Abstract
Background Acute poisoning is a common scenario in the emergency department of any general hospital globally, but its pattern may vary in different parts of the world and even may be a different regional variation in the same country. Objective Our recent study aims to assess the demographic characteristics, psychological aspect, pattern, and treatment outcome in different acute poisoning. Method The present cross-sectional study was conducted in the medicine department of Jashore Medical College and Hospital from 1st January to 30th June 2018, which recruited 487 eligible cases of admitted acute poisoning patients. Results The study reveals that the total incidence of acute poisoning in Jashore, Bangladesh, is 17.1 per 100,000 populations over a 6-month period. The mean age of our study population was 27 ± 11 (SD) years with having significant female preponderance in acute poisoning (female: 253/52% and male: 234/48%; p = 0.002). Female subjects were significantly younger than male (p <0.001). Moreover, the total suicidal intension of acute poisoning in our study was 97.3%, whereas the female subjects were more committed to suicidal attempts (p = 0.027). Organophosphorus compounds (OPCs) were the significant leading agents (66.1%, p = 0.029) of acute poisoning, and even, it had been significantly used as suicidal intention of poisoning substance (65.1%, p <0.001) in our observation. Muslim (97.5%, p = 0.005), 10–29 year age group (68.0%, p = 0.002), rural (99.2%), unmarried (51.3%), middle class (50.1%), students (48.9%), and secondary educational background population (76.4%) were more victimized of acute poisoning. Among different factors, familial disharmony constituted of 56.1% cases of suicidal attempt in acute poisoning. Finally, we had observed that the death incidence by acute poisoning in Jashore, Bangladesh, was 1.9 per 100,000 population over a 6-month period. Conclusion The recent study reveals that there is high incidence of acute poisoning in Jashore, Bangladesh, with a significant amount of death toll. Organophosphorus compound is the most common agent of deliberating self-poisoning in our study due to its easy availability in our agriculture-based community.
Highlights
A poison administered by any route is capable to produce ill health, disease, or death [1]
Pesticide self-poisoning is a major global health burden which is prevalent in South East Asia. ere is a regional variation in the rate of suicides by pesticide self-poisoning from 0.9% in low- and middle-income countries in the European region to 48.3% in low- and middle-income countries in the Western Pacific region [4]
The poisoning patients from the affluent family may seek their necessary treatment from the private health care settings. erefore, the exact incidence of acute poisoning may not be found in the even though the total incidence of acute poisoning is 17.1 per 100,000 populations over a 6-month period from January 2018 to June 2018 in this study. e last census of Bangladesh including Jashore was conducted in 2011, so we have calculated our incidence according to the census 2011 in Bangladesh. is result could not be compared to other studies from Bangladesh due to lack of regarding data, but the incidence rate of acute poisoning is very high in Srilanka [7] and ailand [8]
Summary
A poison administered by any route is capable to produce ill health, disease, or death [1]. Ere is increasing incidence of acute poisoning related to death and hospital admission in our country due to rapid development of agrochemicals and their easy availability in Journal of Toxicology the community. With the view of this concept, we have designed this cross-sectional study to assess the pattern, demographic characteristics, psychological aspect, and treatment outcome of different acute poisoning in the district of Jashore, Bangladesh. E study reveals that the total incidence of acute poisoning in Jashore, Bangladesh, is 17.1 per 100,000 populations over a 6-month period. We had observed that the death incidence by acute poisoning in Jashore, Bangladesh, was 1.9 per 100,000 population over a 6-month period. E recent study reveals that there is high incidence of acute poisoning in Jashore, Bangladesh, with a significant amount of death toll. Organophosphorus compound is the most common agent of deliberating self-poisoning in our study due to its easy availability in our agriculturebased community
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