CLINICAL CRITERIA FOR THE OUTCOME FORECAST OF ACUTE EXOGENOUS INTOXICATIONS WITH ORGANOPHOSPHORUS PESTICIDES

Purpose: The wide-spread use of organophosphorus pesticides (OPP) and their substantial toxicity determine the high frequency of poisoning with them. Despite the modern treatment methods, the acute exogenous intoxications (AEI) continue to exhibit high lethality and are the source of one of the most...

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Main Authors: Petko Marinov, Snezha Zlateva, Dobri Ivanov, Georgi Bonchev, Yulichka Sabeva, Kaloyan Georgiev, Ivaylo Vazharov
Format: Article
Language:English
Published: Peytchinski Publishing 2017-05-01
Series:Journal of IMAB
Subjects:
Online Access:http://www.journal-imab-bg.org/issues-2017/issue2/JofIMAB-2017-23-2p1541-1545.pdf
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author Petko Marinov
Snezha Zlateva
Dobri Ivanov
Georgi Bonchev
Yulichka Sabeva
Kaloyan Georgiev
Ivaylo Vazharov
author_facet Petko Marinov
Snezha Zlateva
Dobri Ivanov
Georgi Bonchev
Yulichka Sabeva
Kaloyan Georgiev
Ivaylo Vazharov
author_sort Petko Marinov
collection DOAJ
description Purpose: The wide-spread use of organophosphorus pesticides (OPP) and their substantial toxicity determine the high frequency of poisoning with them. Despite the modern treatment methods, the acute exogenous intoxications (AEI) continue to exhibit high lethality and are the source of one of the most serious problems in the clinical toxicology. A number of not commonly accepted criteria have been suggested to estimate the gravity of the organophosphorous intoxication. Until now no system of clinical criteria exists that would forecast the outcome of this type of acute poisoning. The aim of this study is to develop an outcome forecast of AEI with OPP with the help of basic clinical criteria. Materials/Methods: The subjects of the study are 160 patients. We explore the significance of five of the most typical clinical indicators of the acute poisoning with OPP for the outcome of the intoxication and the need of artificial pulmonary ventilation, with the aid of discriminatory statistical analysis. The selected indicators form a discriminatory model with automatically built discrimination function. Results: The obtained classification coefficients allow us to construct a forecast matrix containing score estimates designed for practical applications.
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spelling doaj.art-8cbf303b43b54fc19c007321c44e79952022-12-21T22:33:42ZengPeytchinski PublishingJournal of IMAB1312-773X2017-05-012321541154510.5272/jimab.2017232.1541CLINICAL CRITERIA FOR THE OUTCOME FORECAST OF ACUTE EXOGENOUS INTOXICATIONS WITH ORGANOPHOSPHORUS PESTICIDESPetko Marinov0Snezha Zlateva1Dobri Ivanov2Georgi Bonchev3Yulichka Sabeva4Kaloyan Georgiev5Ivaylo Vazharov6Clinic for Intensive Treatment of Acute Intoxications and Toxicoallergies, Naval Hospital – Varna, Military Medical Academy, BulgariaClinic for Intensive Treatment of Acute Intoxications and Toxicoallergies, Naval Hospital – Varna, Military Medical Academy, BulgariaDepartment of Biology, Faculty of Pharmacy, Medical University – Varna, BulgariaClinic for Intensive Treatment of Acute Intoxications and Toxicoallergies, Naval Hospital – Varna, Military Medical Academy, BulgariaDepartment of Pharmacology, Toxicology and Pharmacotherapy, Faculty of Pharmacy, Medical University – Varna, Bulgaria Department of Pharmaceutical Technologies, Faculty of Pharmacy, Medical University – Varna, BulgariaClinic of Internal Diseases, Naval Hospital – Varna, Military Medical Academy, BulgariaPurpose: The wide-spread use of organophosphorus pesticides (OPP) and their substantial toxicity determine the high frequency of poisoning with them. Despite the modern treatment methods, the acute exogenous intoxications (AEI) continue to exhibit high lethality and are the source of one of the most serious problems in the clinical toxicology. A number of not commonly accepted criteria have been suggested to estimate the gravity of the organophosphorous intoxication. Until now no system of clinical criteria exists that would forecast the outcome of this type of acute poisoning. The aim of this study is to develop an outcome forecast of AEI with OPP with the help of basic clinical criteria. Materials/Methods: The subjects of the study are 160 patients. We explore the significance of five of the most typical clinical indicators of the acute poisoning with OPP for the outcome of the intoxication and the need of artificial pulmonary ventilation, with the aid of discriminatory statistical analysis. The selected indicators form a discriminatory model with automatically built discrimination function. Results: The obtained classification coefficients allow us to construct a forecast matrix containing score estimates designed for practical applications.http://www.journal-imab-bg.org/issues-2017/issue2/JofIMAB-2017-23-2p1541-1545.pdforganophosphorus pesticidesacute poisoningprognosis
spellingShingle Petko Marinov
Snezha Zlateva
Dobri Ivanov
Georgi Bonchev
Yulichka Sabeva
Kaloyan Georgiev
Ivaylo Vazharov
CLINICAL CRITERIA FOR THE OUTCOME FORECAST OF ACUTE EXOGENOUS INTOXICATIONS WITH ORGANOPHOSPHORUS PESTICIDES
Journal of IMAB
organophosphorus pesticides
acute poisoning
prognosis
title CLINICAL CRITERIA FOR THE OUTCOME FORECAST OF ACUTE EXOGENOUS INTOXICATIONS WITH ORGANOPHOSPHORUS PESTICIDES
title_full CLINICAL CRITERIA FOR THE OUTCOME FORECAST OF ACUTE EXOGENOUS INTOXICATIONS WITH ORGANOPHOSPHORUS PESTICIDES
title_fullStr CLINICAL CRITERIA FOR THE OUTCOME FORECAST OF ACUTE EXOGENOUS INTOXICATIONS WITH ORGANOPHOSPHORUS PESTICIDES
title_full_unstemmed CLINICAL CRITERIA FOR THE OUTCOME FORECAST OF ACUTE EXOGENOUS INTOXICATIONS WITH ORGANOPHOSPHORUS PESTICIDES
title_short CLINICAL CRITERIA FOR THE OUTCOME FORECAST OF ACUTE EXOGENOUS INTOXICATIONS WITH ORGANOPHOSPHORUS PESTICIDES
title_sort clinical criteria for the outcome forecast of acute exogenous intoxications with organophosphorus pesticides
topic organophosphorus pesticides
acute poisoning
prognosis
url http://www.journal-imab-bg.org/issues-2017/issue2/JofIMAB-2017-23-2p1541-1545.pdf
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