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TITLE:

ETIOLOGICAL AGENTS, RISK FACTORS AND OUTCOMES IN CHILDREN WITH ACUTE POISONING

AUTHORS:

Dr Muhammad Talha Suleman, Dr Muhammad Sufian Rana, Dr Abdul Basit

ABSTRACT:

Aim: The aim of this study is to determine the etiological agents, risk factors and outcomes in children with acute poisoning. Place and Duration: In the Pediatric Unit-II of Nishtar Hospital Multan for six months duration from March 2020 to August 2020. Methods: A total of 70 patients were included. Patients were followed until discharge. A Proforma form was completed and the results analyzed in the SPSS version 10 computer program. All subsequent poisoned patients who visited the Emergency Department meeting the inclusion criteria during the study period were enrolled. The mean age was 2.89 years, range 6 months to 10 years. The ratio of men to women was 1.5: 1. Results: Kerosene was the most common agent, accounting for 50% of all cases, followed by pharmaceuticals (14.3%) and chemicals (12.9%). Storing kerosene in empty soda bottles and not properly storing medications are the most common risk factors identified. Oral ingestion was the most common route of poisoning. Most of the patients (84.3%) were discharged home without sequelae. Total mortality was 5.7%. Conclusion: Most of the toxic substances that children have been exposed to are those stored in eatable containers, ie kerosene oil. A minority of children with accidental poisoning developed severe toxicity. Parents can prevent many of these accidents by identifying, properly storing and confining toxic materials. Keywords: Poisoning, kerosene, pharmaceuticals, child

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