Kerorosene Case Study Solution

Studies reported that, out of 70 consecutive patients of poisoning who visited the Emergency Ward, Kerosene oil was the commonest agent accounting for 50% of all cases, followed by pharmaceutical products (14.3%) and chemicals (12.9%). Storage of Kerosene in empty bottles of beverages 35(50%) and lack of proper storage of drugs 03(4.3%) were the commonest risk factors identified. Most of the patients (84.3%) were discharged without any sequelae and overall mortality was 5.7%. 2 Of the 43 cases of accidental poisoning, pharmaceutical products (34.9%) were the leading cause of ingestion followed by kerosene oil (25.6%), organophosphorus (16.3%), alkali (9.3%) and acid (7%). Regarding the outcome of these cases, 29 were admitted, 7(16.28%) were

Headache: Visual analogue score ≥7, 2. Weakness: unable to do daily activities like climbing stairs, 3. Dizziness: entire surrounding revolving, 4. Restlessness: unable to station at single place for more than 5 minutes and 5. Perspiration: nausea, diarrhea, loss of appetite, loss of weight, thirst, moodiness, soreness in joints, skin irritation, eye irritation, irritation of the nose and throat.
Pattern: it was measured in terms of following types of poisoning on history and identification of container: Kerosene, Organophosphorus, Alkali (bleach), Acid (caustic soda) or Pharmacologic agent (Tablets/capsules/syrup).
Factors leading to acute poisoning: Storage of Kerosene in empty bottles of beverages and Lack of proper storage of drugs eg; kept in draws without lock/on table
Outcome: Admitted: for more than 24 hours, Discharge from ER: or Left Against Medical Advice (LAMA).

Stratification was done to see the effect of age, gender, educational status, economic status, educational status of parents on the outcome. There were 97 (66.4%) males and 49 (33.6%) females. Majority of patients present less than 7 years of age that were 54.1% and duration of poisoning less than three hours were 97 (67%) as shown in table 1. Evaluation on the basis of financial ground it was seen that 85 (58.2%) were presented with middle economic status, 47 (32.2%) with upper middle economic status and 14 (9.6%) with lower economic status see Table .2. The educational status checked of both parent fathers 108 (74%) and mothers 93 (67.1%) were found male illiterate in majority. Table 3. In this study it was found that kerosene oil is major substance of poisoning patients i.e. 69 (47.3%), organophosphorus 37 (25.3%), alkali 28 (19.2%) and acid in 12 (8.2%) patients. (table 1). Storage of kerosene in empty bottles of beverage was observed in 42 (28.8%) patients whereas lack of proper storage of drugs was observed in 24 (16.4%) patients. Most of the patients 97 (66.4%) were admitted for more than 24 hours, 27 (18.5%) were discharged from ER and 22 (15.1%) were LAMA. Table