Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2014     Vol 39     No 3
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      UDK 616-099-083.9(497.113)

ISSN 035-2899, 39(2014) br.3 p.106-111

Original paper

Basic demographic characteristics of patients accidentally or intentionally intoxicated -
The emergency department of Medical health care centre, Bečej

Prikaz osnovnih demografskih karakteristika pacijenata slučajno ili namerno intoksiciranih u radu Službe hitne medicinske pomoći Doma zdravlja Bečej

Milena Jokšić Zelić (1), Radojka Jokšić-Mazinjanin (2), Dušan Nikolić (1), Siniša Šijačić (1),
Eva Benarik (1), Siniša Saravolac (2)

(1) Služba hitne medicinske pomoći Dom zdravlja Bečej, (2) Zavod za hitnu medicinsku pomoć Novi Sad



  Download in pdf format   Summary:
Aim: to present basic demographic characteristics for accidentally intoxicated patients in the municipality of Bečej and the possibility of their treatment at the Emergency Department, Health Care Centre, Bečej (EDHCCB), depending on the substances eaten in the cases of intoxications. Material and methods: A retro-spective, observational study was used in the research conducted at the Emergency Department Health Care Centre Bečej (ED Bečej). The target group included intoxicated patients treated from 1 January 2010 till 31 December 2010. The data were collected from the ambulance protocol and field teams protocols and were analysed by means of statistical packages - Statistica 7 and SPSS 11. Results: During the respective period, 29,670 patients were examined at the EDHCCB. Poisoning was diagnosed in 195 (0.66%) patients of which 126 (64.62%) were male and 69 (35.38%) female. The mean age of the poisoned patients was 36.79±17.36. Disturbance of consciousness was found in 47(24.10%) intoxicated patients. Most intoxications had been caused by alcohol (100patients -51.28%), by drugs (62 patients – 31.79%) or by a combination of alcohol and drugs (8 patients – 4.10%). Opiates, household cleansers, petroleum based products, herbicides, carbon monoxide or insulin were identified as toxins in other cases. After initial treatment and a period of observation 122 (62.56%) intoxicated patients returned home without the need for further treatment. Patients’ referral of to secondary and tertiary health institutions depended on oxygen saturation in peripheral blood, states of consciousness, type of toxin and previous psychiatric illness. Of 73 (37.44%) patients referred to secondary and tertiary institutions, 6 patients did not survive, meaning that the mortality rate in the observed sample was 3,08%. Conclusion: Numerous cases of intoxicated patients are registered each year. The most commonly used substances for intoxication are from their immediate surroundings which are generally non-toxic in small doses, so that primary care physicians can perform detoxification of patients with mild cases of poisoning. So in cases when secondary and tertiary medical institutions are far to reach, primary care physicians can perform triage and refer only heavily intoxicated patients to hospital.
Key words: poisoning, accidental, intentional, care, types of toxins

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian
      Corresponding Address:
Milena Jokšić Zelić,
Jovana Vilovca 6, 21000 Novi Sad, Srbija;
Paper received: 24.4.2014
Paper accepted: 2.6.2014
Paper Internet issues: 26.9.2014
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Timočki medicinski glasnik, Zdravstveni centar Zaječar
Journal of Regional section of Serbian medical association in Zajecar
Rasadnička bb, 19000 Zaječar, Srbija

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