Skip to main content
Top
Published in: Journal of Public Health 1/2012

01-02-2012 | Original Article

Causes of acute poisoning in adults: a retrospective study, in a hospital in Istanbul, Turkey

Authors: Zuhal Aydan Saglam, Baris Demir, Esra Hayriye Ataoglu, Mustafa Yenigun, Levent Umit Temiz, Tayyibe Saler

Published in: Journal of Public Health | Issue 1/2012

Login to get access

Abstract

Aim

Acute poisoning is one of the major topics in emergency medicine practices. Despite the recent developments in toxicology, technological advances and changing lifestyles reveal new factors, and poisoning cases remain to be a problem. All poisonings should be considered serious and independent from their clinical presentation at the time of admission. Identifying the cause and prompt initiation of treatment is life-saving. Causes of poisoning vary between countries and different regions of the same country. In the present study, cases admitted to the Emergency Department of Internal Medicine at Haseki Training and Research Hospital were evaluated and causes of acute poisoning were investigated.

Subject and methods

Medical records of 675 cases of acute poisoning were retrospectively evaluated in the present study.

Results

The mean age of 675 cases included was 29.24 ± 13.71 years of age of which 66.4% were women. Drugs were the most common cause of poisoning (74.2%), which was followed by carbon monoxide (8.7%) and alcohol (8.4%) poisoning. Poisoning was deliberate in 73.5% and accidental in 25.6% of the cases. Treatment in intensive care unit was required in 6.6% of the patients.

