Study on Profile of Acute Poisoning in a Rural Tertiary Care Hospital in Telangana Srinivasulu K.1,*, Pratik K Vishal2, Reddy T Rahul2, Kumari Harsha2, Reddy Sangam Anurag2 1Professor & HOD, Dept of Forensic Medicine, Mediciti Institute of Medical Sciences. Ghanpur, Medchal, Telangana 2Internee. Mediciti Institute of Medical Sciences, Ghanpur *Corresponding Author: Dr K Srinivasulu MD. Professor & HOD, Dept of Forensic Medicine & Toxicology. Mediciti Institute of Medical sciences. Medchal, Telangana. Mobile No: 9030715569, E-mail: drksrinu1968@yahoo.com
Online published on 8 August, 2019. Abstract Poisoning has become an increasing cause of concern over the past decade, not only a major medical issue in India but also a significant global health problem. Nearly 3 million people consume poison each year resulting in 220000 deaths annually, majority with the intention of suicide. A Retrospective, hospital record based study was conducted in a rural medical college hospital including 100 cases of acute poisoning. Snake bite cases were excluded. Agricultural poison specifically organ phosphorus poisoning is the most predominant one observed in our study, with a total of 61 percent cases reported to the hospital. Majority of the poisonings were in the age group of 21–40 years. Gender based in-equivalence observed among males and females with a ratio of 3: 1. A significant percentage of suicides were found with an estimate of 95%. Around 39% cases treated with a specific antidote and the remaining 61% had other modalities of treatment. The early initiation of gastric lavage, specific antidote and appropriate supportive management achieved a better outcome. The mortality of poisoning is 1% in the current study. The lower mortality rate observed due to large number of cases about 25% are referred to higher centers. Highest number of suicides was observed among farmers due to losses in agriculture, financial hardship and domestic issues. Psychologically depressed farmers committed suicide by consuming nearest available poison, organo-phosphorous compounds. Psychiatry counseling, agriculture support and financial help should be given to them at community level to bring down the mortality. Hospitals should develop adequate diagnostic facilities, equipment support and skilled supportive staff to combat poisoning deaths. Top Keywords Acute Poisoning, clinical profile. Top |