Survey patients poisoned with aluminum phosphide or rice table in Iran: Findings from a systematic literature review

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 282

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شناسه ملی سند علمی:

TOXICOLOGY15_163

تاریخ نمایه سازی: 15 بهمن 1398

چکیده مقاله:

Introduction: Aluminum Phosphide (AIP) or rice table is one of the most common pesticides in the world. Exposure of AIP with water, steam and gastric acid produces phosphine gas (PH3) that results in poisoning. However in recent years, due to its easy accessibility; the youth used it for suicide. Therefore, this study was carried out to provide an overview of the research on rice poisoning in Iran, to highlight the underdeveloped or under-considered aspects of domestic studies to guide the experts in future studies.Methods: This review study was conducted in 2019. Articles on the related topic were searched in the following databases: SID ،Magiran ،google scholar. A total of 60 related research papers, including researches in Persian, from the last 20 years poisoning papers were included in this study. Among these studies, Articles with unknown sample size and methodology and they were not intoxicated with rice table were excluded. In addition, articles with no full text access were also excluded.Results: In the last 35 years, there have been many reports of high mortality poisoning due to exposure to aluminum, zinc and calcium phosphides, with the exception of the rare, accidental occurrence of which was due to suicide. Most studies in Iran have focused on the demographic and epidemiological characteristics of patients admitted to hospital following rice poisoning. Several case studies reported case reports of a specific patient. Studies also showed, the number of women poisoned with ALP table was dramatically higher compared to that of males. Autumn and evenings were found with highest rates of poisoning. Cardiac arrhythmias were the most common complication of death due to rice poisoning in several studies. Fast and rapid evacuation of gastric contents and rinsing should be considered in rice poisoning. Even in cases of severe intoxication with careful and continuous care, rapid patient transfer to intensive care units, correction of hemodynamic status, acid-base disturbance, and electrolyte abnormalities can partially reduce the mortality of this fatal toxin.Conclusion: Most studies of deliberate and suicidal poisoning have highlighted the need for attention to this medical and social problem, especially in women, and the need for careful monitoring of the distribution of these toxins and drugs and, more importantly, of social and psychological well-being in society. And especially the young people, it feels great. Therefore, It is necessary to emphasize on educational programs, prevention methods and general awareness.

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