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Trend of Poisoned Patients’ in Emergency Department of a Tertiary Care Hospital of Eastern Nepal

Received: 1 December 2016     Accepted: 19 December 2016     Published: 18 January 2017
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Abstract

Poisonings are the major emergency health issues of which many are acute as well as severe case are encountered in emergency ward of BP Koirala Institute of Health Sciences (BPKIHS) being located in the Eastern region of Nepal. A hospital based retrospective study was carried out where 57 poisoned patients admitted, 24 (42.1%) were males whereas 33 (57.9%) were females varied from 14-68 years. 27 (47.36%) patients belong to 20-40 years. 17 (29.82%) patients were more than 40 years and 13 (22.8%) were below 20 years. 77.2% were from Terai, 22.8% were from Hilly region of Nepal. 71.8% were Hindus, 22.8% were Buddhist and 5.4% were Christian and Islam religions. 71.9% cases were married couples while 28.1% unmarried ones. 14 (24.56%) of poisoning were organophosphates; 8 (14%) were zinc phosphide; 4 (0.07%) were sedatives/medications. 13 (22.8%) included kerosene, sulphuric acid, mixed metal, herbal and aluminum phosphide poisonings.18 (31.57%) of ingested were unknown compounds. 21 (36.8%) of poisoning were in solid forms, 20 (35.1%) were liquid forms whereas, 16 (28.1%) were in other forms like powder, semisolid etc. 61.4% found suicidal, 21.5% were accidental and 17.1% unknown intention. The trends of poisoned patients’ incident were highest among the adult female aged populations within marital relationship and constitute high consumption of solid form of organophosphates compounds and secondly zinc phosphide with suicidal intention.

Published in International Journal of Health Economics and Policy (Volume 2, Issue 1)
DOI 10.11648/j.hep.20170201.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

BPKIHS, Poisoned Patient, Trend

References
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[4] Paudyal B P Poisoning: Pattern and profile of admitted cases in a hospital in central Nepal. JNMA, 2nd august, 2005: 92.
[5] Khadka SB, Ale SB. A study of poisoning cases in emergency Kathmandu Medical College Teaching Hospital. Kathmandu University Medical Journal (2005), Vol. 3, No. 4, Issue 1.
[6] Kartik Prajapati, Saumil P Merchant, Pratik R Patel. Trends of Suicidal Poisoning in Ahmedabad (Retrospective Study). NHL Journal of Medical Sciences/ July 2012/ Vol. 1/Issue.
[7] "Suicide rates Data by country". World Health Organization. 2015. Retrieved 13 June 2015.
[8] Singh DP, Acharya RP. Pattern of poisoning in Bir Hospital. Journal of Institute of Medicine (2006); 28: 13‐6.
[9] Gargi J, Dr Rai Hakumat, Dr Chanana. Current trends of poisoning‐ A Hospital Profile. JPAFMAT, 2003, Vol.: 3; ISSN‐0972‐5687: 41.
[10] Amarnath Mishra, Shukla SK, Yadav MK and Gupta AK. Epidemiological Study of Medicolegal Organophosphorus Poisoning in Central Region of Nepal. J Forensic Res 2012, 2: 167.
[11] Kar SM, Timsinha S, Agrawal P. An Epidemiological study of Organophosphorus Poisoning at Manipal Teaching Hospital, Pokhara, Nepal. J Indian Acad Forensic Med 32 (2): 108-9.
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[13] Pathak Ugranayan, Chhetri Pramod Kumar, Dhungel Sanjeev, Chokhani Ramesh, Devkota Krishna Chandra, Shrestha Bhaja Om et all – Retrospective study of poisoning cases admitted in Nepal Medical College Teaching Hospital: Nepal Medical College Journal 2002, 3 (2): 101-105.
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    Chaudhary Ritesh, Rai Bijendra Kumar, Poudel Masum, Yadav Ashok Kumar, Kafle Naresh, et al. (2017). Trend of Poisoned Patients’ in Emergency Department of a Tertiary Care Hospital of Eastern Nepal. International Journal of Health Economics and Policy, 2(1), 1-5. https://doi.org/10.11648/j.hep.20170201.11

