University of Colorado, School of Medicine, Denver, CO, USA.
Daru. 2013 May 29;21(1):42. doi: 10.1186/2008-2231-21-42.
Poisoning morbidity and mortality is high in the developing world. Systems for care of poisoned patients differ markedly between countries. In this paper a comparison of two very different systems for the care of poisoned patients, is presented. Specifically, the role of poison centers and poison treatment centers in the US and Iran are contrasted. A systematic literature search was undertaken utilizing the PubMed, Scopus, and Google Scholar and the keywords "poison centers", "treatment" "Iran" "United States of America" and 100 publications were identified. From these, relevant data were found in 23 publications. The information was double-checked and data were summarized herein.We find that the system of the care of poisoned patients relies heavily on certified poison centers in the US and that only a few hospitals have well developed medical toxicology services. In contrast, in Iran, the poison center system is somehow less developed and the care of poisoned patients is provided in centralized high volume hospital poison units.Although both the US and Iran have highly developed systems for the care of poisoned patients they are distinctly different. Comparative studies based on these systems could provide important data for developing countries with more rudimentary poison control and treatment facilities.
发展中国家的中毒发病率和死亡率很高。不同国家之间的中毒患者治疗系统差异很大。本文比较了美国和伊朗两种非常不同的中毒患者治疗系统。具体来说，比较了美国毒物中心和毒物治疗中心的作用。利用 PubMed、Scopus 和 Google Scholar 进行了系统的文献检索，并使用了“poison centers”、“treatment”、“Iran”、“United States of America”等关键词，共确定了 100 篇相关文献。从这些文献中，找到了 23 篇相关的出版物，并从中获取了相关数据。对这些数据进行了双重核对，并在此处进行了总结。我们发现，美国中毒患者的治疗系统严重依赖于经过认证的毒物中心，只有少数几家医院拥有完善的医学毒理学服务。相比之下，在伊朗，毒物中心系统的发展程度较低，中毒患者的治疗由集中在高容量医院的毒物部门提供。尽管美国和伊朗都拥有高度发达的中毒患者治疗系统，但它们之间存在明显差异。基于这些系统的比较研究可以为中毒控制和治疗设施相对简陋的发展中国家提供重要数据。
