مسمومیت با مواد ضدعفونی کننده در زمان همه‌گیری کووید-19 در بیمارستان‌های علوم پزشکی مشهد

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، کمیته تحقیقات دانشجویی، گروه مهندسی بهداشت محیط ، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادیار، گروه مهندسی بهداشت محیط ، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 دکترای مهندسی بهداشت محیط، گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 کمیته تحقیقات دانشجویی، گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

10.22038/mjms.2025.88196.5017

چکیده

مقدمه: در زمان همه‌گیری بیماری کرونا، استفاده بیش از حد از مواد ضدعفونی کننده، شیمیایی و گندزدا‌ها موجب افزایش مسمومیت ناشی از آن گردید. مطالعه‌ی زیر با هدف بررسی مسمومیت افراد در بیمارستان‌های مشهد انجام گرفت.
روش کار: مطالعه از نوع توصیفی مقطعی است که با جمع‌آوری اطلاعات پرونده بیماران طی سال‌های 1396 لغایت 1400 و تکمیل چک لیست انجام شد.
نتایج: از تعداد کل آمار ثبت شده مسمومین (2840 نفر)، 5/3 درصد به سال 97 ،4/2 درصد به سال 98 و 5/74 درصد به سال 99 و 5/19 درصد مربوط به سال 1400 می‌باشد. در دو سال همه‌گیری کرونا مخصوصا در سال اول، آمار مسمومین افزایش یافته است. از این تعداد 6/51 درصد مذکر و 4/48 درصد مونث هستند. 95 درصد از مسمومین مجرد و 5 درصد متاهل هستند. تعداد افراد مسموم شده با مواد شیمیایی و گندزداها برابر 349 نفر می‌باشد که از این تعداد 157 نفر (5/5 درصد) با حلال‌های آلی شامل اتانول، متانول، بنزن و کتون و 68 نفر با شوینده‌ها و صابون‌ها و حدود 55 نفر نیز با فراورده‌های نفتی مانند بنزین، گازوئیل و اسیدها و مواد خورنده مسموم شده‌اند. بیشترین میزان شیوع مسمومیت‌ها به ترتیب مربوط به گروه‌های سنی زیر 5 سال (5/59 درصد) سنین بین 10 تا20 سال (2/20 درصد ) و سن 5 تا 10 سال (2/14درصد) و کمترین مربوط به سنین بالای 40 سال (2/2 درصد ) می‌باشد.با‌توجه به میزان بالای شیوع مسمومیت در بین مراجعه‌کنندگان به بیمارستان‌های تحت پوشش دانشگاه، لزوم آگاه‌بخشی در این زمینه ضروری به نظر می‌رسد.

کلیدواژه‌ها

عنوان مقاله [English]

Disinfectant Poisoning during COVID-19 pandemic in Mashhad Medical Sciences Hospitals

نویسندگان [English]

  • Fatemeh Sadat Khatibi 1
  • Aliakbar Dehghan 2
  • Aynaz Rangrazi 1
  • Batoul Mohebbrad 3
  • Fatemeh Alipourbalforoush 4
1 Master's Student, Student Research Committee, Department of Environmental Health Engineering, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Assistant Professor, Department of Environmental Health Engineering, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Ph.D. of Environmental Health Engineering, Department of Environmental Health Engineering, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Student Research Committee, Department of Environmental Health Engineering, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Background: During the coronavirus epidemic, the excessive use of disinfectants and chemicals increased the resulting poisoning. The following study was conducted to investigate the poisoning of people in Mashhad hospitals.
Methods: The study is a cross-sectional descriptive study and carried out by collecting information from the files of patients from 2016 to 2016 and completing the checklist prepared.
Results: This study shows that of the total number of people (2840 people) from the four hospitals, 3.5% related to 1997, 2.4% related to 1998 and 74.5% related to the year 99 and 19.5 percent is related to the year 1400. This shows that in the two years of the corona epidemic, especially in the first year,, the number of poisoned people has increased. From the total statistics obtained, 51.6% of those poisoned are male and 48.4% are female.
Conclusion: The results show that the largest number of people poisoned with chemicals and disinfectants is related to 157 people who were poisoned with organic solvents. The highest prevalence of poisoning is related to age groups under 5 years , ages between 10 to 20 years and ages 5 to 10 years, Based on the results, initially the highest number (158 people) of poisoning with chemicals, disinfectants and disinfectants was related to substances such as ethanol, methanol, benzene, ketones and other organic solvents, and in the second group (68 people), poisoning with detergent and soaps are placed. In the third group (about 55 people), they are poisoned by petroleum products.

کلیدواژه‌ها [English]

