Pattern of acute organophosphorus poisoning at University of Gondar Teaching Hospital, Northwest Ethiopia
Abstract Background Despite the apparent benefits of organophosphate compounds (OPCs) acute organophosphate (OP) pesticide poison is an increasing problem worldwide. In a country like Ethiopia, where agriculture is a major component of the economy, these compounds are readily available to the genera...
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| Format: | Article |
| Language: | English |
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BMC
2017-04-01
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| Series: | BMC Research Notes |
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| Online Access: | http://link.springer.com/article/10.1186/s13104-017-2464-5 |
| _version_ | 1811313711566028800 |
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| author | Getnet Mequanint Adinew Assefa Belay Asrie Eshetie Melese Birru |
| author_facet | Getnet Mequanint Adinew Assefa Belay Asrie Eshetie Melese Birru |
| author_sort | Getnet Mequanint Adinew |
| collection | DOAJ |
| description | Abstract Background Despite the apparent benefits of organophosphate compounds (OPCs) acute organophosphate (OP) pesticide poison is an increasing problem worldwide. In a country like Ethiopia, where agriculture is a major component of the economy, these compounds are readily available to the general public. There is paucity of evidence from Ethiopia showing the pattern of organophosphate poisoning (OPP) in healthcare facilities. The objective of this study was to evaluate retrospectively the pattern of acute OPP at the University of Gondar Teaching Hospital in northwest Ethiopia, during September 2010 through December 2014 was conducted. Data was collected through chart review of patients who were admitted due to poisoning. Data was analysed using SPSS 20. Results Organophosphate poisoning in University of Gondar teaching hospital accounts for about 38.46% of all emergency room admissions for poisoning. Out of the 90 cases studied 60% (54) were women, with male to female ratio of 1:1.5. The mean age of the patients was 25.5 with a standard deviation of 9.45. 56.7% of the cases studies lived in an urban environment compared to 43.3% who lived rurally. In the vast majority of patients, 90% (81) patients had ingested OP as an act of suicide. Regarding the route of exposure, oral ingestion was most common in suicidal cases (88.9%). The elapsed time between the time of poison ingestion and the start of the treatment, ranged from 13 min to 1 day. Health care professionals’ useds decontamination methods such as gastric lavage and activated charcoal (45.6%) and 36.7% use atropine for OPP treatment. The mean hospital stay was 0.74 days. In the present study family problems were a leading cause of suicides and accounted for 45.8% of all cases. Conclusion As a developing nation who economy relies heavily on agriculture, Ethiopia continues to have OP compounds remain a common cause of acute poisonings. This is particularly concerning for younger generation who have high rates of OPP and whose numbers continue to raise. This data suggests that it is essential to strengthen Ethiopians regulatory policy concerning the availability of OPCs. Additionally, it will be important to design an appropriate health education program for the prevention of both suicidal and accidental OPPs for the benefit of the public at large. |
| first_indexed | 2024-04-13T10:59:39Z |
| format | Article |
| id | doaj.art-2b24fec17be74969ad0c5d4f0205862c |
| institution | Directory Open Access Journal |
| issn | 1756-0500 |
| language | English |
| last_indexed | 2024-04-13T10:59:39Z |
| publishDate | 2017-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj.art-2b24fec17be74969ad0c5d4f0205862c2022-12-22T02:49:27ZengBMCBMC Research Notes1756-05002017-04-011011610.1186/s13104-017-2464-5Pattern of acute organophosphorus poisoning at University of Gondar Teaching Hospital, Northwest EthiopiaGetnet Mequanint Adinew0Assefa Belay Asrie1Eshetie Melese Birru2Department of Pharmacology, School of Pharmacy, College of Medicine and Health Science, University of GondarDepartment of Pharmacology, School of Pharmacy, College of Medicine and Health Science, University of GondarDepartment of Pharmacology, School of Pharmacy, College of Medicine and Health Science, University of GondarAbstract Background Despite the apparent benefits of organophosphate compounds (OPCs) acute organophosphate (OP) pesticide poison is an increasing problem worldwide. In a country like Ethiopia, where agriculture is a major component of the economy, these compounds are readily available to the general public. There is paucity of evidence from Ethiopia showing the pattern of organophosphate poisoning (OPP) in healthcare facilities. The objective of this study was to evaluate retrospectively the pattern of acute OPP at the University of Gondar Teaching Hospital in northwest Ethiopia, during September 2010 through December 2014 was conducted. Data was collected through chart review of patients who were admitted due to poisoning. Data was analysed using SPSS 20. Results Organophosphate poisoning in University of Gondar teaching hospital accounts for about 38.46% of all emergency room admissions for poisoning. Out of the 90 cases studied 60% (54) were women, with male to female ratio of 1:1.5. The mean age of the patients was 25.5 with a standard deviation of 9.45. 56.7% of the cases studies lived in an urban environment compared to 43.3% who lived rurally. In the vast majority of patients, 90% (81) patients had ingested OP as an act of suicide. Regarding the route of exposure, oral ingestion was most common in suicidal cases (88.9%). The elapsed time between the time of poison ingestion and the start of the treatment, ranged from 13 min to 1 day. Health care professionals’ useds decontamination methods such as gastric lavage and activated charcoal (45.6%) and 36.7% use atropine for OPP treatment. The mean hospital stay was 0.74 days. In the present study family problems were a leading cause of suicides and accounted for 45.8% of all cases. Conclusion As a developing nation who economy relies heavily on agriculture, Ethiopia continues to have OP compounds remain a common cause of acute poisonings. This is particularly concerning for younger generation who have high rates of OPP and whose numbers continue to raise. This data suggests that it is essential to strengthen Ethiopians regulatory policy concerning the availability of OPCs. Additionally, it will be important to design an appropriate health education program for the prevention of both suicidal and accidental OPPs for the benefit of the public at large.http://link.springer.com/article/10.1186/s13104-017-2464-5AntidoteAtropineManagementOrganophosphatePoisoning |
| spellingShingle | Getnet Mequanint Adinew Assefa Belay Asrie Eshetie Melese Birru Pattern of acute organophosphorus poisoning at University of Gondar Teaching Hospital, Northwest Ethiopia BMC Research Notes Antidote Atropine Management Organophosphate Poisoning |
| title | Pattern of acute organophosphorus poisoning at University of Gondar Teaching Hospital, Northwest Ethiopia |
| title_full | Pattern of acute organophosphorus poisoning at University of Gondar Teaching Hospital, Northwest Ethiopia |
| title_fullStr | Pattern of acute organophosphorus poisoning at University of Gondar Teaching Hospital, Northwest Ethiopia |
| title_full_unstemmed | Pattern of acute organophosphorus poisoning at University of Gondar Teaching Hospital, Northwest Ethiopia |
| title_short | Pattern of acute organophosphorus poisoning at University of Gondar Teaching Hospital, Northwest Ethiopia |
| title_sort | pattern of acute organophosphorus poisoning at university of gondar teaching hospital northwest ethiopia |
| topic | Antidote Atropine Management Organophosphate Poisoning |
| url | http://link.springer.com/article/10.1186/s13104-017-2464-5 |
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