CLINICOEPIDEMIOLOGICAL PATTERN AND OUTCOME OF KEROSENE POISONING AMONGST CHILDREN ADMITTED IN A TERTIARY CARE MEDICAL COLLEGE HOSPITAL

Autor: Malay Kumar Dasgupta, Saikat Bhattacharya, Surajit Sasmal, Shabarna Roy, Shibani Pal
Rok vydání: 2021
Předmět:
Zdroj: INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH. :60-61
DOI: 10.36106/ijsr/6022120
Popis: Introduction: Accidental kerosene poisoning in pediatric age group is still a common problem in India. It causes considerable morbidity and occasional mortality. The objective of our study is to determine the pattern and severity of kerosene poisoning cases presenting to our emergency department and to discuss the various risk factors heralding adverse outcome. Methodology: Data were collected over a period of three years from 1..3.2017-29.2.2020.Atotal 75 children were studied. A detailed history was taken using the proforma having special reference to age, sex, seasonal inuence and thorough clinical examination was carried out including anthropometry, general and systemic details and data were compiled and subjected to statistical analysis with the help of spss software. Results: Among 75 children with acute kerosene poisoning majority were I the toddler age group accounting to 93.33%. Males outnumbered the females with male female ratio 1.52:1.Seasonal preponderance were noted in the month of March to June followed by second peaking in the month of October and November. The casualties mostly took place in the own domestic premises. Potentially harmful habits of keeping kerosene in water storing bottles within the reach of the children were practiced by most of the householders.The most common clinical presentations were fever(93%), cough(90%) and vomiting (85%).Pneumonitis occurred in 31 patients and CNS involvement could be documented in three only. Mean Hospital stay were of three days. All patients improved except two died. Severe Protein energy Malnutrition, presence of complications and prolonged hospital staywere associated with adverse outcome. Extensive radiological ndngs in CXR 6 hours after the ingestion showed signicant coorelation with prolonged hospital stay
Databáze: OpenAIRE