A Clinico-Epidemiological Study on Poisoning among Commuters: Is There any Substance Abuse?

Erfan Uddin, Rabiul Alam Md. and Ghose, Aniruddha and Hassan, Mahtab Uddin and Dutta, Asok Kumar and Zahed, Abu Sahed Md. and Jabed, Syed Mohammad (2018) A Clinico-Epidemiological Study on Poisoning among Commuters: Is There any Substance Abuse? Asia Pacific Journal of Medical Toxicology, 7 (2). pp. 38-41.

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Background: Poisoning among commuters is becoming a major health hazards day by day in Bangladesh. Few studies were done in Bangladesh regarding this problem. To describe the clinico-epidemiological features of patients with suspected intentional poisoning during travel for robbery. Method:This was a prospective observational study, conducted in medicine department of Chittagong Medical College Hospital, Bangladesh during March 2010 to September 2010. 40 patients were selected. Out of whom, 15 who had GCS < 8 at presentation were selected for urine analysis by detection kits for a few substances in the urine. Detailed demographic data were collected from the informant in a structured case report form. Clinical examination of the patient was done at presentation and urine was collected in selected patients. Routine patient follow-ups were carried out and the outcome was recorded. Results: Victims being males of 31.23 ± 7.6 years of age, most of whom were married (80), and businessmen (40). Most of them were brought to hospital by their relatives (80). Their financial loss by the incidence did not exceed 50,000 tk (i.e., 18937 Tk). They were mainly from middle class family, usually poisoned by beverage (55), food (30), and inhalation (5). Most of them presented with unconsciousness (75), having GCS 10 on average. Their pupils usually remained constricted bilaterally (75) with intact light reflex in 35 of the cases. There was no papilledema, and cranial nerves were usually intact in those who could be examined (25). Patients were usually depressed with absent planter reflex (70) or flexor (30). Within 2.5 days, most of them could walk without support and could be discharged. There was neither any case fatality reported or any long term disability recorded. Only 7.5 of the patients had substance examined by kit in their urine. Conclusion: We can come to the conclusion that money bearing people were victimized by the miscreant and they usually used a substance which has short onset of action and which can sedate people for a short time with depressive neurological findings. Â

Item Type: Article
Subjects: QV pharmacology
Divisions: Journals > Asia Pacific J Toxicology
Depositing User: apjmt apjmt
Date Deposited: 05 Jan 2019 13:09
Last Modified: 05 Jan 2019 13:09
URI: http://eprints.mums.ac.ir/id/eprint/10938

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