The first poison control center in Vietnam: experiences of its initial years.
Southeast Asian J Trop Med Public Health
;
2008 Mar; 39(2): 310-8
Artigo
em Inglês
| IMSEAR
| ID: sea-35784
ABSTRACT
Poisoning is a sparsely studied but major health problem in Vietnam. In this hospital-based retrospective study, the medical records of all cases of poisoning admitted to the Poison Control Center in Hanoi from 1999 to 2003 were carefully reviewed. A total of 1,836 poisoning emergencies were recorded. The femalemale ratio was approximately 11. The largest number of poisoned patients was found in the age-group 15-24 years. A vast majority of the toxic exposures (74.1%) occurred at the patients' homes. Suicidal poisoning constituted about one third of all cases. The most commonly involved toxic agents consisted of the heterogeneous group "food poisoning" (35.1%), pharmaceuticals (33.8%), toxins from poisonous animals, mostly snake bites (12.6%), and pesticides (9.1%). On admission, two thirds of the patients had mild symptoms (Poisoning Severity Score, PSS grade 1), while more than a quarter displayed pronounced clinical signs of poisoning (PSS grades 2-4). The most frequently used poisoning-specific treatments were gastric lavage (30.2%) and administration of activated charcoal (35.4%) and cathartics (34.2%). Intensive care measures, such as mechanical ventilation and dialysis, were applied less frequently, in 6.5% and 1.7%, respectively. Specific antidotes were given in 5.2% of the cases. The total number of fatalities was 21 (1.1%) and 10 patients were discharged with a neurological sequela. Hypnotic pharmaceuticals (mainly barbiturates), heroin, and pesticides were involved in a majority of the fatalities. These data provide an important basis for poisoning prevention efforts in developing countries\such as Vietnam.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Centros de Controle de Intoxicações
/
Intoxicação
/
Vietnã
/
Feminino
/
Humanos
/
Masculino
/
Criança
/
Pré-Escolar
/
Estudos Retrospectivos
/
Adolescente
Tipo de estudo:
Estudo observacional
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Southeast Asian J Trop Med Public Health
Ano de publicação:
2008
Tipo de documento:
Artigo
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