%0 Journal Article %T Clinico-Epidemiological study of poisoning in a tertiary care hospital in Bangladesh %J Journal of Emergency Practice and Trauma %I Kerman University of Medical Sciences %Z 2383-4544 %A Hossain, Rabiul %A Amin, Robed %A Riyadh Hossain, Ahmed %A Kahhar, Azizul %A Rabbi Chowdhury, Fazle %D 2017 %\ 01/01/2017 %V 3 %N 1 %P 4-10 %! Clinico-Epidemiological study of poisoning in a tertiary care hospital in Bangladesh %K Clinical %K ٍٍEpidemiology %K Poisoning %K Tertiary care center %R 10.15171/jept.2017.06 %X  Objective: The scale of the problem of poisoning is enormous hence clinico epidemiological spectrum of all poisoning cases need to explore to generate the management tool. Methods: This prospective study was done at two medicine units (Unit 5 and 10) of Dhaka Medical College Hospital from July to December 2010 where all poisoning cases were seen. A total of 2890 patients were admitted out of which 600 were taken into the study. Results: Among the poisoning cases 29% were pesticide, 27% travel related poisoning, and 20% benzodiazepine. 70% of poisoning occurred below 30 years of age and male: female ratio was 3:2. Incidence of poisoning was highest among students (31%) and housewives (25%). Majority of the patients were from urban area (76%) and most common intention was suicidal (66%). Familial disharmony was the prime cause (63%) behind poisoning. 42% cases got admitted between 5-8 hours of poisoning and more than 80% patients were admitted in the hospital directly without getting any first aid anywhere. Sixty-eight percent had Glasgow coma scale (GCS) score above 10 during admission. Cardinal clinical features of poisoning were nausea/vomiting (63%), drowsiness (56%), miosis (31%). Seventy percent patients were treated with only general and supportive treatment and specific antidotes were used in 30% cases. Case fatality for pesticide, benzodiazepine/anti-psychotic, rodenticide and snake bite was 6.9%, 2.2%, 8.3% and 3.3% respectively. Conclusion: To assess the magnitude of problem, awareness of the public for prevention, immediate first aid measures and quick hospital admission is crucial component of poisoning. %U http://www.jept.ir/article_40973_94f50ccb8aa67e46216814941e3247b0.pdf