Pattern and risk factors of acute poisoning in a tertiary hospital of Central Bangladesh

Objective: Acute poisoning is a common cause of hospital admission in Bangladesh. But, risk factors and characteristics of victims of different modes of poisoning have not been evaluated for possible intervention strategies. So, in this study we aimed to describe the pattern of acute poisoning in central Bangladesh as well as identifying risk factors for various mode of poisoning.Methods: A prospective observational study was undertaken in Dhaka Medical College Hospital in ۲۰۱۵. Consenting adult acute poisoning victims were included as study subjects. A pretested structured case record form was used to systematically record the cases. The poisoning cases were defined by clinical toxidrome (sympathomimetic, antimuscarinic, opioids, cholinergic, sedative, etc) during acute presentation with suspected poisoning and groups accordingly. SPSS ۲۰ was used for data analysis and statistical tests including mean ± standard division (SD), percentage, t test and chi-square were used accordingly.Results: Total poisoning cases were ۱۱۵۵. Suicidal (۶۲.۲۵%, n = ۷۱۹), commuter poisoning (۲۴.۱۶%, n = ۲۷۹) and accidental poisoning (۱۲.۳۸%, n = ۱۴۳) were main types of poisoning. Risk factors of suicidal poisoning were young females of ۱۱ to ۳۰ years, married, housewives and students (P < ۰.۰۰۰۱). Stressful relationship was the commonest reason of suicidal poisoning. Pesticides and sedatives were frequently chosen for easy availability. Commuter poisoning was common in males and urban areas (P < ۰.۰۰۰۱). Accidental poisoning was more in males and rural areas (P < ۰.۰۰۰۱) and snake envenomation was the main cause.Conclusion: Poisoning burden is high in central Bangladesh. Identified risk factors will help develop poisoning prevention strategies.

کلیدواژه ها:

Bangladesh ، Poisoning ، Suicide ، Prevention