| ORIGINAL ARTICLE |
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| Year : 2020 | Volume
: 8
| Issue : 3 | Page : 57-60 |
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Clinical spectrum of organophosphorus poisoning in a rural medical college
Mohammed Elyas1, Shirish Ardhapurkar2
1 Department of Medicine, Chirayu Medical College, Bhopal, Madhya Pradesh, India
2 Department of Medicine, GEMS, Medical College, Srikakulam, Andhra Pradesh, India
Correspondence Address:
Dr. Shirish Ardhapurkar
Department of Medicine, GEMS, Medical College, Ragolu, Srikakulam, Andhra Pradesh
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/mjhs.mjhs_22_20
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Background: Significant morbidity and mortality is caused by acute pesticide poisoning. Reliable data are not available regarding the morbidity and mortality from India.
Objective: The objective of this study is to study the clinical spectrum of organophosphorus poisoning.
Materials and Methods: A hospital-based, cross-sectional study was carried out among 120 patients admitted with organophosphorus poisoning at a rural medical college. Patients with acute poisoning were included. Detailed history, clinical examination, and required investigations were done and noted in the study questionnaire.
Results: Males (56.7%) were more than females (40.8%). Majority of the study participants belonged to the age group of 30–39 years (43.3%) followed by 20–29 years of age, i.e., 29.2%. The most common clinical feature was miosis 88.2% in males and 86.5% in females followed by nausea and vomiting (76.5%) in males and pain abdomen (63.5%) in females. The most common poison consumed by both males and the females was malathion, i.e., it was consumed by 42.6% of males and 36.5% of females. The next most common poison consumed was diazinon by 32.4% of males and 30.8% of females. In males, it has been observed that the incidence of organophosphate (OP) poisoning decreased from 42.6% in the rainy season to 27.9% in the summer season. However, in females, it was the same, i.e., 38.5% for both rainy season and the winter season, but like in males, it decreased in the summer season.
Conclusion: Males are more affected than females, miosis was most common and malathion was most commonly consumed agent. The incidence of OP poisoning was more in the rainy season.
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