Clinical Spectrum of Poisoning in Pediatric Emergency in Underdeveloped Countries
Authors:
Razi ur Rahman
Background Poisoning is a common presentation in pediatric emergency. Over the period, clinical spectrum changes continuously. This study helps to understand current spectrum of poisoning in pediatric population. Objective To find out the clinical spectrum of Poisoning in pediatric population in Pediatric Emergency Department of underdeveloped country. Method We did a cross sectional study in eleven units of pediatric emergency of tertiary care hospitals of Pakistan during a period of six months from January 2022 to June 2022. Result A total of 631 Patients evaluated who presented to PED in this duration. The mean age of presentation is 42.15 months with a male to female ratio of 1:1.3. In almost 80.03 % (n=505) cases the cause of poisoning in unknown, it is because proper history is not available. Out of known ingestion (n= 126), 56.34 (n=71) is due to Organophosphate ingestion, Benzodiazepine 18.25 % (n=23), Salicylate 10.31 % (n=13), Vitamin supplements 9.52 % (n=12) and Tricyclic antidepressant 5.55 % (n=7). Most 33.12 % (n=209) were discharged home with a length of stay of 7.58 hours, 26.94 % Left Against Medical Advice, 25.51 % (n=170) were discharged on request, 2.53 % (n=16) referred to other h hospital due to unavailability of bed and Four patients were expired. The expired patients were all presented with unknown poisoning, length of stay was 12.06 %, the average age was 41.6 Months. Conclusion Public awareness is needed to decrease the morbidity and mortality due to unknown poisoning, so pediatric patients can get better treatment.
Keywords: Poisoning, Paediatrics.
Authors
Correspondence to:
razi ur Rahman, Child Life Foundation , Karachi, Pakistan dr.razi88@gmail.com
Publication history:
Received 27 Mar 2024
Accepted 13 May 2024
Published online 18 May 2024
Razi ur Rahman. Clinical Spectrum of Poisoning in Pediatric Emergency in Underdeveloped Countries. SJEMed. Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711551051
Razi ur Rahman. Clinical Spectrum of Poisoning in Pediatric Emergency in Underdeveloped Countries. https://sjemed.com/?mno=195605 [Access: September 16, 2024]. doi:
10.24911/SJEMed.72-1711551051
Razi ur Rahman. Clinical Spectrum of Poisoning in Pediatric Emergency in Underdeveloped Countries. SJEMed. Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711551051
Razi ur Rahman. Clinical Spectrum of Poisoning in Pediatric Emergency in Underdeveloped Countries. SJEMed, [cited September 16, 2024]; Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711551051
Razi ur Rahman (2024) Clinical Spectrum of Poisoning in Pediatric Emergency in Underdeveloped Countries. SJEMed, Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711551051
Razi ur Rahman. 2024. Clinical Spectrum of Poisoning in Pediatric Emergency in Underdeveloped Countries. Saudi Journal of Emergency Medicine, Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711551051
Razi ur Rahman. "Clinical Spectrum of Poisoning in Pediatric Emergency in Underdeveloped Countries." Saudi Journal of Emergency Medicine Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711551051
Razi ur Rahman. "Clinical Spectrum of Poisoning in Pediatric Emergency in Underdeveloped Countries." Saudi Journal of Emergency Medicine Online First: 18 May, 2024. Web. 16 Sep 2024 doi:
10.24911/SJEMed.72-1711551051
Razi ur Rahman (2024) Clinical Spectrum of Poisoning in Pediatric Emergency in Underdeveloped Countries. Saudi Journal of Emergency Medicine, Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711551051