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    ACS Style

    Chaudhary Ritesh; Rai Bijendra Kumar; Poudel Masum; Yadav Ashok Kumar; Kafle Naresh, et al. Trend of Poisoned Patients’ in Emergency Department of a Tertiary Care Hospital of Eastern Nepal. Int. J. Health Econ. Policy 2017, 2(1), 1-5. doi: 10.11648/j.hep.20170201.11

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    AMA Style

    Chaudhary Ritesh, Rai Bijendra Kumar, Poudel Masum, Yadav Ashok Kumar, Kafle Naresh, et al. Trend of Poisoned Patients’ in Emergency Department of a Tertiary Care Hospital of Eastern Nepal. Int J Health Econ Policy. 2017;2(1):1-5. doi: 10.11648/j.hep.20170201.11

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  • @article{10.11648/j.hep.20170201.11,
      author = {Chaudhary Ritesh and Rai Bijendra Kumar and Poudel Masum and Yadav Ashok Kumar and Kafle Naresh and Khadga Shambhu Nandan and Regmi Shusil},
      title = {Trend of Poisoned Patients’ in Emergency Department of a Tertiary Care Hospital of Eastern Nepal},
      journal = {International Journal of Health Economics and Policy},
      volume = {2},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.hep.20170201.11},
      url = {https://doi.org/10.11648/j.hep.20170201.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20170201.11},
      abstract = {Poisonings are the major emergency health issues of which many are acute as well as severe case are encountered in emergency ward of BP Koirala Institute of Health Sciences (BPKIHS) being located in the Eastern region of Nepal. A hospital based retrospective study was carried out where 57 poisoned patients admitted, 24 (42.1%) were males whereas 33 (57.9%) were females varied from 14-68 years. 27 (47.36%) patients belong to 20-40 years. 17 (29.82%) patients were more than 40 years and 13 (22.8%) were below 20 years. 77.2% were from Terai, 22.8% were from Hilly region of Nepal. 71.8% were Hindus, 22.8% were Buddhist and 5.4% were Christian and Islam religions. 71.9% cases were married couples while 28.1% unmarried ones. 14 (24.56%) of poisoning were organophosphates; 8 (14%) were zinc phosphide; 4 (0.07%) were sedatives/medications. 13 (22.8%) included kerosene, sulphuric acid, mixed metal, herbal and aluminum phosphide poisonings.18 (31.57%) of ingested were unknown compounds. 21 (36.8%) of poisoning were in solid forms, 20 (35.1%) were liquid forms whereas, 16 (28.1%) were in other forms like powder, semisolid etc. 61.4% found suicidal, 21.5% were accidental and 17.1% unknown intention. The trends of poisoned patients’ incident were highest among the adult female aged populations within marital relationship and constitute high consumption of solid form of organophosphates compounds and secondly zinc phosphide with suicidal intention.},
     year = {2017}
    }
    

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    AB  - Poisonings are the major emergency health issues of which many are acute as well as severe case are encountered in emergency ward of BP Koirala Institute of Health Sciences (BPKIHS) being located in the Eastern region of Nepal. A hospital based retrospective study was carried out where 57 poisoned patients admitted, 24 (42.1%) were males whereas 33 (57.9%) were females varied from 14-68 years. 27 (47.36%) patients belong to 20-40 years. 17 (29.82%) patients were more than 40 years and 13 (22.8%) were below 20 years. 77.2% were from Terai, 22.8% were from Hilly region of Nepal. 71.8% were Hindus, 22.8% were Buddhist and 5.4% were Christian and Islam religions. 71.9% cases were married couples while 28.1% unmarried ones. 14 (24.56%) of poisoning were organophosphates; 8 (14%) were zinc phosphide; 4 (0.07%) were sedatives/medications. 13 (22.8%) included kerosene, sulphuric acid, mixed metal, herbal and aluminum phosphide poisonings.18 (31.57%) of ingested were unknown compounds. 21 (36.8%) of poisoning were in solid forms, 20 (35.1%) were liquid forms whereas, 16 (28.1%) were in other forms like powder, semisolid etc. 61.4% found suicidal, 21.5% were accidental and 17.1% unknown intention. The trends of poisoned patients’ incident were highest among the adult female aged populations within marital relationship and constitute high consumption of solid form of organophosphates compounds and secondly zinc phosphide with suicidal intention.
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Author Information
  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

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