern and outcome of acute poisoning in children was quite similar when compared to other studies from different hospitals in India. Survival rates have been increasing due to ongoing improvement in medical infrastructure, which one hopes, shall keep improving along with focus on preventive measures at community levels.

scholarly journals STUDY OF SPECTRUM OF BENIGN THYROID LESIONS ON FNAC AT TERTIARY CARE CENTRE

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
M. Reeta Devi ◽  
Babina Sarangthem ◽  
Keerthivasan .
Keyword(s):  
Tertiary Care ◽  
Cost Effective ◽  
Needle Aspiration ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Thyroid Swelling ◽  
Thyroid Lesions

Background: Thyroid lesions are one of the commonly encountered disorders in any hospital. Majority are non neoplastic and malignancy accounts for about 5-10%. Fine needle aspiration cytology is a simple, cost effective, reliable and minimally invasive tool for the evaluation of these lesions and it can differentiate benign from malignancy. Material and methods: This cross sectional study was conducted on the thyroid swelling attending the cytology OPD of Regional Institute of Medical Sciences (RIMS) during October, 2016 to October, 2019 a tertiary care hospital. All smears are air dried and stained with Giemsa stain. Results: The most common age group affected is 41-50 years of age followed by 31-40 years age group. Females outnumbered males with female to male ratio of 16.9:1. Out of 729 cases, colloid goiter constitute a total of 387 (53%), Hashimto's thyroiditis 318 cases (43.3%), adenomatous goiter (1.2%) and Graves disease contribute 1.1% Conclusion: Thyroid Swelling are very common clinical presentation. FNAC is a cost effective, reliable, easy to perform test with commendable sensitivity. It can spare patients to undergo unnecessary surgery. It also helps in differentiating solid from cystic lesions.

scholarly journals A retrospective analysis of acute poisoning cases admitted to a tertiary care hospital in South India

2019 ◽  
Vol 8 (10) ◽  
pp. 2271
Author(s):  
Nishanthi Anandabaskar ◽  
Reveda Murugan ◽  
Nitya Selvaraj ◽  
Mohanasundaram Jayaraman ◽  
Meher Ali Rajamohammad ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Acute Poisoning ◽  
Medical Emergency ◽  
Accidental Poisoning ◽  
Care Hospital ◽  
Age Group ◽  
Plant Seeds

Background: Acute poisoning is a medical emergency and a global public health problem. The poisoning pattern varies across countries and even between different regions within a country. The aim of this was to explore the demographic, etiological, and clinical characteristics of acute poisoning cases admitted to a tertiary care hospital in Puducherry, South India.Methods: This was a retrospective hospital record based study of acute poisoning cases admitted to our hospital during the period from January 2015 to December 2017. The patients’ demographic, etiological and clinical characteristics were analyzed.Results: Of the total of 275 cases of acute poisoning, majority of them were in the age group of 21- 30 years (32%) and were females (58.5%). Most of the cases were suicidal in nature (75.3%). Majority of the patients consumed a single poisonous agent (92.7%) and the route of poisoning was oral in all of them. Majority of the patients (56.7%) reached the hospital within 2 hours of exposure to the poison with median duration of hospital stay of 2 days, and mortality of 2.9%. Majority of the suicidal poisonings were associated with abuse of insecticides (39.4%), rodenticides (19.7%) and plant seeds (14.4%); whereas the accidental poisonings were mostly due to household agents (79.1%).Conclusions: Our study shows that the majority of the poisoning cases occurred with a single poisonous agent consumed orally, for suicidal purposes in young age group and women. Pesticides and plant seeds were commonly abused for committing suicides and household agents dominated the list of causes for accidental poisoning.

scholarly journals Study of the pattern, intent behind and outcome of acute poisoning in a tertiary care centre

2020 ◽  
Vol 8 (1) ◽  
pp. 103
Author(s):  
G. Srinivas ◽  
Y. S. Aashik ◽  
Manoj Muthalik
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Total Mortality ◽  
Cross Sectional Study ◽  
Acute Poisoning ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
Organophosphorous Compound ◽  
Cross Sectional ◽  
Suicide Intent

