One-Year Epidemiology of Poisoned Patients Who Visited Hospitals in Yazd City, Iran, March 21, 2015 till March 19, 2016

Document Type : Original Article (s)

Authors

1 Associate Professor, Health Monitoring Research Center AND Department of Community Medicine, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 Student of Medicine, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 General Practitioner, Department of Community Medicine, School of Medicine AND Health Monitoring Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Abstract

Background: Poisoning is one of the most common causes of visiting the clinics by patients in each year. Regarding the differences between epidemiologic patterns of poisoning in various points of the world, this study aimed to assess the characters of poisoned patients who visited hospitals in Yazd city, Iran, during 1 year.Methods: In this descriptive and cross-sectional study, all the patients who visited hospitals of Yazd city for the reason of poisoning from March 21, 2015 till July 22, 2015 were entered using census method. Age, gender, education level, type of poisoner, location of living, and type of poisoning were extracted from the patients’ files by using a researcher-made data collection form. Data were analyzed using chi-square test at the significant level of P < 0.05.Findings: Among 460 poisoned patients, 269 persons (58.0%) were men and 191 persons (41.5%) were women. The most frequent educational level of the poisoned patients was diploma (in 181 persons 39.3%). The most common cause of poisoning was involuntary (327 patients, 71.1%). Poisoning was more in spring and summer. The most used poisoner was medicine (178 patients, 38%). The most common age group of poisoned patients was 25 to 39 years (162 patients, 35.2%) and most of them were living in urban areas (451 persons, 98.0%).Conclusion: The results of this study showed that the highest rate of poisoning was among urban youth and with unintentional causes. The most main poisoners were medicines. Educating the families for using medicines accurately and elimination of additional medicines or keeping them in safe places at home is suggested.

Keywords


  1. Lee HL, Lin HJ, Yeh TY, Chi CH, Guo HR. The epidemiology and prognostic factors of poisoning. Epidemiology 2004; 15(4): S179-S180.
  2. Mehdizadeh G, Manouchehri A, Zarghami A, Moghadamnia A. Prevalence and causes of poisoning in patients admitted to Shahid Beheshti Hospital of Babol in 2011-2012. J Babol Univ Med Sci 2015; 17(7): 22-8. [In Persian].
  3. Chen F, Wen JP, Wang XP, Lin QM, Lin CJ. Epidemiology and characteristics of acute poisoning treated at an emergency center. World J Emerg Med 2010; 1(2): 154-6.
  4. Chowdhury MSJH, Baque M, Islam MTI, Ahmed H, Faiz MA, Islam ASMN. Clinico- epidemiological study of corrosive poisoning by different agents in Dhaka Medical College Hospital. Bangladesh Med J 2013; 42(3): 78-81.
  5. Sadequl Islam AHM, Basher A, Rashid M, Islam M, Arif SM, Abul Faiz M. Pattern of pre-hospital treatment received by cases of pesticide poisoning. International Journal of Medical Toxicology and Forensic Medicine 2012; 2(3): 88-96.
  6. Weiss HB. Pregnancy-associated injury hospitalizations in Pennsylvania, 1995. Ann Emerg Med 1999; 34(5): 626-36.
  7. Eddleston M. Patterns and problems of deliberate self-poisoning in the developing world. QJM 2000; 93(11): 715-31.
  8. Torkashvand F, Sheikh Fathollahi M, Shamsi S, Kamali M, Rezaeian M. Evaluating the pattern of acute poisoning in cases referred to the emergency department of Ali-ebn Abi Taleb Hospital of Rafsanjan from October 2013 to September 2014 .J Rafsanjan Univ Med Sci 2015; 14 (4) :311-24. [In Persian].
  9. Ignjatovic-Ristic D, Radevic S, Djokovic D, Petrovic D, Kocic S, Ristic B, et al. Epidemiological characteristics of suicidal patients admitted to the Psychiatric Clinic in Kragujevac: a ten-year retrospective study. Srp Arh Celok Lek 2011; 139(Suppl 1): 26-32.
  10. Ruan HI, Yang CX, Feng X-M. A study on epidemiology among emergency patients in a comprehensive hospital with acute poisoning. Chin Gener Pract 2006; 9: 141-3.
  11. Li H, Wang X, Huang X, Wang J. The characteristics of the acute poisoning patients in emergency department of a general hospital in a new emerging district. Chin J Emerg Med 2006; 15: 930-2.
  12. Hossain R, Amin R, Riyadh Hossain A, Kahhar A, Rabbi Chowdhury F. Clinico-Epidemiological study of poisoning in a tertiary care hospital in Bangladesh. Journal of Emergency Practice and Trauma 2016; 3(1): 4-10.
  13. Clark D, Murray DB, Ray D. Epidemiology and outcomes of patients admitted to critical care after self-poisoning. Journal of the Intensive Care Society 2011; 12(4): 268-73.
  14. Zhou J, Chen SY, Li ZJ, Wu YQ. Study of drug poisoning on 2612 cases in the department of emergency. Wei Sheng Yan Jiu 2005; 34(1): 98-100. [In Chinese].
  15. Azizpour Y, Asadollahi K, Sayehmiri K, Kaikhavani S, Abangah G. Epidemiological survey of intentional poisoning suicide during 1993-2013 in Ilam Province, Iran. BMC Public Health 2016; 16: 902.
  16. Wei F. Clinical Investigation of 650 Cases of Acute Intoxication. Clinical Misdiagnosis & Mistherapy 2008; 21(11): 18-9. [In Chinese].
  17. Adinew GM, Asrie AB. Pattern of acute poisoning in teaching hospital, northwest Ethiopia. International Journal of Pharmacology and Toxicology 2016; 4(1): 47-52.
  18. Patil A, Peddawad R, Verma VCS, Gandh H. Profile of acute poisoning cases treated in a tertiary care hospital: a study in Navi Mumbai. Asia Pac J Med Toxicol 2014; 3(1): 36-40.