Acute poisoning in Izmir, Turkey--a pilot epidemiologic study

Area of Science:

• Toxicology
• Epidemiology
• Public Health

Background:

• Epidemiologic data on poisonings in Turkey is scarce.
• Understanding poisoning patterns is crucial for public health interventions.

Purpose of the Study:

• To describe the prevalence, clinical features, morbidity, and mortality of poisonings in Izmir, Turkey.
• To compare Izmir's poisoning patterns with international data.
• To identify areas for improvement in poison management.

Main Methods:

• Retrospective chart review of 365 poisoned patients at Dokuz Eylül University Hospital, Izmir, from 1989 to 1990.
• Analysis of ingested substances, patient demographics, clinical presentation, and treatment outcomes.

Main Results:

• Commonly ingested substances included hydrocarbons, analgesics, caustics, pesticides, ethanol, anticonvulsants, and tricyclic antidepressants.
• Children were most frequently poisoned by hydrocarbons, analgesics, caustics, or pesticides (55%).
• Adults most commonly ingested ethanol, anticonvulsants, tricyclic antidepressants, and pesticides (55%).
• Many patients presented late; gastrointestinal decontamination and antidotes were rarely used.
• Mortality was low, with only three deaths (0.8%).

Conclusions:

• Poisoning in Izmir involves substances commonly found in households.
• There is a significant need for a Regional Poison Information Center and public education campaigns.
• Enhanced medical toxicology training and regionalized treatment are recommended.