title: Pattern of drug overdose and chemical poisoning among patients attending an emergency department, western Saudi Arabia.
abstract: Poisoning is a medical emergency that represent a major health problem all over the world. Studies on drug overdose and chemical poisoning are very limited in Saudi Arabia (SA). We aimed to describe the current pattern and assess risk factors of drug overdose and chemical poisoning in King Khalid National Guard hospital, Jeddah, SA. Medical records of patients attended emergency department in King Khalid National Guard hospital during the period from January 2008 to December 2012 due to drug overdose and chemical poisoning were reviewed. A total of 129 cases were included in the study. The majority of the population was Saudi (97.7 %), and almost half of them were females (54.3 %). Children under 12 years were the most affected age group (44.2 %). Drug overdose was the most common cause of poisoning (92.2 %). Analgesics and non-steroidal anti-inflammatory drugs represented the highest percentage of used medications (20.4 %). The most commonly reported symptoms were symptoms of the central nervous system (57.4 %) followed by GIT symptoms (41.9 %). Intentional poisoning was reported in 34 cases (26.4 %). Female patients were significantly more likely to attempt suicide than male patients (OR = 7.22, 95 % CI = 1.70, 30.62). Children continue to be at high risk for medication and chemical poisoning. Accessibility to medications at homes encountered for most of poisoning cases among children. Implementing methods to raise public awareness and minimize children access to medications would significantly contribute to reducing burden of this problem on the community.
authors.affiliation: Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Bakhaidar
authors.forename: Saber
authors.initials: S
authors.lastname: Jan
authors.forename: Fayssal
authors.initials: F
authors.lastname: Farahat
authors.forename: Ahmad
authors.initials: A
authors.lastname: Attar
authors.forename: Basim
authors.initials: B
authors.lastname: Alsaywid
authors.forename: Wesam
authors.initials: W
authors.lastname: Abuznadah
mesh_terms: D000061:Accidents, Home; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D062787:Drug Overdose / Q000453:epidemiology* / Q000503:physiopathology; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011041:Poisoning / Q000453:epidemiology* / Q000503:physiopathology; D012189:Retrospective Studies; D012307:Risk Factors; D012529:Saudi Arabia / Q000453:epidemiology; D017678:Sex Distribution; D013405:Suicide / Q000706:statistics & numerical data*