Type | Journal Article - American Journal of advanced scientific research |
Title | Epidemiological and clinical aspects of carbon monoxide poisoning in Morocco: case of oriental region |
Author(s) | |
Volume | 1 |
Issue | 10 |
Publication (Day/Month/Year) | 2013 |
Page numbers | 348-55 |
URL | https://www.researchgate.net/profile/Abdelmajid_SOULAYMANI3/publication/257366367_Epidemiological_and_Clinical_Aspects_of_Carbon_Monoxide_Poisoning_In_Morocco_Case_of_Oriental_Region/links/0c9605251b748c7de1000000.pdf |
Abstract | To the east of Morocco (Oriental region), carbon monoxide poisoning is frequent, serious and often unrecognized. It is a public health problem whose prevention proves to be necessary. The present study aims to describe the main epidemiological and clinical characteristics of patients poisoned by carbon monoxide, and to determine factors that may have influenced the evolution of these patients. This epidemiological study included 2012 cases of carbon monoxide poisoning reported between 1992 and 2011 by the Moroccan Poison Control Pharmacovigilance Center (CAPM). The mean age of poisoned patients was 26.9 ± 16.7 years, the sex ratio (F/M) was 2.2. The poisoning was accidentally occurred in 99.5% of cases, especially at the place of residence (98.3%). The maximum of declarations was observed during cold months. The urban population was the most affected (95.1%). The region of Oujda-Angad was the most concerned with 68.1% of cases. Patients with symptomatic state represented 89.2%. Symptomatology was characterized by the predominance of dyspnea, cephalgia, vertigo, tachycardia respectively 26.7%, 17.2%, 16.1%, and 10.5%. The period of consultation was 09 ± 28 hours. Deaths reached a percentage of 1.3%. The effect study of parameters on the evolution of the health status of patients showed that sex, poisoning type (Isolated, collective) and clinical status (symptomatic, asymptomatic) are associated with the evolution of patients: The relative risks were respectively (OR = 1.53, p = 0.008), (OR = 2.34, p = 0.017), and (OR = 3.02, p = 0.001). The epidemiological profile of carbon monoxide poisoning in the Oriental region justifies the implementation of awareness campaigns near the population of this region in order to reduce the incidence and to allow rapid and adapted taking of charge in the case of accident. |
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