Abstract

A study was done at Tribhuvan University Teaching Hospital (TUTH) and Bharatpur District Hospital(BDH) to find out the differences among the acute poisoning cases in those hospitals during 2000-2002. Thestudy aimed to compare the acute poisoning cases in terms of some variables. It was a comparative study ofall the acute poisoning cases admitted in the internal medicine department of TUTH and BDH during2000-2002.The numbers of acute poisoning cases were found to be more at BDH than at TUTH during the sameperiod. Though the majority of the cases were female in both the hospitals, percentages of male poisoningcases were found to be more at BDH. The 16-25 age group was the predominantly affected group at TUTH,while it was below 15 age group at BDH. Pesticide poisoning cases were the commonest poisoning cases atTUTH whereas the numbers of rodenticides poisoning cases were predominant at BDH. The use of drugs issignificantly higher at TUTH. Deaths due to poisoning in TUTH were more than at BDH during the sameperiod. The maximum number of poisoning cases occurred during the months of Bhadra- Mangsir. Owingto the higher rate of use of drugs as poison, the sale of drugs without prescriptions should be discouraged.Similarly the public should be well sensitized about the childhood poisoning.Key Words: Drugs, recovery, pesticides, rodenticides.

Highlights

  • Suicide by acute poisoning is one of the leading causes of death

  • It was a comparative study of all the poisoning cases admitted at internal medicine department of Tribhuvan University Teaching Hospital (TUTH) and Bharatpur District Hospital (BDH) during 2000-2002.With the consent from the respective hospitals, the files of all the poisoning cases admitted in the internal medicine department of TUTH and BDH during 2000-2002 were reviewed

  • Types of the poison used by the poisoning cases 46.67% of the poisoning cases recorded at TUTH used Pesticides, especially organophosphates as poisoning material where as rodenticides were the most popular poison among the cases recorded at BDH

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Summary

Introduction

Suicide by acute poisoning is one of the leading causes of death. Acute poisoning is a common and urgent medical problem in all developed and developing countries[1]. Suicidal deaths due to poisoning in the fiscal year 1999/2000 were reported to be 31% of all the suicidal deaths.[2] Patterns of poisoning in a society depend upon degree of intent of selfharm, socio-economic status and availability of poisonous substance. These factors are bound to change with the passage of time so does the poisoning pattern. There have been no studies in the past to compare the poisoning cases at different levels of health institutions at different geographical areas. This study is an attempt in revealing the different patterns of poisoning at a tertiary level hospital like TUTH and a district level hospital like Bharatpur district hospital during the same period of time

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