Studying pattern of Acute Poisoning in north- eastern Iran

Document Type : Research Paper

Authors

1 Quchan School of Nursing, Mashhad University of Medical Sciences, Mashhad, Iran

2 Department of nursing, Quchan Branch, Islamic Azad University,Quchan, Iran

3 Member of Faculty Nursing group of Neyshabour of Medical Science University

4 Shirvan center of higher health education, Imam khomeinihospital,North Khorasan University of medical sciences, Bojnurd, Iran

Abstract

 Introduction: Health care authorities are able to arrange proper planning on prevention programs and optimized management of antidote stockpiles by identifying regional pattern of poisoning. So this study was designed to evaluate the pattern of acute poisoning cases treated in a tertiary care hospital in north- eastern Iran.
Methods. This cross sectional study was conducted at emergency department of Mosabn-Jafar hospital in Quchan during December 2017 to the end of November 2018. All cases of poisoning admitted to the hospital were included in this study. The patients’ data were obtained from medical records and were documented on a pre-structured proforma.
 Results: A total of 222 cases of acute poisoning were studied. The average of people age was 28.9+15.7 year old, most of the patients aged 11 to 30 years (60.3%) ,(50%) were  women, most of the patients reside in urban areas (68%), half of them were married (55%), diploma (33.7%) and unemployed (26.1%). Intentional poisoning or suicidal was the main cause of poisoning (44.6%), overload (31.1%) and Accidental poisoning was recorded for (24.3%) of cases. Pharmaceutical medication (60.4%), opioids (12.1%) followed by pesticides (8.5%) were the most common exposures. The most common drug used in all age was Benzodiazepine (38.8%).
 
Conclusion: Attempted suicide was the most common route of poisoning which necessitates attention
to psychiatric counseling.