Conclusion

Knowing the causes of poisonings will be beneficial in management approach and determining prevention strategies. Increased awareness of health professionals and public about regional causes of poisoning and prevention strategies will reduce morbidity and mortality associated with acute poisonings.
Literature
go back to reference Aardema H, Meertens JH, Ligtenberg JJ, Peters-Polman OM, Tulleken JE, Zijlstra JG (2008) Organophosphorus pesticide poisoning: cases and developments. Neth J Med 66:149–153PubMed Aardema H, Meertens JH, Ligtenberg JJ, Peters-Polman OM, Tulleken JE, Zijlstra JG (2008) Organophosphorus pesticide poisoning: cases and developments. Neth J Med 66:149–153PubMed
go back to reference Andrew E, Irestedt B, Hurri T, Jacobsen P, Gudjonsdottir G (2008) Mortality and morbidity of poisonings in the Nordic countries in 2002. Clin Toxicol (Phila) 46:310–313CrossRef Andrew E, Irestedt B, Hurri T, Jacobsen P, Gudjonsdottir G (2008) Mortality and morbidity of poisonings in the Nordic countries in 2002. Clin Toxicol (Phila) 46:310–313CrossRef
go back to reference Aygun D (2004) Diagnosis in an acute organophosphate poisoning: report of three interesting cases and review of the literature. Eur J Emerg Med 11:55–58PubMedCrossRef Aygun D (2004) Diagnosis in an acute organophosphate poisoning: report of three interesting cases and review of the literature. Eur J Emerg Med 11:55–58PubMedCrossRef
go back to reference Beers MH, Berkow R (ed) (1999) Poisoning. In: The Merck Manual of Diagnosis and Therapy, 17th edn. Merck, Whitehouse Station, NJ, pp 2619–2655 Beers MH, Berkow R (ed) (1999) Poisoning. In: The Merck Manual of Diagnosis and Therapy, 17th edn. Merck, Whitehouse Station, NJ, pp 2619–2655
go back to reference Bjornaas MA, Hovda KE, Heyerdahl F, Skog K, Drottning P, Opdahl A et al (2010a) Suicidal intention, psychosocial factors and referral to further treatment: a one-year cross-sectional study of self-poisoning. BMC Psychiatry 10:58PubMedCrossRef Bjornaas MA, Hovda KE, Heyerdahl F, Skog K, Drottning P, Opdahl A et al (2010a) Suicidal intention, psychosocial factors and referral to further treatment: a one-year cross-sectional study of self-poisoning. BMC Psychiatry 10:58PubMedCrossRef
go back to reference Bjornaas MA, Teige B, Hovda KE, Ekeberg O, Heyerdahl F, Jacobsen D (2010b) Fatal poisonings in Oslo: a one-year observational study. BMC Emerg Med 10:13PubMedCrossRef Bjornaas MA, Teige B, Hovda KE, Ekeberg O, Heyerdahl F, Jacobsen D (2010b) Fatal poisonings in Oslo: a one-year observational study. BMC Emerg Med 10:13PubMedCrossRef
go back to reference Cetin NG, Beydilli H, Tomruk O (2004) Retrospective evaluation poisoning patients in the emergency department (in Turkish). Med J SDU 11:7–9 Cetin NG, Beydilli H, Tomruk O (2004) Retrospective evaluation poisoning patients in the emergency department (in Turkish). Med J SDU 11:7–9
go back to reference Goksu S, Yildirim C, Kocoglu H, Tutak A, Oner U (2002) Characteristics of acute adult poisoning in Gaziantep, Turkey. J Toxicol Clin Toxicol 40:833–837PubMedCrossRef Goksu S, Yildirim C, Kocoglu H, Tutak A, Oner U (2002) Characteristics of acute adult poisoning in Gaziantep, Turkey. J Toxicol Clin Toxicol 40:833–837PubMedCrossRef
go back to reference Greene SL, Dargan PI, Jones AL (2005) Acute poisoning: understanding 90% of cases in a nutshell. Postgrad Med J 81:204–216PubMedCrossRef Greene SL, Dargan PI, Jones AL (2005) Acute poisoning: understanding 90% of cases in a nutshell. Postgrad Med J 81:204–216PubMedCrossRef
go back to reference Guloglu C, Kara IH (2005) Acute poisoning cases admitted to a university hospital emergency department in Diyarbakir, Turkey. Hum Exp Toxicol 24:49–54PubMedCrossRef Guloglu C, Kara IH (2005) Acute poisoning cases admitted to a university hospital emergency department in Diyarbakir, Turkey. Hum Exp Toxicol 24:49–54PubMedCrossRef
go back to reference Gunduz A, Kesen J, Topbas M, Narci H, Yandi M (2004) Analysis of suicidal poisoning patients presented to the emergency department (in Turkish). TAF Prev Med Bull 3:234–242 Gunduz A, Kesen J, Topbas M, Narci H, Yandi M (2004) Analysis of suicidal poisoning patients presented to the emergency department (in Turkish). TAF Prev Med Bull 3:234–242
go back to reference Hu YH, Chou HL, Lu WH, Huang HH, Yang CC, Yen DH et al (2010) Features and prognostic factors for elderly with acute poisoning in the emergency department. J Chin Med Assoc 73:78–87PubMedCrossRef Hu YH, Chou HL, Lu WH, Huang HH, Yang CC, Yen DH et al (2010) Features and prognostic factors for elderly with acute poisoning in the emergency department. J Chin Med Assoc 73:78–87PubMedCrossRef
go back to reference Islambulchilar M, Islambulchilar Z, Kargar-Maher MH (2009) Acute adult poisoning cases admitted to a university hospital in Tabriz, Iran. Hum Exp Toxicol 28:185–190PubMedCrossRef Islambulchilar M, Islambulchilar Z, Kargar-Maher MH (2009) Acute adult poisoning cases admitted to a university hospital in Tabriz, Iran. Hum Exp Toxicol 28:185–190PubMedCrossRef
go back to reference Khlifi M, Zun L, Johnson G, Harbison R (2009) Etiological characterization of acute poisonings in the emergency department. J Emerg Trauma Shock 2:159–163PubMedCrossRef Khlifi M, Zun L, Johnson G, Harbison R (2009) Etiological characterization of acute poisonings in the emergency department. J Emerg Trauma Shock 2:159–163PubMedCrossRef
