Frequency of Organophosphate Poisoning and its Outcome in SKBZ AK CMH Muzaffarabad
Sidra Ishfaq, Munazza Nazir, Sajid Bukhari, Naeem Ahmed, Muhammad Furqan Ubaid, Humza Farooq
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ABSTRACT
Background: Organophosphate toxicity is a worldwide problem as this is equally easily available in rural and urban areas.
Furthermore, the complications and outcome of the organophosphate poisoning was also examined.
Aim: to determine the frequency of organophosphate poisoning and its outcomes in this region with limited laboratory and ICU
facilities.
Place and duration of study: SKBZ/AK CMH Muzaffarabad from January 2019 to December 2019.
Methodology: This observational, prospective analytical study was planned in Department of Medicine, SKBZ/AK CMH
Muzaffarabad. A total of 110 suspected poisoned patients were included having age between 12-60 years. Patients who had
taken more than one poison were excluded from the study. The organophosphate poisoning was identified through pupil size,
increased secretion and Glasgow Coma Scale.
Results: The average age of the patients was 24.38±6.35 years. The male to female ratio was 1:1.69. Majority 77 (70%) of the
patients were single and resident in rural areas 59 (53.6%). The incidence rate of organophosphate poisoning was 90 out of 110
(81.81%). There were at least 75% cases of organophosphate poisoning among all poisoned cases with p value 0.03. The
survival rate was 93.3% (84 out of 90). The most important factor affecting survival rate was the time lag between ingestion of
the poison and initiation of specific therapy with p value 0.022.
Conclusion: Organophosphate poisoning has high incidence although has good prognosis and not a very problematic death
rate. We also concluded that the survival rate can be improved through reduction in time lag before start the treatment.
Keywords: Cause of poisoning, Organophosphate poisoning, Complication of Organophosphate poisoning