Acute poisoning by chemical substances in Ibagué, Colombia in 2014; determination of risk factors for the hospitalization event
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Keywords

Poisoning
epidemiology
drug overdose
suicide attempt

How to Cite

Vargas Vargas, J. E., Jiménez Canizales, C. E., Trujillo Abella, I. A., Ordoñez Chavarro, R., & Zamora Suárez, A. (2018). Acute poisoning by chemical substances in Ibagué, Colombia in 2014; determination of risk factors for the hospitalization event. Salud UIS, 51(1), 53–58. https://doi.org/10.18273/revsal.v51n1-2019006

Abstract

Introduction: In Colombia the reports of poisonings by chemical substances have presented an ascent during the passage of the years. The increase in poisonings in Colombia implies an increase in the frequency of hospitalizations; this represents a great expense for the health system. Objective: To describe the risk factors associated with hospitalization due to poisoning in the Ibagué city reported by the public health surveillance system for the year 2014. Methods: Descriptive study of secondary source. The records of the Ibagué Secretariat of Health were used for acute poisonings in 2014. The analysis was made with the calculation of incidents by type of agent, observing the outcome of hospitalizations. Logistic regression was used to evaluate the factors associated with the outcome of at least one hospitalization. Results: The causative agent with the highest incidence was on the part of the psychoactive substances with 33.02 cases per 100,000 inhabitants. A risk factor is significantly associated with the presence of the hospitalization outcome is the oral exposure of the substance with respect to other methods. Conclusions: It should be noted, the preventive natures of poisonings, given that 40.5% are suicidal concept, followed by intoxications for addiction that represent 26.6% of cases, these represent 67.1% of all cases. In addition, the levels of primary and secondary schooling present a significant association with the outcome regarding individuals without schooling. However, the only protective factor with significant association is age. 

https://doi.org/10.18273/revsal.v51n1-2019006
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References

1. Muñoz GNM, Protocolo de Vigilancia en Salud Pública - Intoxicaciones por Sustancias Químicas. Edicion 2017; (03): 19.

2. Calderón-Ramírez V, Alcocerolaciregui A, Vargasmoranth R. Intentos de suicidio por intoxicación con sustancias químicas en Colombia. 2007-2013. Duazary Rev Int Cienc Sal. 2017; 14(2):149-159. doi: http://dx.doi.org/10.21676/2389783X.1963.

3. Muñoz Guerrero MN, Grupo Factores de Riesgo Ambiental Vigilancia y Control en Salud Pública Instituto Nacional de Salud. Protocolo de vigilancia en salud pública, Intoxicación por sustancias químicas. 2017; versión 3.

4. Brugal MT, Domingo SA, Bravo MJ, Neira LM, Barrio G. More than thirty years of illicit drugs in Spain: a bitter story with some messages for the future. Rev Esp Salud Publica, 2006; 80(5):
505-520.

5. Gummin DD, Mowry JB, Spyker DA, Brooks DE, Fraser MO, Banner W. 2016 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 34th Annual Report. Clin Toxicol (Phila). 2017; 55(10): 1072-1252. doi: 10.1080/15563650.2017.1388087.

6. Gallego R, AHE. Seminario internacional: Manejo Integral de desastres con énfasis en riesgos tecnológicos. Colombia: Asociación de Ingenieros Sanitarios de Antioquia. 2011; p. 11.

7. Zilker T. Acute intoxication in adults - what you should know. Dtsch Med Wochenschr. 2014; 139(1-2): 31-46. doi: 10.1055/s-0033-1359902.

8. Warner M, Chen LH, Makuc DM, Anderson RN, Miniño AM. Drug poisoning deaths in the United States, 1980-2008. NCHS Data Brief. 2011; (81): 1-8.

9. Zamora A, Santofimio D. Intoxicaciones agudas en el hospital universitario de Neiva, Colombia, entre el 2005 y el 2010. RFS Rev Fac Salud. 2010; 2(1): 59-69. doi: https://doi.org/10.25054/rfs.v2i1.30.

10. Sut N, Memis D. Intensive care costs of acute poisoning cases. Clin Toxicol (Phila). 2008; 46(5): 457-460. doi: 10.1080/15563650701644295.

11. Halpern NA, Pastores SM, Greenstein RJ. Critical care medicine in the United States 1985-2000: an analysis of bed numbers, use, and costs. Crit Care Med. 2004; 32(6): 1254-1259.

12. Fernando SM, Reardon PM, Ball IM, van Katwyk S, Thavorn K, Tanuseputro P, et al. Outcomes and costs of patients admitted to the intensive care unit due to accidental or intentional poisoning. J Intensive Care Med. 2018. doi: 10.1177/0885066617754046.

13. Santos GAD. Costos directos de las intoxicaciones agudas por plaguicidas en el hospital universitario Hernando Moncaleano Perdomo de Neiva, durante el periodo septiembre del 2010 a septiembre del 2011(Tesis de grado). Neiva, Colombia: Universidad Surcolombiana; 2012.

14. Singh B, Unnikrishnan B. A profile of acute poisoning at Mangalore (South India). J Clin Forensic Med. 2006; 13(3): 112-116. doi: 10.1016/j.jcfm.2005.09.005.

15. Hidalgo-Muñoz B. Análisis, prevención y abordaje de las intoxicaciones etílicas agudas en adolescentes (Tesis de grado). Andalucía, España: Universidad de Jaén; 2015.

16. Medina González L, Fuentes Ferrer ME, Suárez Llanos JP, Arranz Peña MI, Ochoa Mangado E. Epidemiología de las intoxicaciones medicamentosas durante un año en el Hospital Universitario Ramón y Cajal. Rev Clin Esp. 2008; 208(9): 432-436. doi: 10.1157/13127603.

17. Gómez-Restrepo C, Castro-Díaz S, Díaz del Castillo CE, Gil F, Villegas CAA, Fagua J, et al. Prevalencia del consumo de sustancias psicoactivas en pacientes no psiquiátricos que consultan un servicio de urgencias en Bogotá. Rev Col Psiquiat. 2011; 40(4): 709-722.

18. Kendrick D, Majsak-Newman G, Benford P, Coupland C, Timblin C, Hayes M, et al. Poison prevention practices and medically attended poisoning in young children: multicentre casecontrol study. Inj Prev. 2017; 23(2): 93-101. doi: 10.1136/injuryprev-2015-041828.

19. Ospina Martinez ML, Martínez Durán ME, Pacheco García OE, Quijada Bonilla H. Protocolo de vigilancia en salud pública, intoxicaciones por sustancias químicas. 2016.

20. Tang Y, Zhang L, Pan J, Zhang Q, He T, Wu Z, et al. Unintentional Poisoning in China, 1990 to 2015: The Global Burden of Disease Study 2015. Am J Public Health. 2017; 107(8): 1311-1315. doi: 10.2105/AJPH.2017.303841.

21. González-Santiago O, Morales-San Claudio PC, Cantú-Cárdenas LG, Favela-Hernández JMJ. Unintentional and self-poisoning mortalities in Mexico, 2000-2012. PLoS One. 2017. doi: https://doi.org/10.1371/journal.pone.0181708.
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