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

2014 ◽  
Vol 34 (2) ◽  
pp. 100-103 ◽  
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 

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

2018 ◽  
Vol 5 (3) ◽  
pp. 963
Author(s):  
A. Bhaskar Reddy ◽  
K. Venkataramana Reddy ◽  
C. Soren ◽  
Zion Eluzai ◽  
M. Srikanth
Keyword(s):  
Economic Status ◽  
Care Center ◽  
Tertiary Care ◽  
Complete Recovery ◽  
Acute Poisoning ◽  
Age Group ◽  
Medical College ◽  
The Common ◽  
Epidemiological Profile ◽  
Poisoning In Children

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.

Drug and chemical poisoning admissions at a teaching hospital in Malaysia

2002 ◽  
Vol 21 (7) ◽  
pp. 377-381 ◽  
Author(s):  
A F Ab Rahman
Keyword(s):  
Teaching Hospital ◽  
Retrospective Review ◽  
Medical Records ◽  
The State ◽  
Number Of Patients ◽  
Medicinal Substances ◽  
The Common ◽  
Poisoning In Children

A retrospective review of medical records was carried out to determine the pattern of drug and chemical poisoning cases admitted to a teaching hospital in Malaysia. Medical records of patients admitted during the period January 1987 to December 1995 were reviewed. They accounted for 0.2% of total admissions during the period. While all ages were represented, there was predominance of children, which showed little change throughout the nine-year period. Of all cases of poisoning, 77.8% were unintentional, 12.6% intentional and 9.6% were undetermined. Kerosene, pesticides and medicinal substances remained the common agents associated with poisoning. A significant number of patients sought treatment elsewhere before being admitted to the hospital. Of those who came directly to the hospital, many were presented late in the course of their poisoning. Only seven patients died and none were children. This study supports the need for greater emphasis on prevention of poisoning in children and among farmers in the state.

scholarly journals DETERMINATION OF PREVALENCE RATE OF ENTAMOEBA HISTOLYTICA AMONG CHILDREN DIAGNOSED WITH ACUTE DIARRHEA IN KANO, NIGERIA

2021 ◽  
pp. 16-18
Author(s):  
JA’AFAR S ADAM ◽  
MUSA G YAHAYA ◽  
FAROUK S NAS ◽  
LURWAN MU’AZU ◽  
MUHAMMAD ALI
Keyword(s):  
Entamoeba Histolytica ◽  
Acute Diarrhea ◽  
Childhood Mortality ◽  
Personal Hygiene ◽  
Age Group ◽  
Mortality And Morbidity ◽  
Improved Sanitation ◽  
Stool Samples ◽  
Age Category

Background: Diarrhea is a major contributor to childhood mortality and morbidity in the developing world. Objective: The study was aimed to determine the prevalence of Entamoeba histolytica among children diagnosed with acute diarrhea in Kura General Hospital Kano, from February to August 2017. Methodology: A total of 236 stools samples were collected from children within the age group of 0 – 5 years diagnosed with acute diarrhea attending the Hospital. The stool samples were examined for Entamoeba Histolytica cysts and trophozoites using direct wet preparation and Formol Ether concentration techniques. Results: The result showed that 23 samples which accounted for 9.75% of the samples were found to be positive for the parasite. Highest incidence of the parasite was found among children within the age category of 4 - 5 years. The results also indicated that males (56.5%) were more infected than females (43.5%). However, there is no statistical difference in the rate of infection among the sex and age group of the patients at p< 0.05. Conclusion: In conclusion, maintenance of personal hygiene and improved sanitation of the environment will indeed prevent contamination of food and water sources.

scholarly journals Study of the pattern and management of blunt chest injuries in rural setup

