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2015, vol. 40, iss. 3, pp. 158-165
A one-year analysis of patients hospitalized at the Department of toxicology, Clinical centre Niš
aSlužba hitne medicinske pomoći, Dom zdravlja Jagodina
bClinical Centre Niš, Clinic of Endocrinology, Diabetes and Metabolic Disorders
cSlužba za zdravstvenu zaštitu predškolske i školske dece sa medicinom sporta i savetovalištem za mlade, Zdravstveni centar Knjaževac
dDom zdravlja Doljevac

emailmilan_mdj@hotmail.com
Abstract
Background: Intoxications are the leading cause of mortality, just following the injuries in traffic accidents. At the National Poison Control Centre (NCKT) at the Military Medical Academy (VMA), over 4,200 patients are admitted annually. The data on the number of intoxications in our country is not complete and authentic, because a significant number of intoxications are treated in other health care institutions in Serbia. Regardless of the initial clinical picture, intoxication is always a medical emergency, whose treating involves adherence to the same principles that apply to all other emergencies in medicine. The aim of this work was to emphasize the importance, the size and frequency of intoxications through an annual analysis of hospitalized patients in Niš. Methodology: This is the annual report and the analysis of patients hospitalized at the University Department of Endocrinology, Diabetes and Metabolic Disorders, Department of Toxicology, Clinical centre Niš. The available data were processed from the medical records of patients treated at the Department of Toxicology during 2013. The patients were analyzed according to gender, age, working ability, reason of intoxication, the cause of intoxication, PSS (Poisoning Severity Score), by the month of hospitalization. Results: During 2013 at the Department of Toxicology, University Department of Endocrinology, Diabetes and Metabolic Disorders, Clinical Centre Niš there were 115 patients, 50 (43.48%) males and 65 (56.62%) females. A large number of the registered intoxications were self-intoxications, up to 97 (84.34%), while the number of accidental cases was 8 (6.96%), abusing substances 3 (2.61%) and the rest 7 (6.09%). In the first place there were patients who have used medications 58 (50.43%), the second and third were the ones intoxicated with pesticides 23 (20%) and corrosives 20 (17.39%). In a much lesser number there were intoxications with alcohol and glycols, fungi, abusing drugs, gases and organic solvents. Working-age population 18-65 years of age were registered as dominant patients - 83 (72.17%), followed by seniors (older than 65) - 22 (19.13%), and under 18 years of age - 10 (8.7%). 47 patients (40.87%) suffered moderately severe intoxication, 21 patients (18.26%) were admitted with a minor degree of intoxication, 30 patients (26.09%) were admitted with severe intoxication and lethal outcome was registered in 17 patients (14.78%). Conclusion: The study results showed that during 2013 medications were the most frequent cause of intoxication among the patients hospitalized at the Department for Toxicology in Nis. Psychotropic drugs were used mostly and followed by all other drugs. Medications, corrosives and pesticides are the most common cause of poisoning due to the easy availability and low prices. Drugs gave a wide range of clinical pictures, which showed that people who had used them for intoxication did not have serious suicidal intention. Corrosives and pesticides generally gave serious clinical conditions which required hospitalization and long treatment and often ended fatally.
References
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*** (2011) Popis stanovništva, domaćinstava i stanova u Republici Srbiji, Prvi rezultati. Bilten broj/Republički zavod za statistiku Srbije, 540
*** Klinika za endokrinologiju, dijabetes i bolesti metabolizma. Dostupno na: klinike/klinike-novo/181-endo-novo. http://www.kcnis.rs/index.php/klinike/37- klinike/klinike-novo/181-endo-novo
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article language: Serbian
document type: Original Paper
DOI: 10.5937/tmg1503158D
published in SCIndeks: 11/01/2016

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