Prevalence, Circumstances, and Management of Acute Pesticide Poisoning in Hospitals in Kampala City, Uganda. (1st September 2017)

• Record Type: Journal Article
• Authors: Ssemugabo, Charles; Halage, Abdullah Ali; Neebye, Ruth Mubeezi; Nabankema, Victoria; Kasule, Massy Moses; Ssekimpi, Deogratius; Jørs, Erik
• Is Part Of: Environmental health insights. Volume 11(2017)
• Publication Date: 2017-09-01
• Subjects: Prevalence -- pesticide -- management -- diagnosis -- treatment -- public and private; Environmental health -- Periodicals; Health risk assessment -- Periodicals; Environmental Health; Risk Assessment; Environmental health; Health risk assessment; Electronic journals; Periodicals; Fulltext; Internet Resources; Periodicals; Periodicals; 613.105
• DOI: 10.1177/1178630217728924
• Languages: English
• ISSNs: 1178-6302

Abstract

This study was aimed at assessing prevalence, circumstance, and management of acute pesticide poisoning in hospitals in Kampala. It was a retrospective cross-sectional study that involved reviewing of 739 poisoning patient records from 5 hospitals in Kampala. Of the 739 patients, 212 were due to pesticide poisoning resulting in a prevalence of 28.8%. About 91.4% (191/210) of the cases were due to organophosphate poisoning, 63.3% (133/210) were intentional, and 98.1% (206/210) were exposed through ingestion. Diagnosis was majorly based on poisoning history 91.2% (187/205), and clinical features such as airways, breathing, and circulation examination 48.0% (95/198); nausea and vomiting 42.9% (91/212); muscle weakness 29.7% (63/212); excessive salivation 23.1% (49/212); and confusion 20.3% (43/212). More than half of the patients admitted were treated using atropine 52.3% (113/212). The prevalence of acute pesticide poisoning was high with most managed based on physical and clinical examination.