Krakowiak Anna, Zajdel Radosław, Kobza-Sindlewska Katarzyna, Krakowiak Michał, Piekarska-Wijatkowska Anna
Nofer Institute of Occupational Medicine, Łódź, Poland (Toxicology Clinic, Department of Toxicology).
University of Lodz, Łódź, Poland (Faculty of Economics and Sociology, Department of Computer Science in Economics).
Med Pr. 2019 Dec 3;70(6):655-667. doi: 10.13075/mp.5893.00905. Epub 2019 Nov 19.
Acute pesticide poisonings constitute an important toxicological problem in numerous countries. This report refers to patients treated for poisonings at the Toxicology Unit, Łódź, Poland, in the period 2004-2014.
Data to be analyzed were obtained from medical records of hospitalized people. A group of 24 301 patients aged ≥ 15 were selected. In the group of 149 people poisoned with pesticides (0.61% of all poisoning cases), there were 40 women and 109 men. Logistic regression analysis was used to evaluate the impact of age on suicide attempts using pesticides.
Suicide attempts significantly more frequently concerned younger people. In this type of behavior, coumarin derivatives were significantly more often used than organophosphorus compounds or pesticides classified as "others." The patients with suicidal pesticide poisonings stayed in the ward significantly longer than those poisoned unintentionally.
In the analyzed population inhabiting an area with a high degree of urbanization, in terms of the place of residence and employment, pesticide poisonings were more common in men than in women. Suicide attempts using pesticides more frequently concerned younger people. Information found in this study may prove useful for education purposes, and also in informing clinicians. Med Pr. 2019;70(6):655-67.
急性农药中毒在许多国家构成了一个重要的毒理学问题。本报告涉及2004年至2014年期间在波兰罗兹毒理学科接受中毒治疗的患者。
分析的数据来自住院患者的病历。选取了一组24301名年龄≥15岁的患者。在149名农药中毒患者（占所有中毒病例的0.61%）中，有40名女性和109名男性。采用逻辑回归分析来评估年龄对使用农药自杀未遂的影响。
自杀未遂明显更常见于年轻人。在这类行为中，香豆素衍生物的使用明显比有机磷化合物或归类为“其他”的农药更为频繁。有自杀性农药中毒的患者在病房停留的时间明显长于非故意中毒的患者。
在分析的居住在高度城市化地区的人群中，就居住和就业地点而言，男性农药中毒比女性更为常见。使用农药自杀未遂更常见于年轻人。本研究中发现的信息可能对教育目的以及告知临床医生有用。《医学实践》2019年；70(6):655 - 67。
