Zemedie Biruktawit, Sultan Menbeu, Zewdie Ayalew
Department of Emergency Medicine and Critical Care, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Emerg Med Int. 2021 Dec 8;2021:6028123. doi: 10.1155/2021/6028123. eCollection 2021.
Acute poisoning is a common reason for visits to the emergency room and hospitalization across the world, as well as a possible cause of morbidity and death. This study aimed to assess acute poisonings at Addis Ababa Burn, Emergency, and Trauma (AaBET) Hospital. . A one-year cross-sectional study was conducted at AaBET Hospital from February 1, 2018, to January 31, 2019. Data were collected using a structured and pretested questionnaire by the Emergency Medicine and Critical Care residents from acutely poisoned patients' interviews and patient charts.
Data were collected from 98 acute poisoning cases, and 52% were males and 48% were females. 85 (86.7%) were less than 45 years. 52 (55.1%) were unemployed, and 33 (33.7%) were farmers. 96 (98%) cases were due to intentional poisoning, and 96 (98%) had oral ingestion. Organophosphates poisoning (27.5%) was the commonest cause, followed by 26.5% of unknown poisons and 16.3% prescribed drugs. Sixty-six percent of the patients presented to the hospital after 2 hours of ingestion. The case fatalities were 10.2% of which 40% of the cases were due to 2,4-dichlorophenoxyacetic (2, 4-D) poisoning, followed by aluminum phosphide (20%).
This study showed farmers and the unemployed were more affected. The most common mode of poisoning was intentional poisoning, oral ingestion being the primary route. The common poisons used by the victims were organophosphates. 2, 4-D poisoning was the major cause of death.
急性中毒是世界各地急诊室就诊和住院的常见原因,也是发病和死亡的一个可能原因。本研究旨在评估亚的斯亚贝巴烧伤、急诊和创伤(AaBET)医院的急性中毒情况。2018年2月1日至2019年1月31日在AaBET医院进行了为期一年的横断面研究。数据由急诊医学和重症监护住院医师通过对急性中毒患者的访谈和病历,使用结构化且经过预测试的问卷收集。
收集了98例急性中毒病例的数据,其中男性占52%,女性占48%。85例(86.7%)年龄小于45岁。52例(55.1%)失业,33例(33.7%)是农民。96例(98%)病例是由于故意中毒,96例(98%)经口服摄入。有机磷中毒(27.5%)是最常见的原因,其次是26.5%的不明毒物和16.3%的处方药。66%的患者在摄入毒物2小时后到医院就诊。病死率为10.2%,其中40%的病例死于2,4-二氯苯氧乙酸(2,4-D)中毒,其次是磷化铝(20%)。
本研究表明农民和失业者受影响更大。最常见的中毒方式是故意中毒,口服摄入是主要途径。受害者使用的常见毒物是有机磷。2,4-D中毒是主要死因。