  • Poisoning
  • Covid-19
  • Disinfectants
  • Hospital

مراجع

  1. 1. Togami, E., et al., The World Health Organization’s public health intelligence activities during the COVID-19 pandemic response, December 2019 to December 2021. Eurosurveillance, 2022. 27(49): p.
  2. 2. Rai, N.K., A. Ashok, and B.R. Akondi, Consequences of chemical impact of disinfectants: safe preventive measures against COVID-19. Critical reviews in toxicology, 2020. 50(6): p. 513-520.
  3. 3. Atolani, O., et al., COVID-19: Critical discussion on the applications and implications of chemicals in sanitizers and disinfectants. EXCLI journal, 2020. 19: p.
  4. 4. Nabi, G., et al., Massive use of disinfectants against COVID-19 poses potential risks to urban wildlife. Environmental research, 2020. 188: p.
  5. 5. Organization, W.H., WHO Guidelines on hand hygiene in health care: first grobal patient safety challenge clean care is safer care. (No Title),
  6. 6. Samara, F., R. Badran, and S. Dalibalta, Are disinfectants for the prevention and control of COVID-19 safe? Health security, 2020. 18(6): p. 496-498.
  7. 7. Singh, A., Covid-19: disinfectants and sanitisers are changing microbiomes. Bmj, 2020. 370.
  8. 8. Slaughter, R., et al., Isopropanol poisoning. Clinical toxicology, 2014. 52(5): p. 470-478.
  9. 9. Tachikawa, T., Overreliance on hand sanitizers may increase risk of coronavirus infection. Kyodo News,
  10. 10. Mahmood, A., et al., COVID-19 and frequent use of hand sanitizers; human health and environmental hazards by exposure pathways. Science of the Total Environment, 2020. 742: p.
  11. 11. Guo, J., et al., Impact of the COVID-19 pandemic on household disinfectant consumption behaviors and related environmental concerns: A questionnaire-based survey in China. Journal of Environmental Chemical Engineering, 2021. 9(5): p.
  12. 12. Rostami, M., The coronavirus disease 2019 (COVID-19) and alcohol use disorders in Iran. American Journal of Men's Health, 2020. 14(4): p.
  13. 13. Sefidbakht, S., et al., Methanol toxicity outbreak: when fear of COVID-19 goes viral. Emergency medicine journal, 2020. 37(7): 416-416.
  14. 14. Aghababaeian, H., L. Araghi Ahvazi, and A. Ostadtaghizadeh, The methanol poisoning outbreaks in Iran 2018. Alcohol and alcoholism, 2019. 54(2): p. 128-130.
  15. 15. Hassanian-Moghaddam, H., et al., Double trouble: methanol outbreak in the wake of the COVID-19 pandemic in Iran—a cross-sectional assessment. Critical Care, 2020. 24(1): p. 1-3.
  16. 16. Hovda, K.E., et al., Methanol outbreak in Norway 2002–2004: epidemiology, clinical features and prognostic signs. Journal of internal medicine, 2005. 258(2): p. 181-190.
  17. 17. Soltaninejad, K., Methanol mass poisoning outbreak, a consequence of COVID-19 pandemic and misleading messages on social media. The international journal of occupational and environmental medicine, 2020. 11(3): p.
  18. 18. Aghababaeian, H., L. Hamdanieh, and A. Ostadtaghizadeh, Alcohol intake in an attempt to fight COVID-19: A medical myth in Iran. Alcohol, 2020. 88: p. 29-32.
  19. 19. Arasteh, P., M. Pakfetrat, and J. Roozbeh, A surge in methanol poisoning amid COVID-19 pandemic: why is this occurring? The American Journal of the Medical Sciences, 2020. 360(2): p.
  20. 20. Dear, K., L. Grayson, and R. Nixon, Potential methanol toxicity and the importance of using a standardised alcohol-based hand rub formulation in the era of COVID-19. Antimicrobial Resistance & Infection Control, 2020. 9: p. 1-3.
  21. 21. Welle, L., A. Medoro, and B. Warrick, tainted hand sanitizer leads to outbreak of methanol toxicity during SARS-CoV-2 Annals of Emergency Medicine, 2021. 77(1): p. 131-132.
  22. 22. Yip, L., et al., Serious adverse health events, including death, associated with ingesting alcohol-based hand sanitizers containing methanol—Arizona and New Mexico, May–June 2020. Morbidity and Mortality Weekly Report, 2020. 69(32): p.
  23. 23. Meyer, S., et al., Unintentional household poisoning in children. Klinische Pädiatrie, 2007. 219(05): p. 254-270.
  24. 24. Wattigney, W.A., W.E. Kaye, and M.F. Orr, Acute hazardous substance releases resulting in adverse health consequences in children: Hazardous substances emergency events surveillance system, 1996–2003. Journal of environmental health, 2007. 70(4): p. 17-26.
  25. 25. Smolinske, S.C. and M.M. Kaufman, Consumer perception of household hazardous materials. Clinical toxicology, 2007. 45(5): p. 522-525.
  26. 26. Ruckart, P.Z., M.F. Orr, and W.E. Kaye, Hazardous-chemical releases in the home. Journal of Environmental Health, 2004. 67(5).
  27. 27. Santos, C., et al., Reported adverse health effects in children from ingestion of alcohol-based hand sanitizers—United States, 2011–2014. Morbidity and mortality weekly report, 2017. 66(8): p.
  28. 28. Al-Mousa, F.A., et al., Medical toxicology experience: Poisoning consultations cases registry in Saudi Ministry of Health-2020 annual report. Toxicology reports, 8: p. 1558-1564.
  29. 29. Bunn, T.L., et al., The effect of poison control center consultation on accidental poisoning inpatient hospitalizations with preexisting medical conditions. Journal of Toxicology and Environmental Health, Part A, 2008. 71(4): p. 283-288.
  30. 30. Zaloshnja, E., et al., The potential impact of poison control centers on rural hospitalization rates for poisoning. Pediatrics, 2006. 118(5): p. 2094-2100.
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 69، شماره 3
خرداد1405
خرداد 1405
صفحه 261-272

فایل ها

هم رسانی

ارجاع به این مقاله

آمار