吉马岛大学专科医院住院病人中毒的流行及模式:五年回顾性资料分析

M. Ahmed, M. Haile, E. Tegene
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引用次数: 3

摘要

毒物是指通过摄入、吸入、注射或皮肤吸收对身体有害的任何物质。中毒要么是故意的,要么是意外的。根据世界卫生组织的数据,2004年全世界估计有34.6万人死于意外中毒。在埃塞俄比亚,关于这一重要健康问题的流行病学数据很少。本研究旨在评估吉马岛大学专科医院的中毒模式、中毒处理方法及中毒病例的转归。采用基于设备的横断面回顾性数据分析方法。审查的数据包括2010年1月至2015年12月31日的患者病历和其他实验室数据集。186例(78.9%)患者年龄在12-30岁之间,女性居多(65.4%)。最常见的中毒剂是家用清洁剂(40.4%),其次是有机磷(24%)。大多数病例(76.7%)是故意暴露,大多数患者(96.1%)在24小时内就诊,49.8%的患者进行了精神病学转诊。支持性护理和胃肠道净化是治疗方法。故意接触占大多数病例。有自杀企图的病人与适当的精神卫生服务的联系应该得到改善。
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Prevalence and Patterns of Poisoning Cases among Patients Presented to Jimma University Specialized Hospital: A Five Years Retrospective Data Analysis
A poison is any substance that is harmful to the body when ingested, inhaled, injected, or absorbed through skin. Poisonings are either intentional or accidental. According to World Health Organization data, in 2004 Estimated 346,000 people died worldwide from unintentional poisoning. Epidemiological Data on this important health issues are scarce in Ethiopia. This study aimed to assess the pattern of poisonings and the approaches employed for the management of poisoning and outcomes of poisoning cases in Jimma University specialized hospital. A facility based cross sectional retrospective data analysis was done. The reviewed data includes patient’s medical record and additional laboratory data sets from January, 2010 to December 31, 2015. Majority of patients 186 (78.9%) were in the age group between 12-30 years and females were more affected (65.4%). The commonest poisoning agents used were household cleaning agents (40.4%) followed by Organophosphates (24%). Most cases (76.7%) were intentional exposures and most patients (96.1%) presented to hospital in the first 24 h and psychiatric referral was made for 49.8% of patients. Supportive cares and GI decontamination were the approaches employed for management. Intentional exposure accounted for the majority of cases. Linkage of patients with suicidal attempts to appropriate mental health service should be improved.
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