European Journal of Molecular & Clinical Medicine

Abstract

Backgroud:- Poisoning is a huge epidemic of noncommunicable disease in this century. Among the unnatural deaths, deaths owing to poisoning fall next only to road traffic accident deaths. Management of these critically ill patients will largely get better if the general causes of poisoning are properly defined^[1] . The PSS is a classification scheme for cases of poisoning in adults and children^[2]. This scheme should be used for the classification of acute poisonings regardless of the type and number of agents involved. AIMS AND OBJECTIVES :- To evaluate the “Poisoning Severity Score (PSS)” and its ability to predict outcome in cases of poisoning. MATERIAL AND METHODS: - It is a Prospective Descriptive study consisting of total 60 cases of Acute poisoning. Severity score was assessed by the information in case sheets using Poisoning severity scoring (PSS) system. The outcome was measured in terms of morbidity and mortality. RESULT :- Out of 60 cases according to PSS 48% were grade 1 cases, 33% were grade 2 cases, 15% were grade 3 cases and 4% were grade 4 ordeath. 39 of patients did not require to be intubated. CONCLUSIONS. Poisoning is one of the medical emergencies and causes significant mortality and morbidity. Suicidal intent was significantly higher than other modes of poisoning (p=0.001). Organophosphorus compounds are the commonest agents involved in poisoning followed by rat killer poison. Banning or restricting their use may decrease mortality and morbidity from poisoning. In this study, we found that PSS was a very helpful tool in predicting the mortality in patients of poisoning. Keywords:-  Drugs, Organophosphorus compounds, mortality and morbidity