A STUDY ON CLINICAL PROFILE AND OUTCOME OF RODENTICIDE POISONING IN SOUTH INDIA: A CROSS-SECTIONAL STUDY
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i2.46076Keywords:
Rodenticide poisoning, Liver parameters, Clinical course, prognosisAbstract
Objectives: The objectives of the study were to study the sociodemographic profile, clinical features, and clinical outcome of patients admitted with rat killer poison in a tertiary care hospital in South India.
Methods: A cross-sectional study was conducted among those who have been admitted with rodenticide poisoning in a tertiary care center in South India. Prior Institutional Ethical committee Permission and written informed consent were obtained. Data on sociodemographic profile were elicited. The clinical course of all those who were enrolled in the study was closely followed and monitored. All the necessary blood parameters were done on every alternate day after the admission blood investigations. The data were entered into Microsoft excel and were analyzed using PSPP software. The difference in mean blood parameters between survivors and non survivors was compared.
Results: The consumption of rodenticide poisoning was higher among females (59%). Majority (58%) were married. Vomiting was present in nearly two-third of the study population and abdominal pain in 21%. Dose ingested and time of reporting to hospital were high among non-survivors. Mean bilirubin, serum glutamic-oxaloacetic transaminase, serum glutamic pyruvic transaminase, and International normalized ratio were higher among non-survivors compared to survivors at all the days measured.
Conclusions: Monitoring of liver parameters plays a key role in assessing the prognosis of the patient and also in treating them.
Downloads
References
Abhilash KP, Jayakaran JJ. Rodenticide poisoning: Literature review and management. Curr Med Issues 2019;17:129-33. doi: 10.4103/cmi. cmi_54_19
Ministry of Home Affairs. Accidental Deaths and Suicides in India. National Crime Records Bureau. New Delhi: Ministry of Home Affairs; 2019. p. 205.
Soni JP, Ghormade PS, Akhade S, Chavali K, Sarma B. A fatal case of multi-organ failure in acute yellow phosphorus poisoning. Autops Case Rep 2020;10:e2020146. doi: 10.4322/acr.2020.146, PMID 32039071
Trakulsrichai S, Kosanyawat N, Atiksawedparit P, Sriapha C, Tongpoo A, Udomsubpayakul U, et al. Clinical characteristics of zinc phosphide poisoning in Thailand. Ther Clin Risk Manag 2017;13:335-40. doi: 10.2147/TCRM.S129610, PMID 28352183
Acharya S, Shukla S, Raisinghani N. Successful management of rodenticide induced acute liver failure in a patient. Toxicol Int 2014;21:337-8. doi: 10.4103/0971-6580.155394, PMID 25948980
Radhika V, Narayanasamy K, Chezhian A, Kumar R, Jasmine JJ. Rat killer poisoning vs. liver damage: A view in South Indian patients of tertiary care center. J Gastrointest Dig Syst 2018;8:569.
Suneetha DK, Inbanathan J, Kannoth S, Reshma PK, Shashank MS. Profile of rat killer poisoning cases in a Tertiary Care Hospital at Mysore. Int J Sci Stud 2016;3:264-7.
Banerjee I, Tripathi SK, Roy AS. Clinicoepidemiological profile of poisoned patients in emergency department: A two and half year’s single hospital experience. Int J Crit Illn Inj Sci 2014;4:14-7. doi: 10.4103/2229-5151.128007, PMID 24741492
Marahatta SB, Singh J, Shrestha R, Koju R. Poisoning cases attending emergency department in Dhulikhel Hospital-Kathmandu University Teaching Hospital. Kathmandu Univ Med J (KUMJ) 2009;7:152-6. doi: 10.3126/kumj.v7i2.2711, PMID 20071851
Güloğlu C, Kara IH. Acute poisoning cases admitted to a university hospital emergency department in Diyarbakir, Turkey. Hum Exp Toxicol 2005;24:49-54. doi: 10.1191/0960327105ht499oa, PMID 15850278
Kumar SV, Venkateswarlu B, Sasikala M, Kumar GV. A study on poisoning cases in a tertiary care hospital. J Nat Sci Biol Med 2010;1:35-9. doi: 10.4103/0976-9668.71671, PMID 22096334
Maharani B, Vijayakumari V. Profile of poisoning cases in a tertiary care Hospital, Tamil Nadu, India. J App Pharm Sci 2013;3:91-4. doi: 10.7324/JAPS.2013.30117
Vijayakumar L. Suicide in women. Indian J Psychiatry 2015;57:S233-8. doi: 10.4103/0019-5545.161484, PMID 26330640
Bahnou NM, Rajeev SP. Phosphide-induced liver injury- the drug-induced liver injury Dilemma. Int J Sci Stud 2018;4:1-3.
