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HOME > J Korean Soc Clin Toxicol > Volume 4(1); 2006 > Article
Research on Poisoning Data Collection using Toxic Exposure Surveillance System: Retrospective Preliminary Survey
Bum-Jin Oh, Won Kim, Gyu-Chong Cho, Hui-Dong Kang, Yoo-Dong Shon, Jae-Ho Lee, Kyoung-Soo Lim
Journal of The Korean Society of Clinical Toxicology 2006;4(1):32-43
DOI: https://doi.org/
Published online: June 30, 2006
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1Department of Emergency Medicine, Asan Medical Center, Ulsan University
2Department of Emergency Medicine, Asan Medical Center, Ulsan University
3Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University
4Department of Emergency Medicine, Gangneung Hospital, Ulsan University
5Department of Emergency Medicine, Dong Sang Medical Center, Keimyung University
6Department of Emergency Medicine, Asan Medical Center, Ulsan University
7Department of Emergency Medicine, Asan Medical Center, Ulsan University

Purpose: Toxic Exposure Surveillance System (TESS) is widely used for poisoning data collection and making a counterplan. But, there were few reports about poisoning data collection using TESS in Korea. The aim was to collect poisoning data using TESS report form and investigate the recognition of emergency physician about the necessity of TESS as preliminary survey. Methods: Retrospectively, we gathered data from hospital records about the patient who admitted hospital emergency room due to poisoning. Date were gathered by paper and/or web client system report form in patients recruited by ICD-10 codes Results: From Jun 2004 to May 2005,3,203 patients were enrolled in 30 hospitals and their mean age was $44.9{pm}20.3years$ old(male: female = 1,565: 1,638). The most frequent site of exposure was their own residence (73.2%, 2,345/3,203) and most of reported patients were older than 20 years(89.7%, 2,871/3,203). Frequent substances involved in poisoning were medication(41.9%) and pesticide(33.3%). Intentional poisoning was 60.7%(1,954). In fatality, overall frequency was 5.1%(162/3,203) and the most frequent route of exposure was ingestion(96.3%, 156/162) and the most frequent substance was pesticide(85.2%, 138/ 162). Antidotes were administered in 202 patients(2-PAM, atropine, antivenin, N-acetylcystein, vitamin K, flumazenil, ethanol, methylene blue, naloxone, calcium compound). 19 of 20 emergency physicians agreed with necessity of TESS. Conclusion: Data collection using TESS report form showed preliminary poisoning events in Korea. Frequent poisoning substance were medication and pesticide. The fatality was mainly related with pesticide ingestion. Many doctors in emergency room recognized the necessity of TESS.

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JKSCT : Journal of The Korean Society of Clinical Toxicology