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Volume 4
Toxicology: Open Access
ISSN: 2476-2067
Toxicology Congress 2018
March 12-14, 2018
March 12-14, 2018 Singapore
14
th
World Congress on
Toxicology and Pharmacology
Acute phosphide poisoning related deaths reported at Toxicology Unit of Tanta Emergency University
Hospital: A retrospective study
Inas Hassan El-Mehallawi, Inas Ibrahim El-Maddah, AmalSaeed Ahmed Fathy and Al-Shaimma Mahmoud Mohamed El-Mansy
Tanta University, Egypt
Background:
Acute phosphide poisoning represents a worldwide problem due to its associated morbidity and mortality.
Aim:
To determine the magnitude, pattern, trend and possible risk factors in acute phosphide poisoning related deaths.
Patients & Methods:
A retrospective study reviewed data from death cases of acute poisoning admitted to Toxicology Unit,
Tanta Emergency University Hospital, from 1st of January 2009 to 31st December 2013. Poisoning was diagnosed by history
taking and clinical examination. Recorded data included age, gender, residence, phosphide type, manner, pre-hospitalization
interval, clinical examination, results of ante mortem laboratory investigations and all received treatments.
Results:
17 phosphide poisoned cases died during the study duration (13 with aluminum and 4 with zinc phosphides), most
cases were young (61.54%), females (69.23%), suicidal, from Kom Hamada (53.85%). Most cases received inadequate or
improper first aid treatment either at home or primary health care units. The majority of cases (61.54%) did not require
mechanical ventilation and most of deaths occurred during the first 6 hours from admission.
Conclusion:
Intentional phosphide poisoning, particularly aluminum phosphide, had the first rank as a cause of death in
poisonings referred to Tanta Toxicology Control Unit. Governmental regulation to ban the use of phosphide-based pesticides
and proper training of physicians at primary health units are advocated to decrease the phosphide poisoning associated
mortality.
inaselmehallawi1958@gmail.comToxicol Open Access 2018, Volume 4
DOI: 10.4172/2476-2067-C1-006