Mishra AK, Devakiruba NS, Jasmine S, Sathyendra S, Zachariah A, Iyadurai R. Clinical spectrum of yellow phosphorous poisoning in a tertiary care centre in South India: A case series. Trop Doct 2017;47:245-9. doi: 10.1177/0049475516668986. PMID 27663491
Balasubramanian K, Sethuraman VK, Balamurugesan K, Viswanathan S. A retrospective study of clinical profile and outcome of patients with rodenticide poisoning in a tertiary care hospital. Int J Adv Med 2019;6:2-6. doi: 10.18203/2349-3933.ijam20190993
Mauskar A, Mehta K, Nagotkar L, Shanbag P. Acute hepatic failure due to yellow phosphorus ingestion. Indian J Pharmacol 2011;43:355-6. doi: 10.4103/0253-7613.81500, PMID 21713048, PMCID PMC3113395
Lakshmi CP, Goel A, Basu D. Cholestatic presentation of yellow phosphorus poisoning. J Pharmacol Pharmacother 2014;5:67-9. doi: 10.4103/0976-500X.124430, PMID 24554916
Shakoori V, Agahi M, Vasheghani-Farahani M, Marashi SM. Successful management of zinc phosphide poisoning. Indian J Crit Care Med 2016;20:368-70. doi: 10.4103/0972-5229.183907, PMID 27390464
Simon FA, Pickering LK. Acute yellow phosphorus poisoning. Smoking stool syndrome. JAMA 1976;235:1343-44. doi: 10.1001/ jama.1976.03260390029021, PMID 946251
Ravikanth R, Sandeep S, Philip B. Acute yellow phosphorus poisoning causing fulminant hepatic failure with parenchymal hemorrhages and contained duodenal perforation. Indian J Crit Care Med 2017;21:238-42. doi: 10.4103/ijccm.IJCCM_410_16, PMID 28515612, PMCID PMC5416795
Bassem WG, Timothy SL, Gajanan BP, Reshma DS, Priyank J. Successful treatment of acute liver failure due to yellow phosphorus ingestion in a rural, low resource setting. Biomed J Sci Tech Res 2018:4:001072.
Oghabian Z, Afshar A, Rahimi HR. Hepatotoxicity due to zinc phosphide poisoning in two patients: Role of N-acetylcysteine. Clin Case Rep 2016;4:768-72. doi: 10.1002/ccr3.618, PMID 27525081, PMCID PMC4974425
Yogendranathan N, Herath HM, Sivasundaram T, Constantine R, Kulatunga A. A case report of zinc phosphide poisoning: Complicated by acute renal failure and tubulo interstitial nephritis. BMC Pharmacol Toxicol 2017;18:37. doi: 10.1186/s40360-017-0144-7, PMID 28545504
Saraf V, Pande S, Gopalakrishnan U, Balakrishnan D, Menon RN, Sudheer OV, et al. Acute liver failure due to zinc phosphide containing rodenticide poisoning: clinical features and prognostic indicators of need for liver transplantation. Indian J Gastroenterol 2015;34:325-9. doi: 10.1007/s12664-015-0583-2, PMID 26310868
Published
How to Cite
Issue
Section
Copyright (c) 2022 jeevithan shanmugam
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.