Background: Acute poisoning is one of the major medical emergencies with significant morbidity and mortality. Appropriate planning, prevention and management techniques can be designed by knowing the nature, severity and outcome of acute poisoning cases. Most of the poisoning is due to the intention of deliberate self-harm. This study aimed to study the pattern and outcome of acute poisoning and the intent behind poisoning.  Methods: This is a cross sectional study which included 100 acute poisoning cases in a tertiary care hospital. The study includes data regarding age, sex, time elapsed after intake of poison; name of the poisonous substance, duration of hospitalization, severity and outcome were collected in the prestructured proforma. Intent behind poisoning was calculated using Beck’s suicide intent score.  Results: Incidence was more common among males (69%) but there was no significant correlation between gender and mortality. Mean age of presentation was 35.66 years but age of presentation and mortality correlation was not statistically significant (t=0.92, p=0.3). Organophosphorous compound poisoning (36%) was the most common type of poisoning. Total mortality was found to be 12%. Beck’s suicide intent scores were higher in patients who died and statistically significant (t=8.96, p=0.0001). Maximum patients expired when there was a delay in admission to hospital by more than 8 hours after exposure.  Conclusions: Poisoning is more common in young males. The overall mortality depends on type of poison, time elapsed since exposure to hospital arrival, suicidal intent and many other factors. Early care in a tertiary care center may help to reduce mortality in India.

Gravity of Poisoning Cases in Shaheed Benazirabad Sindh, Pakistan: A Prospective Study

2020 ◽  
pp. 89-98
Author(s):  
Shaib Muhammad ◽  
Narendar Kumar ◽  
Yasmeen Qureshi ◽  
Geeta Kumari ◽  
Jabbar Abbas ◽  
...  
Keyword(s):  
Prospective Study ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Geographic Region ◽  
Poison Control ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Middle Income ◽  
Poison Control Centers

Aim: It is estimated that more than half a million of people die worldwide due to various incidences of intentional and unintentional poisoning and of them 84% occur in low- and middle-income countries. The clinical presentation of poisoning cases differs by age group, reason of poisoning, geographic region, substances involved and economic development of the country. The aim of present research was to estimate the incidence of poisoning in Shaheed Benazirabad based on above reasons. Study Design: Cross-sectional prospective study. Place and Duration of Study: Over a period of 6 months between July to December 2019 in a tertiary care hospital in Sindh, Pakistan. Methodology: Study was carried out by enrolling poisoned patients admitted in a tertiary care hospital. A standardized questionnaire was designed based on different variables in surveys conducted by American Association of Poison Control Centers. In total 263 poisoning cases were presented during the study period. The data obtained was coded, entered and analyzed using SPSS 24. Results: It was found that poisoning was more common in male (58.9%) in the age group of 16 to 30 years (48.7%) and single individuals (56.3%) with uneducated (55.1%) and jobless (54%) background. The common reasons of poisoning were suicide (36.5%) and substance involved in poisoning cases were pesticides (42.6%). Of the total cases reported during study period, 17.5% were admitted in Intensive Care Unit and death was reported in 5.3% of cases.  Conclusion: It was found that improved regulatory controls for hazardous chemicals, establishing poison control centers and decreasing exposure and reporting time can decrease poisoning cases.

scholarly journals Drug Utilization Study in Medical Emergency Unit of a Tertiary Care Hospital in North India

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Sharonjeet Kaur ◽  
Sujit Rajagopalan ◽  
Navjot Kaur ◽  
Nusrat Shafiq ◽  
Ashish Bhalla ◽  
...  
Keyword(s):  
Drug Treatment ◽  
Drug Utilization ◽  
Tertiary Care ◽  
North India ◽  
Medical Emergency ◽  
Care Hospital ◽  
Emergency Unit ◽  
Drug Utilization Study ◽  
Cross Sectional ◽  
Medical Specialties

