Mode, Pattern and Precipitating factors of Acute Poisoning in a Southern District Hospital in Bangladesh

Suranjit Kumar Saha, M M Shahin Ul Islam, Md Hasnat Yousuf Zaki, Md Nizam Uddin, Mohammad Rezaul Quader, Sharmin Rahman, Prativa Saha, Molla Sharfuddin Ahmad
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Abstract

Acute poisoning is common in Bangladesh and causes a significant number of hospital admissions. That causes anumber of mortality, morbidity as well as increases the economic burden in health care system. But it can beprevented. For that it is necessary to observe and study the poisoning related factors and events around the country.So, the aim of our study is to find out and describe the mode, pattern and precipitating factors of poisoning in asouthern district hospital. This cross-sectional observational study was done in the department of Medicine ofPirojpur District Hospital, from January to December 2020. The study was conducted among 100 patients of bothgenders those were hospitalized with the history of poisoning. In the study young people (40% in 14-25 years and37% in 26-35 years) were predominantly affected and 61% were female. Suicidal attempt was the commonest(74;74%) mode of poisoning that mostly caused by pesticides. Stupefying mode was observed in case of 15(15%)male travelers as street poisoning. Highest number of poisoning (45;45%) was caused by pesticides. The sedative(14;14%), copper sulphate (11;11%) and harpic (5;5%) poisoning was observed mostly as a suicidal mode. Historyof savlon (4;4%) and Kerosene (2;2%) poisoning was found as an accidental mode. As a recreational mode two malewere admitted with alcohol poisoning. Considering the precipitating factor, maximum cases (54;54%) had the historyof unsatisfactory family events. Street poisoning (15;15%) was precipitated by the careless behavior of travelers.Accidental poisoning (9,9%) was invited by unmindful and hurried attitude. Problem related to love and affair wasobserved in 8(8%) cases. Study and examination result precipitated poisoning in 7(7%) cases. History of job andincome dissatisfaction was found in 4(4%) cases. So those factors related with the poisoning should be considered.That will help to make a comprehensive strategy in order to resist these preventable events. Bangabandhu Sheikh Mujib Med. Coll. J. 2022;1(1):85-89
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孟加拉国南区医院急性中毒的模式、模式和诱发因素
急性中毒在孟加拉国很常见,导致大量患者入院。这导致了大量的死亡率和发病率,并增加了卫生保健系统的经济负担。但这是可以预防的。因此,有必要对全国各地的中毒相关因素和事件进行观察和研究。因此,我们的研究目的是了解和描述南区医院中毒的模式、模式和诱发因素。这项横断面观察性研究于2020年1月至12月在pirojpur地区医院医学系进行。该研究是在100名因中毒病史住院的男女患者中进行的。在这项研究中,年轻人(14-25岁占40%,26-35岁占37%)主要受影响,61%为女性。自杀是最常见的中毒方式(74%),主要由农药引起。街头中毒15例(15%)男性旅客观察到麻木模式。农药中毒人数最多(45例;45%)。镇静(14;14%)、硫酸铜(11;11%)和迷幻药(5;5%)中毒主要被视为自杀方式。发现萨隆(4.4%)和煤油(2.2%)中毒史为意外模式。作为娱乐方式,两名男性因酒精中毒而入院。考虑到诱发因素,有不满意家庭事件史的病例最多(54例;54%)。街头中毒(15.15%)是由于旅行者的不小心行为而导致的。意外中毒(9.9%)是由于粗心大意和匆忙的态度引起的。8例(8%)出现与恋爱和外遇有关的问题。研究及检查结果为中毒7例(7%)。4例(4%)患者有工作和收入不满史。所以这些与中毒有关的因素应该被考虑在内。这将有助于制定一项全面战略,以抵御这些可预防的事件。Bangabandhu Sheikh Mujib Med. col。j . 2022; 1 (1): 85 - 89
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