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一项横断面研究,调查也门萨那市一家政府医院收治患者的急性中毒模式。

A cross-sectional study examining the pattern of acute poisoning among patients admitted to a governmental hospitals in Sana'a City, Yemen.

作者信息

Al-Mahbashi Hassan M, Howilah Ahmed A

机构信息

Faculty of Medicine, Al-Hikma University,Sana'a, Yemen.

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Sana'a University, Yemen.

出版信息

Toxicol Rep. 2024 Aug 2;13:101704. doi: 10.1016/j.toxrep.2024.101704. eCollection 2024 Dec.

Abstract

INTRODUCTION

As in other countries, acute poisoning cases in Yemen are a public health problem that causes a high level of morbidity and mortality. Understanding the general aspects of this issue helps in reducing its severity.

OBJECTIVES

The general goals of this study are to identify patterns of acute poisoning in Yemen, with a focus on poison type and sociodemographic variables.

METHODS

This is a cross-sectional study conducted on 177 cases of acute poisoning in the emergency units of three government hospitals in Sana'a, Yemen. Information was collected using a questionnaire that included all sociodemographic and medical data related to each case.

RESULTS

Cases of acute poisoning were more common in males (56.5 %) than females(43.5 %), and concentrated in the age group of 21-30 years. Approximately 66,1 % of cases occurred in individuals residing in rural areas. The percentage of non-educated individuals (53.7 %) was higher than educated ones(46.3 %). The study indicated that poisoning incidents were either intentional or non-intentional. Regarding intentional poisoning, it was categorized into homicidal or suicidal acts. The most common toxic substances involved were pesticides(30.5 %), followed by household poisoning (22.0 %), food poisoning(20.9 %), and medications(16.9 %). The most prevalent symptoms accompanying poisoning were nausea and vomiting. With regard to loss of consciousness, the percentage of those who lost consciousness was (28.8 %), and most of the cases were those who were exposed to medicines.

CONCLUSIONS

Cases of acute poisoning are mostly caused by exposure to pesticides, followed by household poisoning incidents and food poisoning. Awareness about the risks of pesticides and how to handle them is crucial, especially since most poisoning cases occur in rural areas among non-educated individuals.

摘要

引言

与其他国家一样,也门的急性中毒病例是一个公共卫生问题,会导致较高的发病率和死亡率。了解该问题的总体情况有助于降低其严重性。

目的

本研究的总体目标是确定也门急性中毒的模式,重点关注中毒类型和社会人口统计学变量。

方法

这是一项横断面研究,对也门萨那三家政府医院急诊科的177例急性中毒病例进行了调查。通过问卷调查收集了与每个病例相关的所有社会人口统计学和医学数据。

结果

急性中毒病例在男性中(56.5%)比女性中(43.5%)更常见,且集中在21至30岁年龄组。约66.1%的病例发生在农村地区居民中。未受过教育的个体(53.7%)的比例高于受过教育的个体(46.3%)。研究表明,中毒事件要么是故意的,要么是非故意的。关于故意中毒,分为他杀或自杀行为。涉及的最常见有毒物质是农药(30.5%),其次是家庭中毒(22.0%)、食物中毒(20.9%)和药物(16.9%)。中毒伴随的最常见症状是恶心和呕吐。关于意识丧失,意识丧失者的比例为(28.8%),且大多数病例是接触药物的人。

结论

急性中毒病例大多是由接触农药引起的,其次是家庭中毒事件和食物中毒。提高对农药风险及其处理方法的认识至关重要,特别是因为大多数中毒病例发生在农村地区未受过教育的个体中。

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