[Medical analytical toxicology in Poland in year 2012].
There are 12 centers of acute poisoning treatment and 9 round the clock toxicological laboratories. Most of the laboratories access evidence of activity run by National Clinical Toxicology Consultant. The paper presents actual status of medical toxicology laboratories in Poland and summarizes activity of the laboratories in the year 2012. In 2012 toxicological laboratories reported 113,719 assays. There were diagnosed 63.8% men and 34.8% women. The toxicological laboratories determine most substances and markers of exposition to chemical compounds important for diagnosis and treatment of acute poisonings (i.e. ethanol, methanol, ethylene glycol, acetaminophen, salicylates, anticonvulsants, carboxyhemoglobin, methemoglobin). There is not possible to determine heavy metals, all medicines and "designed" drugs of abuse in all laboratories. Limited access to reference methods, that enable to confirm results obtained by screening methods (immunological cassette and strip tests) is also a problem.
Ośrodek Kontroli Zatruć, Warszawa. okzit@burdpi.pol.pl
Piotr
P
Burda
Pracownia Toksykologii Analitycznej i Terapii Monitorowanej, Katedra Toksykologii i Chorób Srodowiskowych, Uniwersytet Jagielloński Collegium Medium, Kraków.
Ewa
E
Gomółka
Oddział Toksykologii, Pracownia Diagnostyki Toksykologicznej, Instytut Medycyny Pracy w Łodzi.
Renata
R
Winnicka
Zakład Diagnostyki Laboratoryjnej, Instytut Medycyny Pracy i Zdrowia Srodowiskowego w Sosnowcu.
Zofia
Z
Olszowy
Dział Diagnostyki Laboratoryjnej, Szpital Wojewódzki im. Sw. Łukasza w Tarnowie.
Teresa
T
Madej
Laboratorium Centralne, Samodzielny Publiczny Szpital Wojewódzki im. Jana Bozego w Lublinie.
Beata
B
Wendeker
Diagnostyka Sp. z o.o., Filia Szpital im. F. Raszei, PracowniaToksykologii, Poznań.
Karina
K
Sommerfeld
Laboratorium Toksykologiczne, Szpital Praski pw. Przemienienia Pańskiego w Warszawie.
Ewa
E
Zajko
D000293:Adolescent; D000328:Adult; D016907:Adverse Drug Reaction Reporting Systems / Q000706:statistics & numerical data; D017677:Age Distribution; D056246:Chemistry, Analytic / Q000706:statistics & numerical data*; D002648:Child; D016903:Drug Monitoring; D005260:Female; D006801:Humans; D038801:International Classification of Diseases / Q000706:statistics & numerical data; D007753:Laboratories / Q000706:statistics & numerical data*; D008297:Male; D011041:Poisoning / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D011044:Poland / Q000453:epidemiology; D017678:Sex Distribution; D014116:Toxicology / Q000706:statistics & numerical data*; D055815:Young Adult