ABSTRACT
The present study intends to evaluate the current trends of acute poisoning reporting at private medical center of Rural Sindh. Descriptive/Retrospective study. This study was carried out at Murk General Hospital Tando Adam from January through December 2012. Sixty patients with a history of poisoning were studied. The diagnosis of poisoning was based on history of patients as disclosed by relatives, clinical findings, investigations and response to treatment. The age, sex, social class, cause and types of poison were noted. The data was collected on a proforma. The variables were typed on SPSS version 21 for analysis. The mean age of subjects was 33 +/- 7.5 years. The most affected age group was 20-29.9 years [n=43] [71.6%]. Of sixty subjects, 23[38.3%] were male and 27 [61.6%] female. [p=0.001]. Of sixty subjects, 75% [n=45] are farmers belonging to lower social class of rural population, suffering from organophosphate pesticide poisoning [48.3%]. Comparing rural to urban population, it shows rural population is suffering more; 88.3% [n=53] vs. 11.6% [n=7]. The frequency of organophosphate poisoning is found high 48.3% [n=29] in patients coming from rural areas usually farmers. The accidental organophosphate poisoning is found most frequent in rural population. The alcohol is the second most frequent cause of acute poisoning found in 18.3% of cases. Incidence of accidental poisoning is found very high from organophosphate pesticides. Sale of drugs, Diazepam and Alprazolam, must be prohibited without proper prescription. It is recommended that measures may be taken to make aware the farmers for using the organophosphate pesticides properly
ABSTRACT
This study was carried out to determine the pattern of snake bite in a rural area of Sindh Pakistan over a 07-year period. A Descriptive Study Place and Duration of Study: A total record of 5737 snake bite cases attending rural health centre Ranipur District Khairpur between 2000 and 2007 were analysed retrospectively. Patients and Method: A retrospective review of record of snake bite patients was carried out who had attended the health care centre first time for further management. Patients with history of previous visit for treatment were excluded from the study. Out of 5737 victims 44.18% were children less than 15 years and 22% were more than 35 years. Most of the patients [87.22%] were hospitalized after 24 hours of the snake bite. Majority of them [91.99%] came with the history of single bite. Of the 5337 envenomed by poisonous snakes, 56.99% were bitten by Cobra, and 35% by Krait and Viper. Lower extremities were the most common sites of the snake bite [69.99%]. Snake bite is one of a significant problem in the study area. We observed the delayed consultation of the victims to the hospital. Further research on successful management of these victims was recommended