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Article Details ::
Article Name :
POISONING BY SUBSTANCES OF ABUSE IN MOROCCO: MOROCCAN POISON CONTROL CENTER DATA (1980 TO 2009) AND RISKS FACTORS FOR DEATH.
Author Name :
HANANE CHAOUI, NAIMA RHALEM, ILHAM SEMLALI , MOHAMED BADRI, LAHCEN OUAMMI, ABDELMAJID SOULAYMANI , RACHIDA SOULAYMANI-BENCHEIKH
Publisher :
Ashok Yakkaldevi
Article Series No. :
ROR-599
Article :
Author Profile
Abstract :
Background: Poisoning by substances of abuse in Morocco is a public health problem. The aim of this retrospective study of a case series is to describe the distribution of poisoning by substances of abuse reported to Moroccan Poison Control Center (CAPM) to identify risk factors influencing the occurrence of death. Methods: This is a retrospective study from 1980 to 2009, for all cases of poisoning by substances of abuse reported to CAPM. Results: 1941 cases of poisoning by substances of abuse were collected. The most represented region was the Grand Casablanca (31.6%) followed by Tadla-Azilal (12.9%). The average age of intoxicated patients was 21.8 ± 9.4 years with a sex ratio (M/F) of 5.3. The most affected age group was adults (62.2%). The mixture Called “Mâajoune” was the most offending (62.6%), followed by cannabis (22.8%), drugs (5.2%) and alcohols (4%). The addictive circumstance was the most frequent (47.6%), followed by accidental circumstance (44.5%). Oral route was the most encountered (89.4%). The most frequently signs encountered were gastrointestinal signs (47.2%), followed by signs of central and peripheral nervous system (27.6%) and disorders of heart rate and rhythm (10.4%). 32 cases of death were reported. Risk factors associated with death were the alcohol methanol, the addictive circumstance and the disorders of the frequency and pulse. Conclusion: Reporting cases of poisoning by substances of abuse to CAPM is necessary to generate alerts on new substances or practices and to identify risk factors of death.
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