Resumo
Millions of people suffer from poisoning worldwide and some die because of complications. The aim of this study was to assess five-year trends in poisoning among patients referred to the Buea Regional Hospital. Data was collected from records in the Emergency Unit, in records from 01/01/2013 to 31/12/2017, using a form designed for the purpose. A total of 335 cases of poisoning were recorded. Twenty-nine (29) types of poisoning agents were recorded; the highest percentage was dog bite (23.28%), followed by food poisoning (18.81%). There was a temporal dynamic in poisoning as the year 2015 had the highest number of cases with percentage of 25.38% while the year 2014 had the lowest number of cases with a percentage of 13.44%. Moreover, the gender was not associated with poisoning as the percentage in males (50.15%) was not significantly (P > 0.05) different from the percentage in females (49.85%). Besides that, the gender did not determine poisoning circumstances (P > 0.05) even though more female were concerned with suicide attempts. Accidental poisoning was significantly (P < 0.001) more common (86.27%) than suicide attempts (13.73%). Based on the marital status, single patients were significantly (P < 0.001) more affected (65.97%) as compared to married ones (34.03%). Additionally, the frequency varied significantly (P < 0.001) in terms of patient’s occupation with unemployed being the most affected group (63.28%) as compared to workers (36.72%). Based on ages, the age group (16-30 years) was the most affected (40.90%). Fortunately, the percentage of healed cases (97.91%) was significantly (P < 0.001) higher than the percentages of cases reported dead (2.09%); nevertheless, chronic signs such as immune suppression, cancer, mutation and reduction of reproductive capacities may appear many years later. Inevitably, more studies on poisoning should be made; this will raise the necessity to sensitize populations on poisoning and the need to create poison management centres.
Referências
- Achour, S.; Khattabi, A.; Rhalem, N.; Ouammi, L.; Mokhtari, A.; Soulaymani, A.; Bencheikh, R.
- S. L’intoxication par les pesticides chez l’enfant au Maroc: profil épidémiologique et
- aspects pronostiques (1990-2008). Santé Publique, v. 23, no. 3, p. 195-205, 2011.
- https://doi.org/10.3917/spub.113.0195
- Achu, K. T.; Dieudonné, A.; Jacques, Y. Evaluating the necessity of a poison control center in
- Cameroon: The knowledge and perception of health care professionals in the Laquintinie
- Hospital and the Bonassama District Hospital in Douala. Journal of Clinical Toxicology,
- v. 7, 2017.
- Arulmurugan, C.; Ahmed, S.; Gani, M. A retrospective study of paradigm and outcome of
- acute poisoning cases in a tertiary care teaching hospital in Southern India. International
- Journal of Research in Medical Sciences, v. 3, no. 10, p. 2654-2657, 2015.
- https://doi.org/10.18203/2320-6012.ijrms20150808
- Chen, F.; Wen, J.-P.; Wang, X.-P.; Lin, Q.-M.; Lin, C.-J. Epidemiology and characteristics of
- acute poisoning treated at an Emergency Center. World Journal of Emergency Medicine,
- v. 1, no. 2, p. 154-156, 2010.
- Chien, W.-C.; Lin, J.-D.; Lai, C.-H.; Chung, C.-H.; Hung, Y.-C. Trends in poisoning
- hospitalization and mortality in Taiwan, 1999-2008: A retrospective analysis. BMC Public
- Health, v. 11, Article Number 703, 2011. https://doi.org/10.1186/1471-2458-11-703
- Connolly, G. N.; Richter, P.; Aleguas, A.; Pechacek, T. F.; Stanfill, S. B.; Alpert, H. R.
- Unintentional child poisonings through ingestion of conventional and novel tobacco
- products. Pediatrics, v. 125, p. 896-899, 2010. https://doi.org/10.1542/peds.2009-2835
- Eslami, M.; Kousha, S.; Fesharaki, M.; Kazemi, N.; Ghafarzad, A.; Zamani, M.; Nia, K. S.
- Evaluation prevalence and causes of drug and chemical poisoning in patients referred to
- emergency wards of Sina Hospital of Tabriz University of Medical Sciences at 2012-13.
- International Journal of Current Research and Academic Review, v. 2, no. 7,
- p. 187-194, 2014.
- Gérin, M.; Gosselin, P.; Cordier, S.; Viau, C.; Quénel, P.; Dewailly, E. (Eds.). Environnement
- et santé publique: fondements et pratiques. Québec, Canada: Edisem, 2003.
- Gupta, S.; Govil, Y.; Misra, P.; Nath, R.; Srivastava, K. Trends in poisoning in children:
- Experience at a large referral teaching hospital. The National Medical Journal of India,
- v. 2, no. 4, p. 166-168, 1998.
- Kenko, N. B.; Bi Fai, P. A.; Norbert, N. T.; Mpida, M. Environmental and human health
- assessment in relation to pesticide use by local farmers and the Cameroon Development
- Corporation (CDC), Fako Division, South-West Cameroon. European Scientific Journal,
- v. 13, no. 21. p. 454-473, 2017. https://doi.org/10.19044/esj.2017.v13n21p454
- Maharani, B.; Vijayakumari, N. Profile of poisoning cases in a tertiary care hospital, Tamil
- Nadu, India. Journal of Applied Pharmaceutical Science, v. 3, no. 1, p. 91-94, 2013.
- Oreby, M.; Maklad, A.; Shihab, N.; Kassem, H. Prediction of outcome of acutely intoxicated
- patients admitted to intensive care unit in Mansoura-Dakhlia Governorate-Egypt. Ain
- Shams Journal of Forensic Medicine and Clinical Toxicology, v. 26, p. 140-150, 2016.
- Saravi, B. M. Prevalence of non-drug poisoning in patients admitted to hospitals of
- Mazandaran University of Medical Sciences, 2010-2011. Acta Informatica Medica, v. 21,
- no. 3, p. 192-195, 2013. https://doi.org/10.5455/aim.2013.21.192-195
- Tsalkidis, A.; Vaos, G.; Gardikis, S.; Kambouri, K.; Tripsianis, G.; Mantadakis, E.; Paraskakis,
- E.; Chatzimicael, A. Acute poisoning among children admitted to a Regional University
- Hospital in Northern Greece. Central European Journal of Public Health, v. 18, no. 4,
- p. 219-223, 2010. https://doi.org/10.21101/cejph.a3617
- Uges, D. What is the definition of a poisoning? Journal of Clinical Forensic Medicine, v. 8,
- no. 1, p. 30-33, 2001. https://doi.org/10.1054/jcfm.2000.0465
- World Population Review. World population by country. 2018. Available from:
- <http://worldpopulationreview.com>. Accessed on: Dec. 21, 2018.
- Zardosht, M.; Dastoorpoor, M.; Hashemi, F. B.; Estebsari, F.; Jamshidi, E.;
- Abbasi-Ghahramanloo, A.; Khazaeli, P. Prevalence and cases of self medication among
- medical students of Kerman University of Medical Sciences, Kerman, Iran. Global Journal
- of Health Science, v. 8, no. 11, p. 150-159, 2016. https://doi.org/10.5539/
- gjhs.v8n11p150