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Drug and chemical poisoning admissions at a teaching hospital in Malaysia
1Drug Information Unit, Hospital Universiti Sains Malaysia, Kelantan. fatah@usm.my
Abstract:
A retrospective review of medical records was carried out to determine the pattern of drug and chemical poisoning cases admitted to a teaching hospital in Malaysia. Medical records of patients admitted during the period January 1987 to December 1995 were reviewed. They accounted for 0.2% of total admissions during the period. While all ages were represented, there was predominance of children, which showed little change throughout the nine-year period. Of all cases of poisoning, 77.8% were unintentional, 12.6% intentional and 9.6% were undetermined. Kerosene, pesticides and medicinal substances remained the common agents associated with poisoning. A significant number of patients sought treatment elsewhere before being admitted to the hospital. Of those who came directly to the hospital, many were presented late in the course of their poisoning. Only seven patients died and none were children. This study supports the need for greater emphasis on prevention of poisoning in children and among farmers in the state.
Insights
This study reviewed drug and chemical poisoning cases in Malaysia, finding children were most affected by unintentional poisonings from kerosene, pesticides, and medicines. Prevention efforts should target children and farmers.
Area of Science:
- Public Health
- Toxicology
- Epidemiology
Background:
- Poisoning remains a significant public health concern globally.
- Understanding local patterns of poisoning is crucial for developing effective prevention strategies.
Purpose of the Study:
- To determine the epidemiological patterns of drug and chemical poisoning cases admitted to a Malaysian teaching hospital.
- To identify common poisoning agents and demographic trends over a nine-year period.
Main Methods:
- A retrospective review of medical records was conducted.
- Data from patients admitted between January 1987 and December 1995 were analyzed.
Main Results:
- Poisoning cases constituted 0.2% of total hospital admissions.
- Children were the predominant age group affected by poisoning.
- Unintentional poisonings (77.8%) were most common, with kerosene, pesticides, and medicinal substances as leading agents.
- Many patients experienced delays in seeking treatment, and no child fatalities were recorded.
Conclusions:
- The findings highlight the need for targeted poisoning prevention programs, particularly for children and agricultural workers (farmers).
- Public health interventions should focus on reducing unintentional exposures to common household and agricultural chemicals.
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