Pattern of Pre-Hospital Treatment Received by Cases of Pesticide Poisoning
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 2 No. 3(Summer) (2012),
12 January 2013
,
Page 88-96
https://doi.org/10.22037/ijmtfm.v2i3(Summer).3073
Abstract
Background: Prehospital treatment following acute pesticide poisoning is not optimal and mortality following such poisoning is high in Bangladesh.
Method: It was a prospective study in which pattern of pre-hospital treatment received and outcome of pesticide poisoned patient were studied at one adult medical unit of Dhaka Medical College Hospital from October 2005 to June 2006.
Results: The number of cases of pesticide poisoning were 60 (1.98%) of 3030 admitted patients. The mean age was 24.7±8.8 years. Most of them (40, 66.7%) were male. The incidence of poisoning was high among students (11, 18.3%) and housewives (10, 16.7%). The most common cause of poisoning was intentional (55, 91.7%). Familial disharmony was underlying cause in 27 (45%) patients. More than half of the patients (41, 68.3%) purchased the poison self. 25 (41.7%) patients got first contact with physician within 30 minutes of poisoning. In majority cases (45, 75%) first contact health care provider was government hospital. Only 22 (36.7%) patients received first aid before arrival to present hospital. Among them, 19 (31.7%) patients received induced vomiting by ingestion of tamarind water or lemon water or soap water or putting finger or other substances (cow dung, human excreta etc.) in mouth and 3 (15%) patients received home remedy like milk, raw egg etc. The overall mortality was 16.7%.
Conclusion: Measures should be taken to increase the awareness among general population regarding the first aid following pesticide poisoning.
- Pre-Hospital Treatment
- Pesticide
- Poisoning
How to Cite
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