Clinical presentation of various APP cases admitted in S.N.M.C., Agra clinical profiling of acute pesticide poisoning (APP) cases admitted in tertiary care hospital of north India

Abstract

Poisoning is a significant health problem around the world. In India being an agriculture based economy, Pesticide Poisoning contributes largest sum in poisoning cases. The study was conducted in Emergency Department of S.N. Medical College and Hospital, Agra from Sept 2018 to Sept 2019 to investigate Acute Pesticide Poisoning (APP) cases in the region. Majority of cases in our study were from age group of 21-30 yrs with mean age of 28.10 ± 11.38 yrs with male predominance. In This study we found out that APP is 61% of all poisoning cases, out of them maximum cases belongs to OP poisoning which clinically presented with Dyspnea/Tachypnea, Sweating, Vomiting, Abdominal pain. Mortality in APP cases was found to be 10.5%. Although case fatality ratio is highest in cases of celphos (AlP) which most commonly presented with symptoms of Paresthesias, Diarrhea, and Abdominal pain.