Patterns and epidemiology of acute poisoning in Ethiopia: systematic review of observational studies
Abstract Background Acute poisoning is a common reason for emergency department visit and hospitalization worldwide with major morbidity and mortality. The burden of poisoning exposures in Africa is a significant public health concern, but only 10 of 58 countries have poisons information centers (PI...
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| Format: | Article |
| Language: | English |
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BMC
2018-07-01
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| Series: | Archives of Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13690-018-0275-3 |
| _version_ | 1828261030255394816 |
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| author | Legese Chelkeba Abera Mulatu Dessalegn Feyissa Firomsa Bekele Behailu Terefe Tesfaye |
| author_facet | Legese Chelkeba Abera Mulatu Dessalegn Feyissa Firomsa Bekele Behailu Terefe Tesfaye |
| author_sort | Legese Chelkeba |
| collection | DOAJ |
| description | Abstract Background Acute poisoning is a common reason for emergency department visit and hospitalization worldwide with major morbidity and mortality. The burden of poisoning exposures in Africa is a significant public health concern, but only 10 of 58 countries have poisons information centers (PICs). Objective The primary intention of our current review is to explore and summarize the published evidence on the patterns and epidemiology of poisoning in Ethiopia. Method PubMed and Scopus were searched for primary, case series and human studies for publications from inception to July 2017. A manual search for additional relevant studies using references from retrieved articles was also performed. Only studies that reported acute poisoning in both pediatric and adult patients were included. From the screened articles, data were extracted for baseline characteristics and relevant end points such as case fatality rate, time for health institution presentation and length of hospital stay. Result Initial entry and search resulted in the retrieval of 332 articles. Finally, 9 studies comprised of 4763 participants were included in this current review. In 78% of the studies included in this review, acute poisoning is reported to be more prevalent in females. Acute poisoning was revealed to be prevalent in less than 30 years old. Organophosphates and household cleaning agents were the predominant agents of acute poisoning. Intentional poisoning was identified responsible for the majority of acute poisoning cases and factors such as psychiatric problems, and quarrel were identified as the underlying reasons for poisoning. Time of presentation to health institution after poisoning, length of hospital stay and case fatality rate were reported and lies in the ranges between 0.2 h–24 h, 0.5 days–17.7 days and 0–14.8%, respectively. Conclusion The occurrence of acute poisoning was higher in females and common in less than 30 years of age, making this a real public health burden in Ethiopia. Psychiatric problems, quarrel and substance abuse were identified as the most common reasons for acute poisoning. Awareness creation how to handle chemicals and prescribed drugs and psychiatric consultations should be in place for the community. |
| first_indexed | 2024-04-13T03:33:02Z |
| format | Article |
| id | doaj.art-bb7c8a63e17349cf8ad9e53b855d7d46 |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-04-13T03:33:02Z |
| publishDate | 2018-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-bb7c8a63e17349cf8ad9e53b855d7d462022-12-22T03:04:26ZengBMCArchives of Public Health2049-32582018-07-0176111010.1186/s13690-018-0275-3Patterns and epidemiology of acute poisoning in Ethiopia: systematic review of observational studiesLegese Chelkeba0Abera Mulatu1Dessalegn Feyissa2Firomsa Bekele3Behailu Terefe Tesfaye4School of pharmacy, Department of Clinical pharmacy, College of Health Sciences, Jimma UniversityAmanuel Mental Specialized HospitalMizan Tepi University School of pharmacy, Clinical Pharmacy UnitMetu UniversitySchool of pharmacy, Clinical Pharmacy UnitSchool of pharmacy, Department of Clinical pharmacy, College of Health Sciences, Jimma UniversityAbstract Background Acute poisoning is a common reason for emergency department visit and hospitalization worldwide with major morbidity and mortality. The burden of poisoning exposures in Africa is a significant public health concern, but only 10 of 58 countries have poisons information centers (PICs). Objective The primary intention of our current review is to explore and summarize the published evidence on the patterns and epidemiology of poisoning in Ethiopia. Method PubMed and Scopus were searched for primary, case series and human studies for publications from inception to July 2017. A manual search for additional relevant studies using references from retrieved articles was also performed. Only studies that reported acute poisoning in both pediatric and adult patients were included. From the screened articles, data were extracted for baseline characteristics and relevant end points such as case fatality rate, time for health institution presentation and length of hospital stay. Result Initial entry and search resulted in the retrieval of 332 articles. Finally, 9 studies comprised of 4763 participants were included in this current review. In 78% of the studies included in this review, acute poisoning is reported to be more prevalent in females. Acute poisoning was revealed to be prevalent in less than 30 years old. Organophosphates and household cleaning agents were the predominant agents of acute poisoning. Intentional poisoning was identified responsible for the majority of acute poisoning cases and factors such as psychiatric problems, and quarrel were identified as the underlying reasons for poisoning. Time of presentation to health institution after poisoning, length of hospital stay and case fatality rate were reported and lies in the ranges between 0.2 h–24 h, 0.5 days–17.7 days and 0–14.8%, respectively. Conclusion The occurrence of acute poisoning was higher in females and common in less than 30 years of age, making this a real public health burden in Ethiopia. Psychiatric problems, quarrel and substance abuse were identified as the most common reasons for acute poisoning. Awareness creation how to handle chemicals and prescribed drugs and psychiatric consultations should be in place for the community.http://link.springer.com/article/10.1186/s13690-018-0275-3EpidemiologyPatternPoisoningEthiopia |
| spellingShingle | Legese Chelkeba Abera Mulatu Dessalegn Feyissa Firomsa Bekele Behailu Terefe Tesfaye Patterns and epidemiology of acute poisoning in Ethiopia: systematic review of observational studies Archives of Public Health Epidemiology Pattern Poisoning Ethiopia |
| title | Patterns and epidemiology of acute poisoning in Ethiopia: systematic review of observational studies |
| title_full | Patterns and epidemiology of acute poisoning in Ethiopia: systematic review of observational studies |
| title_fullStr | Patterns and epidemiology of acute poisoning in Ethiopia: systematic review of observational studies |
| title_full_unstemmed | Patterns and epidemiology of acute poisoning in Ethiopia: systematic review of observational studies |
| title_short | Patterns and epidemiology of acute poisoning in Ethiopia: systematic review of observational studies |
| title_sort | patterns and epidemiology of acute poisoning in ethiopia systematic review of observational studies |
| topic | Epidemiology Pattern Poisoning Ethiopia |
| url | http://link.springer.com/article/10.1186/s13690-018-0275-3 |
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