Barary Mohammad, Pirzadeh Marzieh, Rezaeian Nastaran, Dadashnia Mahsa, Mohammadi-Daniali Sara, Pahlavani Fatemeh, Manouchehri Aliasghar, Kazemi Sohrab, Moghadamnia Aliakbar
Student Research Committee, Babol University of Medical Sciences, Babol, Iran.
Department of Internal Medicine, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, Iran.
Caspian J Intern Med. 2021 Winter;12(1):35-44. doi: 10.22088/cjim.12.1.35.
Poisoning is a major public health problem that constitutes a significant share of the global burden of disease. Previous studies conducted in this area indicated the importance of such epidemiological studies. The most critical impact of these studies is their effect on changing current regulations and, therefore, decreasing poisoning cases. We aimed to evaluate all poisoning cases with regard to the patients' demographics and the involved intoxicants.
The present study was conducted to investigate all poisoning cases who were admitted during a three-year period. Causes of poisoning, hospitalization, management procedures and outcome of the cases were surveyed. A total of 1448 patients referred to Shahid Beheshti Hospital (Babol, Iran) from 2015 to 2018.
More than half of the patients were females (51.7%), and the majority of poisoning cases were seen in patients aged between 15 to 25 years (34.2%). It was found that suicide made a large part of poisoning cases (65.6%), and females tend to attempt suicide more than males (64.3% . 35.7%, respectively). Also, regular drugs followed by club drugs were the most abundant toxic agents (52.1% and 23.3%, respectively). Aluminum phosphide (AlP) was the most lethal intoxicant in our study, accounting for 68.2% of all deaths.
According to the results, it is concluded that the existing regulations for drug control and suicide prevention have not been efficient enough and further actions yet to be made to reduce the consequences of drug- and non-drug-related toxicities.
中毒是一个重大的公共卫生问题，在全球疾病负担中占很大比例。此前在该领域开展的研究表明了此类流行病学研究的重要性。这些研究最关键的影响在于其对改变现行法规的作用，进而减少中毒病例。我们旨在评估所有中毒病例的患者人口统计学特征及所涉及的毒物。
本研究旨在调查三年期间收治的所有中毒病例。对中毒原因、住院情况、管理程序及病例结局进行了调查。2015年至2018年期间，共有1448名患者转诊至伊朗巴博勒的沙希德·贝赫什提医院。
超过一半的患者为女性（51.7%），大多数中毒病例见于15至25岁的患者（34.2%）。发现自杀构成了中毒病例的很大一部分（65.6%），女性比男性更倾向于自杀（分别为64.3%和35.7%）。此外，常规药物之后是俱乐部药物，是最常见的毒物（分别为52.1%和23.3%）。磷化铝（AlP）是我们研究中最致命的毒物，占所有死亡病例的68.2%。
根据结果得出结论，现有的药物管制和自杀预防法规效率不够高，尚需采取进一步行动以减少与药物和非药物相关毒性的后果。
