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Oct-Dec, 2011 - Indian Journal of Pharmacy Practice

Oct-Dec, 2011 - Indian Journal of Pharmacy Practice

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<strong>Indian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacy</strong> <strong>Practice</strong>Association <strong>of</strong> Pharmaceutical Teachers <strong>of</strong> IndiaPoison Information Center-An Overview <strong>of</strong> its Significance, Organization and FunctioningShobha C*, Ramesh M, Parthasarathi G.Department <strong>of</strong> <strong>Pharmacy</strong> <strong>Practice</strong>, JSS College <strong>of</strong> <strong>Pharmacy</strong>, JSS University, SS Nagar, Mysore-15A B S T R A C TSubmitted: 2/10/<strong>2011</strong>Accepted: 6/11/<strong>2011</strong>Poisoning is a significant global public health problem. According to world health organization (WHO), in the year 2004, it is estimated that346,000 people died worldwide from unintentional poisoning. Nearly a million people die each year as a result <strong>of</strong> suicide, and chemicals accountfor a significant number <strong>of</strong> these deaths. It is estimated that deliberate ingestion <strong>of</strong> pesticides causes 370,000 deaths each year. In India, thereare higher incidences <strong>of</strong> poisoning and is also one <strong>of</strong> the major causes <strong>of</strong> death. In developing countries, pesticides are frequently used forsuicidal poisoning. Increased mortality and morbidity could have been due to lack <strong>of</strong> access to information to the physician treating the poisonedpatients and awareness about the prevention, first aid measures and management <strong>of</strong> different poisoning cases. Poison information center (PIC)can play a vital role in the prevention and management <strong>of</strong> poisoning cases through provision <strong>of</strong> information to general public and also tohealthcare pr<strong>of</strong>essionals. Poison information center or poison control center (PCC) is a specialised unit that provides information on poisoningmanagement and immediate information on early diagnosis, treatment, management, prevention and hazards management <strong>of</strong> poisoningthrough well trained poison information specialist. Poison information services (PISs) helps in reducing the poisoning treatment cost to thepatients and to public health care facility by preventing the unnecessary visits to the healthcare facilityand prolonged hospitalization. Since therehas been a limited number <strong>of</strong> PIC to provide the vital service <strong>of</strong> poison management in India, there is a need for establishing several such centerswith well equipped and well trained personnel is helpful.Keywords: Poison information center, Poison control center, Incidence, India, Poison information servicesINTRODUCTIONPoison information center (PIC) or poison control center(PCC) is a specialised unit that provides information onpoisoning management and immediate information on earlydiagnosis, treatment, management, prevention and hazardsmanagement <strong>of</strong> poisoning through well trained poison1information specialist. Poison information (PI) is aspecialized area <strong>of</strong> drug information which refers to theinformation about the toxic effects <strong>of</strong> chemicals, hazardousmaterial spills, house hold products, over dose <strong>of</strong> therapeuticmedicines, plants including mushroom, animal toxins bybites <strong>of</strong> snake, spider and other venomous creatures and2stings.PIC provides poison information services for the effectivemanagement <strong>of</strong> poisoning cases. Poison information services(PISs) mainly deals with a timely provision <strong>of</strong> poisoningmanagement information appropriate to the needs <strong>of</strong> the1,3enquirer. Poison information service also deals with the riskassessment, diagnosis, management and prevention <strong>of</strong>Address for Correspondence:Shobha Churi, Assistant Pr<strong>of</strong>essor, Department <strong>of</strong> <strong>Pharmacy</strong> <strong>Practice</strong>, JSSCollege <strong>of</strong> <strong>Pharmacy</strong>, JSS University, SS Nagar Mysore-15E-mail: shobha912@yahoo.comexposure to any poison, in patients <strong>of</strong> any age irrespective <strong>of</strong>type (intentional or accidental) and route <strong>of</strong> exposure. Theprimary aim <strong>of</strong> PIC is to reduce the morbidity and mortalitydue to poisoning and improve the patients' health related2,4quality <strong>of</strong> life. PISs helps in reducing the poisoningtreatment cost to the patients and to public health care facilityby preventing the unnecessary visits to the healthcare facility,5hospital admission and prolonged hospitalization.PIC functions 24 hours a day round the year with an objective<strong>of</strong> continually improving the outcome <strong>of</strong> the affected peopleby providing a timely, safe information service appropriate tothe needs <strong>of</strong> the enquirer related to poisoning, suspected6poisoning and prevention <strong>of</strong> poisoning. Poison informationcenter aims to prevent unnecessary visits to doctors andhospitals and to ensure that patients, who are poisoned,receive the most effective treatment promptly. The size <strong>of</strong> thePIC may vary based on call volumes and ideally be locatedadjacent to emergency department. PIC may operate locallyproviding the services to populations <strong>of</strong> specific geographicallocation or may extend its service to regional / national level.Need for Poison Information CenterPoisoning is a significant global public health problem.According to world health organization (WHO) data, in the<strong>Indian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacy</strong> <strong>Practice</strong> Volume 4 Issue 4 <strong>Oct</strong> - <strong>Dec</strong>, <strong>2011</strong> 14

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