Objective. To generate data on the drug utilization pattern and cost of drug treatment and to determine the rationality of prescriptions.Methods. A retrospective cross-sectional drug utilization study was conducted in the medical emergency unit of our hospital. Patient case records were reviewed to extract data on the pattern of drug use. Cost of drug treatment for the emergency visit was calculated by referring to the cost mentioned in Monthly Index of Medical Specialties and the rationality of prescriptions was evaluated using WHO core indicators of drug utilization.Results. 1100 case records were reviewed. Majority of patients received proton pump inhibitors followed by multivitamins. The median cost per prescription was 119.23$ (7.32$–7663.46$). Majority (49.9%) of drug cost was driven by antibiotics alone. An average of 4.9 drugs was prescribed per prescription. There were 14.89% encounters with antibiotics. 75.17% of the drugs were given as injectables and only 29.27% of the drugs were prescribed as generics.Conclusion. There is need to rationalize the drug therapy in terms of increasing prescribing of drugs by generic name and to avoid overuse of PPIs and multivitamins in emergency unit. Also the hospital pharmacy should be encouraged to procure more cost effective alternative antibiotics in future.

scholarly journals An Epidemiological Study of Acute Poisoning In a Tertiary Care Centre

2021 ◽  
Vol 9 (2) ◽  
pp. 34-37
Author(s):  
Pankaj Kumar Jain ◽  
Kamalesh Katara ◽  
S. Jelia
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Gastric Lavage ◽  
Acute Poisoning ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Epidemiological Aspect ◽  
Male Predominance

Introduction: Acute poisoning represents a real health threat in the world. It is a common cause of admission to emergency department and in intensive care unit. Periodic clinical and epidemiological studies are required to understand the pattern of poisoning. This study aims to analyze epidemiological aspect, clinical profile, and outcome of acute poisoning in a tertiary care hospital. Material and Methods: A cross sectional study was conducted at Government Medical College Hospital, Kota, Rajasthan. 102 admitted patients were taken for study from January 2020 to August 2020. Epidemiological variables age, sex, type of poison, mode of exposure, clinical presentation and outcome were studied. Results: The median age was 30.23 years with a male predominance (54.9%). The circumstances of poisoning were suicidal, accidental and unknown in 88.2%, 9.8%, and 1.96% respectively. Ingestion was the major route of exposure (98%) followed by inhalation (1.96%). The majority 33(32.4%) of cases were of Organophosphorus poisoning followed by 17(16.7%) cases of Rodenticide poisoning. The main symptoms were nausea and vomiting in 90(88.2%) cases. Convulsions were noted in 3(2.9%) patients. Gastric lavage was done for 92(90.19%). 8 patients (7.84%) were needed mechanical ventilation. 7 patients (6.86%) were needed vasoactive drugs. The rate of mortality was 8.82%. The aluminium phosphide poisoning was responsible for 44.4% deaths. Conclusion: Study revealed the high mortality associated with acute poisoning. Appropriate approach towards poisoning at tertiary care center and prevention remains the best strategy for reducing morbidity and mortality.

scholarly journals Analysis of pesticide poisoning cases in a tertiary care hospital, Mumbai

2019 ◽  
Vol 1 (1) ◽  
pp. 12-14
Author(s):  
Rajesh D. Kharat ◽  
RAHUL VITTHAL KEDARE
Keyword(s):  
Urban Areas ◽  
Tertiary Care ◽  
Medical Emergency ◽  
Care Hospital ◽  
Age Group ◽  
Pesticide Poisoning ◽  
Female Ratio ◽  
Safety Practices ◽  
Hindu Religion ◽  
Lower Socioeconomic

The pesticide poisoning is a common medical emergency and leads to morbidity and mortality in developing countries due to easy accessibility and less cost. A prospective analysis of pesticide poisoning cases admitted to the emergency department of tertiary care, teaching hospital, Mumbai, Maharashtra from 1st January 2006 to 31st December 2006. The main objectives, to assess the pattern and socio-demographic profile of pesticide poisoning. The most cases observed in the age group 21-30 years (n:72, 41.37%)). Total males affected were 94 (54.02%) dominating the females 80 (45.98%) and male to female ratio (1.17:1). But in younger age group, females were more affected than males. The maximum cases belonged to the lower socioeconomic class (n:82, 47.12%) and urban areas (n:106, 60.91%). Majority of the victims married and belonged to Hindu religion (n: 140, 80.4%). The occurrence of pesticide poisoning was more frequent in the evening (n:82,47.12%) and during the, monsoon (73, 41.95%).There is a need for adequate guidelines for sale, use, storage and safety practices for the pesticide. These will be helpful for the enhancement of the knowledge, awareness and safety practices among the population for prevention and reduction of the pesticide poisoning. It also emphasized on the early availability of treatment in the poisoning cases.