2017 ◽  
Vol 4 (10) ◽  
pp. 3482
Author(s):  
Kuldeep Sharma ◽  
Sushrut Pradeep Tated ◽  
Ashish Ashokrao Hatkar
Keyword(s):  
Cause Of Death ◽  
Chest Trauma ◽  
Public Health Problem ◽  
Age Group ◽  
Radiological Findings ◽  
Common Cause ◽  
Chest Injuries ◽  
The Common ◽  
Two Wheeler

Background: Trauma is recognized as a serious public health problem. In fact, it is the leading cause of death and disability in the first four decades of life and is the third most common cause of death overall. Trauma may lead to short or long-term disability. Objective was to study the pattern of chest injuries with resultant underlying damage, in rural set up.Methods: The present study was carried out among 500 cases of age group 15 to 75 years, all religions and both sexes. All patients received in the Emergency Room (ER/Casualty) were immediately attended and history, primary survey and resuscitation were done simultaneously. X ray chest-erect position was taken and subsequent management either operative or non-operative was done according to clinic-radiological findings. After discharge, patients were followed on OPD basis till the time they return to the normal activity.Results: Majority of patients (31%) were from 55 to 65 years of age group and were male (64.2%). Vehicular accident was the commonest (56.8 %) cause of injury. Vehicular accidents were the most common cause of chest injuries. In vehicular accidents two-wheeler riders were the common victims (55.28%). Assault was 2nd most common mode of injury. Among those patients who sustained chest trauma had average VAS 6 (49.2%) followed by 4 (45%). Majority of patient were treated conservatively (93.6%).Conclusions: The most active age group and males were affected with commonly vehicular accidents. They mainly suffered chest injuries. 

scholarly journals A Study on Incidence and Patterns of Acute Poisoning Cases in an Emergency Department of Western Region of Nepal

2019 ◽  
Vol 12 (2) ◽  
pp. 59-62
Author(s):  
K. Acharya ◽  
I.S. Kandel ◽  
S. Gupta ◽  
S.D. Poudel
Keyword(s):  
Emergency Department ◽  
Young People ◽  
Acute Poisoning ◽  
Anxiety And Depression ◽  
Western Region ◽  
Age Group ◽  
Cross Sectional ◽  
Common Cause ◽  
Psychiatric Illnesses ◽  
Common Diagnosis

Introduction: Poisoning is a common cause of morbidity and mortality in the Nepal. The objective of our study is to evaluate the incidence and pattern of acute poisoning cases admitted to the Gandaki Medical Teaching Hospital. Methods: This is cross-sectional observational study carried out among acute poisoning cases attending emergency department from January 2015 to December 2017. Results: A total of 156 poisoning cases were treated of which female patients were 71% and the highest numbers (36.5%) of patients were in the age group 21 to 30 years. Organophosphates poisoning was the commonest poison diagnosed among 28.8%, followed by rodenticide poisoning found among 27.5%. Psychiatric illnesses were present among 94.8% of our patients. The most common diagnosis were Anxiety and depression 46.6% followed by family dispute among 30.4%. Above fifty percent of our patients attended our emergency department within 2 hours our ingestion of poisons. Conclusion: Female and young people are at greater risk of acute poisoning. Pesticides were the most common agent. The reasons for the poisoning need to be carefully evaluated and proper support and advice must be given in poisoning cases.

CLINIC-ETIOLOGICAL PROFILE AND USE OF ANTIEPILEPTIC DRUGS IN CHILDREN PRESENTING WITH SEIZURES: AN OBSERVATIONAL STUDY.

