DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20162217

Study of profile of poisoning cases reported to district hospital, Chamarajanagar, Karnataka, India

Srinivasa K., Yadukul S., Megha Madyastha

Abstract


Background: Poisoning is a major public health problem worldwide, with thousands of deaths occurring every year, mainly in the developing countries. India, holding 70% of agricultural land, accounts for one third of pesticide poisoning cases in the third world, the farm workers being the worst affected. Most of the poisonings occur due to deliberate self-ingestion of the poison. Organo-phosphorus (OP) compounds occupy the greatest burden of poisoning related morbidity and mortality. The present study was aimed to know the profile of various poisoning cases admitted to emergency department in district hospital, Chamarajanagar, Karnataka, India. The main objectives of this study were to determine the profile of poisoning cases reported to district hospital, Chamarajanagar and to assess their pattern and outcome.

Methods: A record based retrospective study for the year 2012 i.e. from 1st January 2012 to 31st December 2012 was conducted in district hospital, Chamarajanagar, Karnataka, India and the data regarding age, gender, residence, time elapsed after intake, type of poison, manner and route of poisoning, duration of hospitalization and outcome were collected in a pre-structured proforma. The data was analyzed using standard statistical methods.

Results: In present study, rural hindu males were among the highest reported cases, with maximum number of cases reported during the month of March and during the 12:01 to 18:00 hours of the day. Irritant poisons accounts to the highest incidence (68%) among poisoning in present study. Pesticides, organophosphorus compound in particular form the major type of poisons among irritants followed by snake bite, rat poison and honey bee bite (sting). 

Conclusions: This study highlights the profile of poisoning cases admitted to the Chamarajanagar District, Karnataka, India which clearly indicates the high risk population involved and the common poisons encountered in these region.


Keywords


Poisoning, Pesticide, Organophosphorus, Chamarajanagar

Full Text:

PDF

References


Thomas WF, John HD, Willium RH. Stedman’s medical dictionary. 28th edition. Lippincott William and Wilkins, New York; 2007:2004.

Thomas M, Anandan S, Kuruvilla PJ, Singh PR, David S. Profile of hospital admissions following acute poisoning experiences from a major teaching hospital in South India. Adverse drug React Toxicol. Rev. 2000;19:313-7.

Mohanty MK, Kumar V, Bastia BK, Arun M. An analysis of poisoning deaths in Manipal, India. Vet Hum Toxicol. 2004;46:208-9.

Lall SB, Peshin SS, Seth SD. Acute poisoning a ten years retrospective study. Ann Natl Acad Med Sci. 1994;30:35-44.

Dalbir S. Aluminium phosphide fatalities: A 24 years’ experience. J Indian Acad Forensic Med. 2007;29(1):12-5.

World Health Organization. Guidelines for poison control Bulletin. Geneva: World Health Organisation. 1999.

Devi S. Toxicology, general consideration. In: Reddy NKS. Essentials of Forensic Medicine and Toxicology. 33rd edition: Hyderabad; Jay Pee Brothers; 2014:446-65.

Gargi J, Tejpal HR. A retrospective autopsy study of poisoning in the northern region of Punjab. J Punjab Acad Forensic Med Toxico. 2008;2:17-20.

Aaron R, Joseph A, Abraham S, Muliyil J, George K, Prasad J et al. Suicides in young people in rural southern India. Lancet. 2004;363:1117-8.

Rao CHS, Venkateswarlu V, Surender T, Eddleston M, Buckley NA. Pesticide poisoning in South India opportunities for prevention and improved medical management. Trop Med Int Health. 2005;10(6):581-8.

Purnanand NS, Huddar MG. Pesticide poisoning among agriculturists of Dharwad district: a study. Recent Research Sci Tech. 2010;2(4):109-11.

Sharma BR. Toxicological emergencies and their management at different health care levels in Northern India an overview. J Pharmaco Toxico. 2006;1(1):69-81.

Ramesha KN, Rao KBH, Kumar GS. Pattern and outcome of acute poisoning cases in a tertiary care hospital in Karnataka, India. Indian J Crit Care Med. 2009;13(3):152-5.

Jesslin J, Adepu R, Churi S. Assessment of prevalence and mortality incidence due to poisoning in a south Indian tertiary care teaching hospital. Ind J Pharm Sci. 2010;72(5):587-91.

Pokhrel D, Sirjanapant, Pradhan A, Mansoor. A comparative retrospective study of poisoning cases in central, zonal and district hospitals. Kathmandu Uni J Sci Eng Tech. 2008;1(5):40-8.

Jaiprakash H, Sarala N, Venkatarathnamma PN, Kumar TN. Analysis of different types of poisoning in a tertiary care hospital in rural south India. Food Chem Toxicol. 2011;49(1):248-50.

Vinay BS, Gurudatta S, Pawar, Inamadaa PI. Profile of poisoning cases in district and medical college hospitals of north Karnataka. Indian J Forensic Med Toxico. 2008;2(2):7-12.

Bajaj R, Wasir H S. Epidemic of aluminium phosphide poisoning in northern India. Lancet. 1988;11:820.

Singh VP, Sharma BR, Harish D, Vij K. A ten year study of poisoning cases in a tertiary care hospital. Indian J Forensic Med Toxico. 2004;2(1).