Prescribing trends of antidiabetic drugs in diabetic and hypertensive diabetic patients in an urban tertiary care hospital of Bangladesh

2017 ◽  
Vol 3 (3) ◽  
pp. 338-343
Author(s):  
Mohammad Didar Khan ◽  
Md. Ibrahim ◽  
Md. Mizanur Rahman Moghal ◽  
Dipti debnath ◽  
Asma Kabir ◽  
...  
Keyword(s):  
Urban Areas ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Age Group ◽  
Microsoft Excel ◽  
Patient Profile ◽  
Prescribing Trends ◽  
Medical University ◽  
Insight Into

Objective: The present epidemiological study was conducted with the objectives of providing an insight into the current use of antidiabetic medications to diabetics and hypertensive diabetics in urban areas and determining how the patient factors influence the prescribing of antidiabetic medications. Methodology: Data of patients of past two years were collected from Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital, Dhaka, Bangladesh. The details were entered in the structured patient profile form. Data were statistically analyzed using the Microsoft Excel 2007 software. Result: A total of 958 patient’s data were collected and analyzed of which 632 (65.97 %) were males and 326 (34.03 %) were females. These patients were further categorized based on their age. 330 patients (34.45 %) belonged to the age group 20 – 44 years, 504 (52.61 %) to the age group 45 – 65 years and 124 (12.94 %) to the age group 65 – 80 years. 684 (71.4%) patients out of the 958 patients studied were suffering from coexisting hypertension. Co-existing hypertension was found to be more prevalent in the age group 45 – 65 years (67.69%) and was found more in females (84.04%). Conclusion: Metformin was the oral hypoglycemic which was the highest prescribed. In hypertensive diabetics Metformin and Pioglitazone were most frequently prescribed drugs. Biguanides and Insulin were the most commonly prescribed antidiabetics. A combination of two or more drugs of different classes was prescribed to hypertensive diabetics. It is necessary to have an improved understanding of the etiology and pathophysiology of diabetes to focus on research efforts appropriately.

A CLINICOEPIDEMIOLOGICAL STUDY ON PAEDERUS DERMATITIS IN A TERTIARY CARE CENTRE, CHENNAI

2021 ◽  
pp. 25-27
Author(s):  
P. Mohan ◽  
P. Revathi Guru ◽  
V. Sudha ◽  
L. Balamurugan ◽  
Pavithra Gunasekaran ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sudden Onset ◽  
The Body ◽  
Care Hospital ◽  
Age Group ◽  
Common Condition ◽  
Tertiary Care Centre ◽  
Linear Lesions ◽  
Paederus Dermatitis

Paederus dermatitis is a form of irritant contact dermatitis due to contact with certain insects of the genus Paederus presenting with mostly erythematous linear lesions of sudden onset on exposed parts of the body. To study the clinico epi Aim: demiological features in patients with Paederus dermatitis. A retrospective analysis of clinicoepidemiological Materials & Methods: features of patients affected with Paederus dermatitis who had attended the Dermatology OPD, in a tertiary care hospital between January 2018 to December 2019 was done. All the required data had been collected from the OPD records and details were tabulated and analysed. A total of 56 patients had been affected with Result: Paederus dermatitis during the study period, of which 32 were males and 24 were females. 41out of 56 (73.21%) of patients presented between the months of August and December. Most common age group affected were between 11 to 30 yrs, with front and back of neck being the most common affected sites. In 42 out of the 56 patients the lesions resolved with post inammatory hyperpigmentation. Conclusion: Paederus dermatitis is a common condition that is often misdiagnosed and hence awareness is required for the clinicians and the general public to prevent it.

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