go back to reference Kristinsson J, Palsson R, Gudjonsdottir GA, Blondal M, Gudmundsson S, Snook CP (2008) Acute poisonings in Iceland: a prospective nationwide study. Clin Toxicol (Phila) 46:126–132CrossRef Kristinsson J, Palsson R, Gudjonsdottir GA, Blondal M, Gudmundsson S, Snook CP (2008) Acute poisonings in Iceland: a prospective nationwide study. Clin Toxicol (Phila) 46:126–132CrossRef
go back to reference Lau FL (2000) Emergency management of poisoning in Hong Kong. Hong Kong Med J 6:288–292PubMed Lau FL (2000) Emergency management of poisoning in Hong Kong. Hong Kong Med J 6:288–292PubMed
go back to reference Litovitz TL, Klein-Schwartz W, Caravati EM, Youniss J, Crouch B, Lee S (1999) 1998 annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 17:435–487PubMedCrossRef Litovitz TL, Klein-Schwartz W, Caravati EM, Youniss J, Crouch B, Lee S (1999) 1998 annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 17:435–487PubMedCrossRef
go back to reference Malangu N (2008) Acute poisoning at two hospitals in Kampala-Uganda. J Forensic Leg Med 15:489–492PubMedCrossRef Malangu N (2008) Acute poisoning at two hospitals in Kampala-Uganda. J Forensic Leg Med 15:489–492PubMedCrossRef
go back to reference Mert E, Bilgin NG (2006) Demographical, aetiological and clinical characteristics of poisonings in Mersin, Turkey. Hum Exp Toxicol 25:217–223PubMedCrossRef Mert E, Bilgin NG (2006) Demographical, aetiological and clinical characteristics of poisonings in Mersin, Turkey. Hum Exp Toxicol 25:217–223PubMedCrossRef
go back to reference Ozkose Z, Ayoglu F (1999) Etiological and demographical characteristics of acute adult poisoning in Ankara, Turkey. Hum Exp Toxicol 18:614–618PubMedCrossRef Ozkose Z, Ayoglu F (1999) Etiological and demographical characteristics of acute adult poisoning in Ankara, Turkey. Hum Exp Toxicol 18:614–618PubMedCrossRef
go back to reference Reissig CJ, Strain EC, Griffiths RR (2009) Caffeinated energy drinks: a growing problem. Drug Alcohol Depend 99:1–10PubMedCrossRef Reissig CJ, Strain EC, Griffiths RR (2009) Caffeinated energy drinks: a growing problem. Drug Alcohol Depend 99:1–10PubMedCrossRef
go back to reference Sampathkumar K, Yesudas S (2009) Hair dye poisoning and the developing world. J Emerg Trauma Shock 2:129–131PubMedCrossRef Sampathkumar K, Yesudas S (2009) Hair dye poisoning and the developing world. J Emerg Trauma Shock 2:129–131PubMedCrossRef
go back to reference Singh B, Unnikrishnan B (2006) A profile of acute poisoning at Mangalore (South India). J Clin Forensic Med 13:112–116PubMedCrossRef Singh B, Unnikrishnan B (2006) A profile of acute poisoning at Mangalore (South India). J Clin Forensic Med 13:112–116PubMedCrossRef
go back to reference Tufekci IB, Curgunlu A, Sirin F (2004) Characteristics of acute adult poisoning cases admitted to a university hospital in Istanbul. Hum Exp Toxicol 23:347–351PubMedCrossRef Tufekci IB, Curgunlu A, Sirin F (2004) Characteristics of acute adult poisoning cases admitted to a university hospital in Istanbul. Hum Exp Toxicol 23:347–351PubMedCrossRef
go back to reference Vroegop MP, Franssen EJ, van der Voort PH, van den Berg TN, Langeweg RJ, Kramers C (2009) The emergency care of cocaine intoxications. Neth J Med 67:122–126PubMed Vroegop MP, Franssen EJ, van der Voort PH, van den Berg TN, Langeweg RJ, Kramers C (2009) The emergency care of cocaine intoxications. Neth J Med 67:122–126PubMed
go back to reference Wigle DT, Arbuckle TE, Walker M, Wade MG, Liu S, Krewski D (2007) Environmental hazards: evidence for effects on child health. J Toxicol Environ Health B Crit Rev 10:3–39PubMedCrossRef Wigle DT, Arbuckle TE, Walker M, Wade MG, Liu S, Krewski D (2007) Environmental hazards: evidence for effects on child health. J Toxicol Environ Health B Crit Rev 10:3–39PubMedCrossRef
go back to reference Yang CC (2010) Acute poisoning in the elderly: an increasingly recognized but still overlooked problem. J Chin Med Assoc 73:183–185PubMedCrossRef Yang CC (2010) Acute poisoning in the elderly: an increasingly recognized but still overlooked problem. J Chin Med Assoc 73:183–185PubMedCrossRef
go back to reference Yeh IJ, Lin TJ, Hwang DY (2010) Acute multiple organ failure with imidacloprid and alcohol ingestion. Am J Emerg Med 28:255, e1-3PubMedCrossRef Yeh IJ, Lin TJ, Hwang DY (2010) Acute multiple organ failure with imidacloprid and alcohol ingestion. Am J Emerg Med 28:255, e1-3PubMedCrossRef
go back to reference Zaridze D, Brennan P, Boreham J, Boroda A, Karpov R, Lazarev A et al (2009) Alcohol and cause-specific mortality in Russia: a retrospective case-control study of 48,557 adult deaths. Lancet 373:2201–2214PubMedCrossRef Zaridze D, Brennan P, Boreham J, Boroda A, Karpov R, Lazarev A et al (2009) Alcohol and cause-specific mortality in Russia: a retrospective case-control study of 48,557 adult deaths. Lancet 373:2201–2214PubMedCrossRef
Metadata
Title
Causes of acute poisoning in adults: a retrospective study, in a hospital in Istanbul, Turkey
Authors
Zuhal Aydan Saglam
Baris Demir
Esra Hayriye Ataoglu
Mustafa Yenigun
Levent Umit Temiz
Tayyibe Saler
Publication date
01-02-2012
Publisher
Springer-Verlag
Published in
Journal of Public Health / Issue 1/2012
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-011-0436-0

Other articles of this Issue 1/2012

Journal of Public Health 1/2012 Go to the issue