alexa An Epidemiological Study of Adult Acute Poisoning in Fez: Morocco
ISSN: 2161-0495

Journal of Clinical Toxicology
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Review Article

An Epidemiological Study of Adult Acute Poisoning in Fez: Morocco

Boukatta Brahim1*, El Bouazzaoui Abderrahim1, Guemoune Reda1, Houari Nawfal1, Achour Sanae2, Sbai Hicham1 and Kanjaa Nabil1

1Department of Anesthesiology and Critical Care, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco

2Department of Toxicology, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco

*Corresponding Author:
Boukatta Brahim
Department of Anesthesiology and Critical Care
Hassan II university Hospital, Sidi Mohammed Ben Abdellah University
Fez, Morocco, 23 Jbel Zalagh Narjis C FEZ, Morocco 30070
Tel: (00212) 0661747812
E-mail: [email protected]

Received date: November 08, 2014; Accepted date: December 23, 2014; Published date: December 26, 2014

Citation: Brahim B, Abderrahim EB, Reda G, Nawfal H, Sanae A, et al. (2014) An Epidemiological Study of Adult Acute Poisoning in Fez: Morocco. J Clin Toxicol 4:219. doi: 10.4172/2161-0495.1000219

Copyright: © 2014 Brahim B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Introduction: Acute poisoning represents a real health problem in the world. It’s a frequent cause of admission to emergency departments and in the intensive care unit. This study aims to analysis epidemiological aspects, clinics, therapeutic, outcome and the factors of mortality of poisoning in Fez, Morocco. Methods: It’s a retrospective study, concerned all patients admitted for poisoning at the intensive care unit, from January 2009 to December 2012. Results: There were 201 patients admitted for acute poisoning. The median age was 26.26 years with a female predominance (74.1%). The circumstances of poisoning were suicidal, accidental and unknown in 85%, 10% and 5% respectively. Ingestion was the major route of exposure (94.5%), followed by inhalation (5.5%). The most frequent main toxic agents were pesticides (64.17%), medication (22.38%), carbon monoxide (5.5%) and caustic agents (5.5%). The main symptoms were nausea, vomiting and abdominal pain in 117 cases (58.2%). Disorders of consciousness were reported in 62 cases (30.8%). Hemodynamic instability was associated especially with acute aluminum phosphide poisoning. Increase of Troponin Ic was observed in 23 cases (12.7%). The electrocardiogram was abnormal in 21 cases (10.4%) especially with acute aluminum phosphide and carbon monoxide poisonings. Gastric lavage was done for 158 patients (78.60%). 33 patients (16.6%) were need mechanical ventilation. 19 patients (9.5%) of aluminium phosphide poisoning were needed vasoactive. The rate of mortality was 10.9%. The aluminium phosphide poisoning was responsible for 18 (81.8%) deaths. Apart from AIP poisoning, the mortality rate was 2.18%. The statistically significant prognosis factors for death were aluminium phosphide poisoning, cardiovascular signs as shock, myocarditis, electrocardiogram abnormalities, elevated cardiac troponin levels, respiratory distress, need for mechanical ventilation and vasoactive drugs. Conclusion: This epidemiological study revealed the high mortality associated with acute poisonings, especially to aluminium phosphide. The prevention remains the best approach for reducing morbidity and mortality.

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords