Abstract

ASSESSMENT OF SEVERITY OF ORGANO PHOSPHATE POISONING AT A TERTIARY CARE HOSPITAL, SOUTH INDIA

Dr.Nikitha*, Daghari Zakieh Jasem, Rajeswari Ramaswamy, Arpan Dutta Roy, Dr. Anjani M. Reddy

Abstract

The Purpose of the study was to assess the severity of OP (Organo Phosphate) poisoning cases in the ED (Emergency Department), A prospective-observational study on OP poisoning cases was done in the Emergency Department (ED) for the period of 6 months. All the OP poisoning cases were included in the study. The patient informed consent was taken, and data were collected by using standard Case Report Forms. The assessment for the severity and clinical prognosis was done using standard scales (GCS, APACHE II and PSS). In Severity categorization we found 77% of patients were in Mild condition, 14%in Moderate, 7% in severe and 1% fatality seen.Out of 90 cases 89 cases were recovered. The usefulness of few poisoning severity scoring system for predicting the severity, which in turn can be used to predict the outcome of poisoning. Implementation of practicing APACHE II & PSS Scales in the study hospital, may be useful to identify the severity at an early stage, would help in prompt and appropriate poisoning treatment, and prevent the prolonged hospitalization & better patient outcome.

Keywords: Organophosphorus, OP poisoning, Severity, Antidote.