Informatics Publishing Limited

Cuckoo Aiyappa ¹, H. V. Anuradha ¹, J. V. Sathyendra Kasyap ¹, R. Pradeepa ¹, R. Priyalatha ¹

Affiliations
1 Department of Pharmacology, M S Ramaiah Medical College & Teaching Hospital, Bangalore - 560 054, IN

Abstract

Poisoning is a major problem all over the world and comprises a significant bulk of hospital admissions at a tertiary care hospital. There has also been a change in the pattern of poisoning in various areas, hence, important to know the pattern of poisoning in a given region so as to enable in making a rapid clinical diagnosis, initiate proper treatment to reduce morbidity and mortality. To find out the patient profile, the common poisons and outcome of poisoning cases a retrospective analysis of all acute poisoning cases admitted to the casualty of M S. Ramaiah Medical College&Teaching Hospital for a period of one year was done. Data on age, sex, type of poisoning, poisonous substances consumed, treatment, outcome and counselling were analysed. The age varied from 1-80 years. The male female ratio was 1.05: 1. Majority of the poisoning cases were of 21-30 years. Moreover, 85% cases reported were intentional poisoning and 25% cases of poisoning were with miscellaneous agents followed by 22% each of organophosphorus&single medicinal preparations. During the hospital stay 87% of patients were discharged after effective treatment. Suicide attempts were common among adolescents and 69% of the cases were counseled.

Keywords

Poisoning, Organophosphorus, Counselling, Outcome.

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J. V. Sathyendra Kasyap ¹, Cuckoo Aiyappa ¹, T. K. Sumathy ¹

Affiliations
1 Department of Pharmacology & Dermatology, M. S. Ramaiah Medical College & Teaching Hospital, Bangalore - 560 054, IN

Abstract

Topical corticosteroids constitute the most commonly prescribed drugs in the treatment of dermatological conditions. Self medication and erratic use of these agents by patients can increase the risk of developing local and systemic side effects. To find out the trend and outcome of topical corticosteroid usage in a Tertiary Care Hospital a retrospective analysis of the prescriptions in the Department of Dermatology was done for a period of six months. Data on age, sex, diagnosis, steroids and their combinations used, delivery vehicle, potency, frequency of application, duration of treatment and adverse effects were recorded on a pre-designed proforma and analyzed. Mid potency topical steroids were commonly used followed by high, low and very high potency preparations. Age range varied from 5-65 years. Mid and high potency steroids were used in combination with antimicrobials and salicylic acid. Cream based preparations were commonly used and duration of treatment was appropriate and rational. Adverse effects were seen only in four cases and no irrational prescriptions were noted.

Keywords

Prescribing Pattern, Topical Steroids, Rational Use, Outcome.

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