Volume : 7, Issue : 8, August - 2018

SPECTRAL ANALYSIS OF POISONING IN CHILDREN IN TERTIARY CARE CENTRE

Dr. Divya Singh, Dr. Nirranjana Sakthivelu, Dr. Amar Verma

Abstract :

<p class="MsoNormal" style="line-height:200%"><u><span style="font-size:14.0pt;&#10;line-height:200%;color:black;background:white">Background:</span></u><span style="font-size:14.0pt;line-height:200%;color:black;background:white">Poisoning in childhood is major health concern. But the profile of substances used &amp; their relative outcome change according to age, availability of substances, pattern of life and medical awareness in different geographical areas.In this hospital-based study, we sought to investigate the epidemiology and outcome of acute poisoning among children admitted to a pediatric emergency department.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><u><span style="font-size:14.0pt;&#10;line-height:200%;color:black;background:white">Methods</span></u><span style="font-size:14.0pt;line-height:200%;color:black;background:white">: This is a retrospective descriptive study conducted in Pediatric department of Rajendra Institute of Medical Sciences, a tertiary care hospital in Ranchi, Jharkhand .Children and adolescents less than 18 years of age with diagnosis of acute poisoningduring January 2018 &ndash;June2018 were included in the study.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><u><span style="font-size:14.0pt;&#10;line-height:200%;color:black;background:white">Results</span></u><span style="font-size:14.0pt;line-height:200%;color:black;background:white">:In our study,97children presented with diagnosis of acute poisoning (3.32% of admissions). 59patients (60.8%)were boys. The greatest proportion of patients (45%) were aged between 1 and 5 yrs. Regarding the intention of poisoning, 91.8% were accidental .Bites accounted for 32.9%, drug ingestion- 19.5%, hydrocarbon ingestion &amp; pesticide,rodenticide for 13.4% , corrosives-1%, household items- 2%, unknown substance -17% of the total cases.</span><span style="font-size:14.0pt;line-height:200%">14 patients (14.4%)required admission to intensive care unit.Mean duration of hospital stay was 40 hrs. 2 children succumbed to complications during the study period, others were discharged successfully.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><u><span style="font-size:14.0pt;&#10;line-height:200%;color:black;background:white">Conclusion</span></u><u><span style="font-size:14.0pt;line-height:200%">:</span></u><span style="font-size:&#10;14.0pt;line-height:200%">Most of pediatric poisoning cases are preventable calamities. Death due to poisoning in children can largely be avoided if sufficient awareness can be created among parents and guardians.<o:p></o:p></span></p>