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Most common poisonings and their management--data from Tbilisi
T S Kobidze1, O Kh Gerzmava, T Kh Areshidze
1Toxicology National Information-Advisory Center of Georgia.
Georgian Medical News
|February 10, 2009
Summary
Acute poisoning hospitalizations in Tbilisi, Georgia, surged during socio-economic crises, with alcohol and medication poisonings being prevalent. Outcomes improved with economic stability and healthcare changes.
Area of Science:
- Toxicology
- Public Health
- Epidemiology
Background:
- Acute exogenous intoxications pose a significant public health challenge.
- Understanding poisoning trends is crucial for effective healthcare planning and resource allocation.
Purpose of the Study:
- To evaluate toxicological aid and preventive measures for acute exogenous intoxications in Tbilisi from 1990-2005.
- To analyze the structure and trends of poisoning incidents in Tbilisi over a decade.
Main Methods:
- Retrospective analysis of hospitalization data from the Georgian National Center for Disease Control and Medical Statistics.
- Examination of poisoning incidence, hospitalization rates, hospital stay duration, and mortality rates.
- Correlation of poisoning trends with socio-economic conditions and healthcare policy changes.
Main Results:
- Hospitalizations for acute poisoning exceeded those for acute myocardial infarction.
- During a 1992-1994 socio-economic crisis, poisoning cases increased, with longer hospital stays and higher mortality.
- Post-1995, with the termination of free medical care, hospitalizations rose, but hospital stay shortened and mortality decreased.
- Acute alcoholic intoxication showed high prevalence, linked to increased consumption and poor quality control of alcoholic beverages.
- Medical substance poisonings included anticonvulsants, sedatives, psychotropic drugs, cardiovascular drugs, and narcotics.
Conclusions:
- Poisoning incidence and outcomes are significantly influenced by socio-economic conditions.
- Improvements in toxicology care require targeted interventions addressing both public health and healthcare system factors.
- Addressing the prevalence of alcohol and medication-related poisonings is essential for public health in Georgia.
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