A Retrospective Observational Study of Poisoning Cases Admitted in a Tertiary Care Teaching Institute in a Tribal Area of Central India Sharma Manu D.1, Vaishnao Lohit S.2, Kewalramani Mahek S.2, Aggrawal Ruchi P.2, Jawade Ashutosh S.2, Bathe Anshada A.2 1Assistant Professor, Department of Forensic Medicine and Toxicology, Government Medical College, Gondia, Maharashtra, India 2IIMBBS Student Government Medical College, Gondia, Maharashtra, India Online published on 27 November, 2019. Abstract Introduction Acute poisoning constitutes a major public health hazard. Studies of poisoning cases will be a significant valuable tool in planning and management of critically ill cases. Objectives To study the demographic profile, identify common poisons, factors, outcomes in poisoning cases and to suggest policies for reducing associated morbidity and mortality. Materials and Method This was a retrospective observational study conducted in a tertiary care teaching institute in tribal region of central India. The data of 209 poisoning cases was collected in a case record form (CRF), which included all the necessary information, from medical record department (MRD) of the institute. Results Among the209 cases, 136 (65.07%) were men and 73(34.92%) women, majority were married 152(72.72%). More cases were from rural region 171(81.81%).86% of cases were from lower socioeconomic class. Number of suicidal poisoning cases were 148(70.81%) followed by accidental cases 58 (27.75%), maximum cases 89(42.58%) were farmers by profession. The major causative agent was insecticide 87(41.62%), followed by rodenticides 43(20.57%). Some cases of mushroom poisoning were seen. Cases were prevalent in winter season 109 (52.15%) followed by summer 69 (33.01%) and rainy season 31 (14.83%). The common site of poisoning was home. Patient outcome was mostly cure but it was fatal in some. Conclusion Majority of poisoning cases occurred with pesticides, for suicidal purpose, in young. Patient with intentional and accidental poisoning must undergo psychotherapy and education. Health care professionals must be given the poison treatment guidelines/protocol to have positive out-come. Top Keywords Suicidal poisoning, accidental poisoning, pesticide poisoning, mushroom poisoning. Top |