Pattern, Severity and Outcome of Poisoning in Tertiary Care Hospital

Background: The aim is to study the demographic details, clinical presentation, type, pattern, severity, treatment and outcome of poisoning at a tertiary care hospital to evaluate the survival and mortality rate. Methods: A prospective observational study of 6 months duration (September 2017-February 2018) was conducted at emergency department. Patient case sheets were reviewed and relevant informations were obtained by interviewing them. Results: Demographic obtained on 104 patients with acute poisoning that maximum were in the age group of 21�30years, least found in between 1-10 years, about (62.5 %) males were exposed than female (37.5 %). Organophosphates were the common type of poison consumed and its clinical presentation includes Muscarinic, Nicotinic and CNS 26 ( 25 %). The patterns of poisoning observed were self/intentionally (74 %) poisoned followed by unintentional ones. From the severity scale, 61 (58.1 %) cases were found moderate, 30 (28.8 %) were severe and 10 (9.6 %) mild. Frequently prescribed antidotes were injection atropine& injection pralidoxime (33.3 %). The clinical outcome obtained was, 96 % were survived, and 4 % were died. Conclusion: Pesticide compounds and tablet consumption were the common type of poisons. Early treatment of poisoning or snakes bite along with educational and awareness programs is effective in reducing duration of hospitalization and possibly mortality. Key-words: Poisoning, poison severity score, organophosphates, gender, therapeutic outcome.