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Manoj Kumar ◽  
Vivek Kumar ◽  
Gopal Shankar Sahni
Keyword(s):  
Observational Study ◽  
Antiepileptic Drugs ◽  
Hospital Admissions ◽  
Keywords Epilepsy ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Common Causes ◽  
The Common ◽  
Possible Cause ◽  
Symptoms And Signs

Introduction: Seizures are one of the common causes for hospital admissions in children with significant mortality and morbidity. The present investigation was aimed to study the clinic-etiological profile and use of antiepileptic drugs in children presenting with seizures. Methods: The present prospective observational study was conducted in the Department of Pediatrics, SKMCH Medical College and Hospital, Bihar for the period of 1 year from Nov 2017 to Nov 2018.  A total of 120 children with acute symptoms and signs of seizures with altered sensorium were studied. History was obtained to determine the possible cause of the seizure and type of epilepsy. The data obtained was analyzed with SPSS version 20. Results: out of total 120 children majority were found in the age group of 1-4 years and males had higher prevalence compared to female. Primary generalised tonic clonic epilepsy was the commonest type of epilepsy seen. Uconsciousness 51.7%, fever 40.8%, vomiting 26.7%, and headache 20% were the leading presenting complaints in seizure patients. Conclusions: The study showed primary generalised tonic clonic epilepsy was the commonest type of epilepsy seen, followed by simple partial seizures. Effort should be intensifying to eradicate the preventable causes of the disease. Keywords: Epilepsy, Fever, Children

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 Trends of Neonatal Mortality in context of Case Overload in Al - Alwyia Pediatric Teaching Hospital at Baghdad during 2005-2012

2016 ◽  
Vol 12 (2) ◽  
pp. 43-48
Author(s):  
Tareef Fadhil Raham ◽  
Assad Muhsen Abood
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Teaching Hospital ◽  
Hospital Admissions ◽  
Significant Proportion ◽  
Case Fatality ◽  
Childhood Mortality ◽  
P Value ◽  
Total Hospital ◽  
The Impact

Background: Data on the impact of neonatal and total pediatric admissions volume on neonatal mortality are sparse. Objectives: This study is done to estimate the neonatal mortality in relation to neonatal admissions and to total hospital admissions in Al-Alwyia Pediatric Teaching Hospital through years 2005-2012 Type of the study: A retrospective study.Methods: statistical records of all cases admitted to APTH were studied during 2005-2012.Results: Neonatal mortality decreased to the nadir at last year of study period (2012) and reached 6.1% of neonatal admissions compared to 2005 level which was 9.7 %. Mortality rate among premature and low birth weight (LBW) infants decreased also. The study also reveals that neonatal mortality constitute significant a contribution to childhood mortality (61.4 %) and morbidity (28.3%) throughout the study years. With a highly significant p value parallel to increasing number of neonatal admissions (case over load) , there is a trend of neonatal mortality rate to be decreased Case fatality rate also decreased among overall children to 3.5% in 2005 and to 3.3% in 2013 in spite of 2.4 times increase in neonatal admission during the study period.This neonatal overload is more than overall pediatric over load, because the total hospital admissions are increased just 1.2 times.Conclusions: The neonatal admissions case overload is high and increasing and constitutes a significant proportion of total childhood mortality. Neonatal mortality including premature and (LBW) infants is decreasing .Further actions are needed to meet global goals.

scholarly journals CLINICAL PROFILE OF CHILDREN PRESENTING WITH SEIZURE

2021 ◽  
Vol 5 (12) ◽  
Author(s):  
Rakesh Thakur ◽  
Sumeet Verma
Keyword(s):  
Health Care ◽  
Descriptive Study ◽  
Health Care Facilities ◽  
Clinical Profile ◽  
Age Group ◽  
Common Cause ◽  
Common Causes ◽  
Care Facilities ◽  
Acute Symptomatic Seizure ◽  
The Common

Background: This study is to describe the clinical profile of children presenting with seizure including common causes of seizure and classify the seizure types. Methods:  Hospital-based, analytic and descriptive study. This study includes all children in the age group 6 months to 12 years who presented in the department of paediatrics with seizure. Results: Seizures presented with fever in 36.00% of cases Conclusions: Seizures are one of the common causes of hospitalization. It can be inferred from this study that CNS infections are the most common cause of acute symptomatic seizure. The improvement in health care facilities like sanitation and immunization is warranted to prevent it. Keywords: Seizures, GTCS, Children

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