Clinical Profile and Outcome of Patients Admitted with Rodenticide Poisoning – A Single Centre Experience from Andhra Pradesh

Abstract

Introduction: Rodenticides are easily available and inexpensive poisons found in almost every house in India to prevent rodent infestation. Rodenticide poisoning is the second most common type of poisoning in the Indian Subcontinent, and there is a limited amount of research on it. The aim of our study is to evaluate the clinical profile of patients admitted with rodenticide poisoning and to correlate various parameters like serum bilirubin, and serum creatinine with mortality. Methodology: A prospective hospital-based study of 100 consecutive cases diagnosed as Spontaneous Pneumothorax from January 2019 to September 2020. Every patient underwent comprehensive history taking, in-depth clinical examination, and investigations. Data were entered into Excel spreadsheets in 2019. Data was presented by using frequency and percentage and descriptive statistics were used. Results: A total of 100 patients were included in the study. The most commonly consumed poison was a phosphorus-based paste. The most common symptom reported was abdominal pain (90%). Warfarin-based baits were associated with a high incidence of bleeding manifestations. The mortality rate was 20%. Additionally, a delay in hospitalization was found to be a significant risk factor for mortality. Higher mortality rates and was accompanied by elevated bilirubin and SGPT levels. Conclusion: In this study, mortality was 20%, all due to phosphorus compound. Mortality was common in phosphorus compound, particularly in those who developed jaundice on day 4 of admission which is reflected by elevated bilirubin and serum creatine level.