Keywords


Alizadeh, A.M., et al., Simplified acute physiology score II/acute physiology and
chronic health evaluation II and prediction of the mortality and later development of
complications in poisoned patients admitted to intensive care unit. Basic & clinical
pharmacology & toxicology, 2014. 115(3): p. 297-300.
2. Al-Jahdali, H., et al., Pattern and risk factors for intentional drug overdose in Saudi
Arabia. The Canadian Journal of Psychiatry, 2004. 49(5): p. 331-334.
3. Shadnia, S., et al., Pattern of acute poisoning in Tehran-Iran in 2003. Human &
experimental toxicology, 2007. 26(9): p. 753-756.
4. Abdollahi, M., et al., A restrospective study of poisoning in Tehran. Journal of
Toxicology: Clinical Toxicology, 1997. 35(4): p. 387-393.
5. Mehrpour, O., et al., Epidemiological and clinical profiles of acute poisoning in patients
admitted to the intensive care unit in eastern Iran (2010 to 2017). BMC emergency
medicine, 2018. 18(1): p. 30.
6. Hovda, K.E., et al., Acute poisonings treated in hospitals in Oslo :a one-year prospective
study (I): pattern of poisoning. Clinical toxicology, 2008. 46(1): p. 35-41.
7. Gorodetsky, R.M., et al., The beneficial auxiliary role of poison information centers:
stewardly use of rabies post-exposure prophylaxis in a time of shortage. Asia Pacific
Journal of Medical Toxicology, 2012. 1(1): p. 34-37.
8. Asadi, R. and R. Afshari, Applying global burden of diseases in medical toxicology.
Asia Pacific Journal of Medical Toxicology, 2014. 3(1): p. 1-1.
9. Afshari, R., Non-medical use of medications in middle and low income countries. Asia
Pacific Journal of Medical Toxicology, 2014. 3(2): p. 49-49.
10. Singh, B. and B. Unnikrishnan, A profile of acute poisoning at Mangalore (South
India). Journal of clinical forensic medicine, 2006 :)3(13 .p. 112-116.
11. Torkashvand, F., et al., Evaluating the pattern of acute poisoning in cases referred to the
Emergency Department of Ali-ebn Abi Taleb Hospital of Rafsanjan from October 2013
to September 2014. Journal of Rafsanjan University of Medical Sciences, 2015. 14(4):
p. 311-324.
12. Moghadamnia, A. and M. Abdollahi, An epidemiological study of poisoning in northern
Islamic Republic of Iran. EMHJ-Eastern Mediterranean Health Journal, 8 (1), 88-94,
2002, 2002.
13. Hameed, F.A., H.K. Ansari .and F.J. Al-Najjar, Prevalent poisonings in adolescents and
adults in Dubai: A compendium from Rashid Hospital. Asia Pacific Journal of Medical
Toxicology, 2014. 3(3): p. 115-119.
14. Sarkar, D., et al., Spectrum of acute pharmaceutical and chemical poisoning in northern
Bangladesh. Asia pacific journal of medical toxicology, 2013. 2(1): p. 2-5.
15. Patil, A., et al., Profile of acute poisoning cases treated in a tertiary care hospital: a
Study in Navi Mumbai. 2014.
16. Krishnankutty Nair, P. and N.G. Revi, On-Year Study on Pattern of Acute
Pharmaceutical and Chemical Poisoning Cases Admitted to a Tertiary Care Hospital in
Thrissur, India. Asia Pacific Journal of Medical Toxicology, 2015. 4(2): p. 79-82.
17. Najafi, F., et al., Causes and Risk Factors of Self-Poisoning in Adolescents 15 to 20
Years: A Single-Center Study With 321 Patients. Iranian Journal of Forensic Medicine,
2012. 18(1): p. 33-38.
18. Wood, A., Self-harm in adolescents. Clinical Topics in Child and Adolescent
Psychiatry, 2014: p. 301.
19. Chelkeba, L., et al., Patterns and epidemiology of acute poisoning in Ethiopia:
systematic review of observational studies. Archives of public health, 2018. 76(1): p.
34.
20. Shakeri, M.T., et al., Study geographical distribution of poisoning cases referred to the
emergency department of Imam-Reza Hospital Mashhad: 2013. medical journal of
mashhad university of medical sciences, 2016. 59(3): p. 171-178.
21. Mehdizadeh, G., et al., Prevalence and causes of poisoning in patients admitted to
Shahid Beheshti hospital of Babol in 2011-2012. Journal of Babol University of
Medical Sciences, 2015. 17(7): p. 22-28.
22. Greydanus, D.E. and D. Shek, Deliberate self-harm and suicide in adolescents. The
Keio journal of medicine, 2009. 58(3): p. 144-151.
23. Phillips, M.R., X. Li, and Y. Zhang, Suicide rates in China, 1995–99. The Lancet, 2002.
359(9309): p. 835-840.
24. Avsarogullari, L., et al., Characteristics of acute adult poisonings in a university
hospital emergency department in central Turkey: a three-year analysis. JPMA-Journal
of the Pakistan Medical Association, 2012. 62(2): p. 129.
25. Khairabadi, G., Intentional and accidental poisoning and its relationship to some of the
individual characteristics of the poisoned. Scientific Journal of Kurdistan University of
Medical Sciences, 2001. 6(30): p. 21-26.
26. Bari, M.S., et al., Four-year study on acute poisoning cases admitted to a tertiary
hospital in Bangladesh: emerging trend of poisoning in commuters. Asia Pacific Journal
of Medical Toxicology, 2014. 3 :)4(p. 152-156.
27. Ramesha, K., K.B. Rao, and G.S. Kumar, Pattern and outcome of acute poisoning cases
in a tertiary care hospital in Karnataka, India. Indian journal of critical care medicine:
peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2009.
13(3): p. 152.
28. Mohamadi, J., F. Niyazmand, and S. Maleki Ziabari, Epidemiological investigation of
poisoning cases assisted by Guilan province 115 emergency. Journal of Guilan
University of Medical Sciences, 2016. 25(97): p.60-56 .
29. Satar, S. and G. Seydaoglu, Analysis of acute adult poisoning in a 6-year period and
factors affecting the hospital stay. Advances in therapy, 2005. 22(2): p. 137-147.
30. Jafarzadeh, S., F. Mobasheri, and Z. Malaki, Characteristics of hospitalized patients due
to intentional and unintentional poisoning in Fasa city, 2014-2016. Iranian Journal of
Emergency Care, 2017. 1(2): p. 9-18.
31. Eslami M, K.S., Fesharaki M, Kazemi N, Ghafarzad A, Zamani M, et al., Evaluation
prevalence and causes of drug and chemical poisoning in patients referred to emergency
wards of Sina Hospital of Tabriz University of Medical Sciences at 2012-13.
International journal of current research and academic review (Int J Curr Res Aca Rev),
2014. 2.
32. Ghasempoori, K ..V. Sharifi, and M. Hatami, Epidemiology of Acute Poisoning in
Patients Admitted to Qaemshahr Razi Hospital, Iran, 2014. Journal of Mazandaran
University of Medical Sciences, 2016. 26(143): p. 247-251.
33. Masoumi, G., et al., Pattern of Poisoning in Isfahan. Journal of Isfahan Medical School,
2012. 29(163.)
34. Farzaneh, E., et al., Acute poisoning in adults admitted in Ardabil imam Khomeini
hospital. Journal of Ardabil University of Medical Sciences, 2012. 12(5): p. 95-102.
35. Mohammadi, N., M. Karbakhsh, and A. Pajoumand, Epidemiologic aspects of
deliberate self-poisoning in adolescents: a hospital-based study in Tehran. Tehran
University medical journal, 2007. 65(4): p. 59-64.
36. E, F., Acute poisoning in adults admitted in Ardabil imam Khomeini hospital. J Ardabil
Univ Med Sci, 2012. 12(suppl): p. 95-102.
37. Shokrzadeh, M., et al., Non-medicinal poisoning pattern in adults referred to the 5Azar
hospital of Gorgan from 2008 to 2015. Jorjani Biomedicine Journal, 2018. 5(2): p. 33-
43.
38. Mahmudi, g.a ..et al., The evaluation of poisoning mortality in the admitted patients in
Shohada Ashayer hospital of Khorramabad from 2006 to 2010. Yafteh, 2013. 15(1): p.
43-50.
39. Azin, S., et al., Substances involved in human poisoning a comparison between
intentional and accidental poisoning cases. Iranian journal of epidemiology, 2008. 4(2):
p. 7-17.
40. Mohamadi, J., F. Niyazmand, and Z.S. MALEKI, Epidemiological investigation of
poisoning cases assisted by Guilan province 115 emergency. 2016.
41. Rostam‐Abadi .Y., et al., Tramadol use and public health consequences in Iran: a
systematic review and meta‐analysis. Addiction, 2020.
42. Torkashvand, F., et al., Evaluating the pattern of acute poisoning in cases referred to the
Emergency Department of Ali-ebn Abi Taleb Hospital of Rafsanjan from October 2013
to September 2014. Journal of Rafsanjan University of Medical Sciences, 2015. 14(4):
p. 311-324.