EPIDEMIOLOGICAL ANALYSIS OF PREVALENCE AND STRUCTURE OF ACUTE POISONINGS IN SAINT PETERSBURG (ACCORDING TO A MULTIPROFILE HOSPITAL)

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Abstract

The paper presents a clinical and epidemiological analysis of the prevalence of acute poisonings in the structure of the incoming flow of patients in a multidisciplinary hospital for the period from 2015 to 2017. It has been found that in the total flow of patients entering the emergency in the analyzed period patients with acute chemical poisoning accounted for 21.4%. The prevalence of acute poisonings with drugs and psychodisleptics (43.5%, p 0.05) among young patients (18-25 years), acute poisonings with alcohol in the age categories of 26-45 years (56.7%, p 0.05), 46-59 years (85.5%, p 0.001) and 60-74 years (77.1%, p 0.001), acute poisonings with medicines (48.1%, p 0.001%) in elderly patients (75-90 years and older) has been established. A high epidemiological significance in mortality among patients with acute poisonings with medicines, drugs and psychodisleptics, and alcohol has been revealed (0.30%; 0.29%; 0.18%, respectively). Information on the prevalence and dynamics of acute chemical poisonings for the period from 2015 to 2017 allows determining the guidelines of organizational measures in the context of medical care in a multi-hospital.

About the authors

A. G. Sinenchenko

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Author for correspondence.
Email: andreysin2013@yandex.ru

Sinenchenko Andrej Georgievich

192242, Saint Petersburg

Russian Federation

A. N. Lodyagin

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Email: fake@neicon.ru

Lodyagin Aleksej Nikolaevich

192242, Saint Petersburg Russian Federation

B. V. Batocyrenov

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Email: fake@neicon.ru

Batocyrenov Bair Vasil’evich

192242, Saint Petersburg

Russian Federation

I. A. Shikalova

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Email: fake@neicon.ru

Shikalova Irina Anatol’evna

192242, Saint Petersburg

Russian Federation

A. M. Antonova

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Email: fake@neicon.ru

Antonova Anna Mihaylovna

192242, Saint Petersburg

Russian Federation

References

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  2. Ostapenko YU.N., Litvinov N.N., Rozhkov P.G., Gasimova Z.M., Baturova I.V. The current state of epidemiology of acute chemical poisoning and oxicological assistance to the population. Toksikologicheskij vestnik. 2010; 3: 34-36 (in Russian).
  3. Vasil'ev S.A., SHilov V.V., Barabanov P.A., Sencov V.G., YAcinyuk B.B. Acute poisoning with synthetic drugs. Obshchaya reanimatologiya. 2018; 4(1): 23-28 (in Russian).
  4. Livanov G.A., Lodyagin A.N., Kaziahmedov V.A., Pochinyaeva L.M., Glushkov S.I., Batocyrenov B.V., Kovalenko A.L Clinical case of acute severe poisoning with 1,4 - butanediol of a teenage girl. Anesteziologiya i reanimatologiya. 2017; 62(4): 297-300 (in Russian).
  5. Corkery J.M., Loia B., Claridge H., Corazza O., Elliott S., Schifano F. Gamma hydroxybutyrate (GHB), gamma butyrolactone (GBL) and 1,4 - butanediol (1,4-BD; BDO): A literature review with a focus on UK fatalities related to nonmedical use. Neurosci Biobehav R. 2015; (53):52-78.

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Copyright (c) 2019 Sinenchenko A.G., Lodyagin A.N., Batocyrenov B.V., Shikalova I.A., Antonova A.M.



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