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DELIVERY OUTSIDE HOSPITAL
Lili Steblovnik, Erika Tuta
The frequence of psychiatric disorders in poisoning with drugs treated at the department of toxicology, clinical centre Niš
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THE FREQUENCE OF PSYCHIATRIC DISORDERS IN POISONING WITH DRUGS TREATED AT THE DEPARTMENT OF TOXICOLOGY, CLINICAL CENTRE NIŠ
UČESTALOST PSIHIJATRIJSKIH POREMEĆAJA KOD TROVANJA LEKOVIMA NA ODELJENJU TOKSIKOLOGIJE KLINIČKOG CENTRA NIŠ
Milan Đorđević, MD
Community Health Centre Jagodina, EMS Jagodina
Summary: Background: Poisoning is the leading cause of mortality, just behind the injuries in traffic accidents. Psychiatric disorders are distinguished as significant reasons for intentional self-
Aim: To s: how the importance, the size and frequency of psychiatric disorders in poisoning drugs through the one-
Methodology: Structured annual analysis of patients hospitalized at the Department of Toxicology in Niš during 2013 with a correlation of intentional poisoning with medications and psychiatric disorders.
Results: In 2013, at the Department of Toxicology, there were 115 patients. According to the representation in the first place are the patients who have used drugs, 58 (50.43%), and 57 of them were diagnosed some psychiatric disorder. From psychiatric disorders classified by International Classification of Diseases, affective disorders dominated in 22 cases (38.6%), neurotic and stress disorders in 14 cases (24.56%), followed by schizophrenia and schizoaffective disorders in 10 cases (17.54% ), disorders due to psychoactive substance abuse in 4 cases (7.02%), personality disorders in 3 cases (5.26%), mental retardation in 2 cases (3.51%). At last, one case (1.75%) of psychoorganic syndrome and dissociative disorder behavior.
Conclusion: Psychiatric disorders are very common in cases of deliberate drug poisoning. The largest number of patients was registered with depressive syndrome of mild severity, although other serious disorders were not rare. For these categories of patients comorbidities contribute to suicidal risk. Acute toxicity requires urgent care with adequate psychiatric approach. Yet experience shows that despite the involvement of a large number of specialists in various fields, the percentage of recurrent intoxication remains high.
Key words: Medicament intoxication, psychiatric disorder, frequence
According to the American Association of Poison Control Centers (AAPCC), the number of acute poisoning is on the rise, and every 90 seconds a toxic exposition is being reported. [1,2] Intoxications are the leading cause of mortality immediately after the injury in traffic accidents. Data on the number of poisoning are not complete and authentic because a significant number of poisonings are treated not only in the National Poison Control Center (NPCC), but also in other health institutions in Serbia, psychiatric wards, and often without adequate supervision of physicians or intensivists and toxicologists. Psychiatric disorders and parasuicide are distinguished as significant reasons for intentional self-
To determine the nature and prevalence of psychiatric disorders in patients with acute intentional drugs poisoning.
Structured annual analysis of patients hospitalized at the Department of Toxicology in Niš in 2013, with a correlation of intentional drugs poisoning with psychiatric assessments, which is a mandatory part of the treatment.
During 2013, from 1,067 patients 115 patients were admitted to treatment. The largest number of poisoning 97 (84.34%), was registered as self-
In the group of 58 patients hospitalized for drug poisoning, 57 patients (98.28%) were diagnosed with a psychiatric disorder, and the same number of patients had a self-
According to the recommendations of the European Association of Poison Control Centers, patients are treated in the units and departments of health institutions in which there is a possibility for continuous monitoring of vital functions and proper medical supervision. At the admittion of acute poisoned patient, priority is to assess the state of cardiorespiratory function and take appropriate measures to ensure a patent airway, breathing and circulation quality. Then provide cardiac monitoring, pulse oximetry and intravenous access, and admit to a unit according to the indications in relation to the clinical condition of the patient. [2,4,5] Psychotropic medications (anxiolytics and hypnotics, neuroleptics, antidepressants, lithium and carbamazepine, psychostimulants and psychodysleptics) in many countries are the most common cause of self-
Psychiatric disorders, including dominant affective, schizoaffective, anxiety-
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Vojvode Tankosića drugi prilaz broj 17, 18105 Niš
Rad primljen: 06.06.2016.
Rad prihvaćen: 14.09.2016.
Elektronska verzija objavljena: 07.01.2017.
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