Arvind Kumar, V (2020) Clinical Profile of Rodenticide Poisoning and Its Outcome in a Tertiary Care Centre. Masters thesis, Madras Medical College, Chennai.
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Abstract
BACKGROUND: Poisoning is one of the leading cause for admission in emergency department and rodenticides are one of major poison used. It is one the highly toxic substance where morbidity and mortality are significant. OBJECTIVES: The purpose of this study is to compare different types of rodenticide poisons based on age, sex, marital status, time to admission, Amount of poison, their clinical features, complications and their mortality. METHODS: All the patients admitted to our hospital over a span of year with rodenticide poisoning after fulfilling inclusion and exclusion criteria were taken into study and data collected and appropriate treatment were given . RESULTS: In our study a total of 56 patients consumed zinc phosphide, out of which 47 (83.92%) recovered without complication, 7 (12.5%) recovered with complication and 2 (3.5%) died. In our study 37 patients who consumed Superwarfarins, 31 (83.7%) had no complications, 6 (16.3%) had prolongation of INR and there was no mortality. In our study Out of 111 patients consumed yellow phosphorus, 45 (40.5%) patients died and 66 (59.5%) persons survived Out of 111 patients consumed yellow phosphorus, 26 (25%) recovered without complications, 40 (75.5%) had recovered with complications, 45 (95.7%) of patients died.Out of 37 patients consumed super warfarin, 31 (29.8%) recovered without complications, 6 (11.3%) recovered with complications and zero deaths. Out of 56 patients consumed zinc phosphide, 47 (45.2%) recovered without complications, 7 (13.2%) recovered with complications and 2 (4.3%) patients died. Out of 204 patients, 104 (51%) had no complications, 53 (26%) had recovery with complications and 47 (23%) patients ended up being dead. Out of 204 patients, 95 (46.6 %) were males and 109 (53.4%) were females. A slight predominance of females over men in a ratio of 1: 1.4. CONCLUSION: This study shows rodenticide poisoning is more common in female and married persons. Most common below 29 years of age. Yellow phosphorous is most common type of poison and has the worst prognosis. Zinc phosphide and Superwarfarins has low morbidity and the best outcome. Mortality is low if consumed less than 5 grams of poison. Vomiting is the most common symptom and transaminases rise between 3rd and 5th day.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 201711003 |
| Uncontrolled Keywords: | Rodenticides, Yellow phosphorous, Zinc phosphide, Superwarfarins, Clinical profile. |
| Subjects: | MEDICAL > General Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 28 Jan 2021 02:54 |
| Last Modified: | 28 Jan 2021 07:37 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13203 |
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