Volume 2, Issue 3 (Journal of Clinical and Basic Research(JCBR) 2018)                   jcbr 2018, 2(3): 33-38 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Shayeste Y, Delaram A, Pouyan Sadr A, Jalilian J, Jafari D. Investigating the Pattern of Benzodiazepine Poisoning in Gorgan, 2008-2014. jcbr 2018; 2 (3) :33-38
URL: http://jcbr.goums.ac.ir/article-1-152-en.html
1- Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran
2- 5th Azar Hospital, Golestan University of Medical Science, Gorgan, Iran
3- Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran
Abstract:   (3741 Views)
Background and objectives: Benzodiazepine poisoning is one of the most important and common medical emergencies worldwide. The purpose of this study was to evaluate the pattern of poisoning with benzodiazepines in Gorgan, Iran.
 Methods: This cross-sectional and descriptive-analytical study was conducted on patients with acute benzodiazepine poisoning admitted to 5th Azar Hospital in Gorgan between 2008 and 2014. Data were collected from medical records of patients. Statistical analysis was performed using SPSS software (version 16).
Results: Benzodiazepine poisoning accounted for 37.2% of all drug poisoning cases. Of the 230 cases of benzodiazepine poisoning, 108 (50.7%) were female, and most cases (53.5%) belonged to the 20-29 years age group. Suicide attempt was the predominant (91.1%) type of benzodiazepine poisoning. Among the benzodiazepines, alprazolam (33.3%) and diazepam (30.5%) were the chief causes of drug poisoning. In addition, in 7.5% of the subjects, benzodiazepines were taken in combination with other drugs, especially tramadol (19.2%). Age, marital status, employment status, education level and place of residence were significantly associated with benzodiazepine poisoning (P<0.001).
Conclusions: Benzodiazepines, particularly alprazolam and diazepam, are responsible for more than one-third of all drug poisoning incidents in Gorgan. Self-poisoning with this group of drugs as an attempt to commit suicide is most prevalent among young individuals.
Full-Text [PDF 305 kb]   (1174 Downloads)    
Article Type: Research | Subject: Medicine

References
1. Tjagvad C, Clausen T, Handal M, Skurtveit1 S. Benzodiazepine prescription for patients in treatment for drug use disorders: a nationwide cohort study in Denmark, 2000–2010. BMC Psychiatry. 2016; 16:168. [DOI:10.1186/s12888-016-0881-y]
2. Trevor AJ, Katzung BG, Masters SB, Kruidering-Hall M. Pharmacology examination & board review. New York: McGraw-Hill Medical; 2012.
3. Shokrzadeh M, Hajimohammadi A, Hoseinpoor R, Delaram A, Shayeste Y. An epidemiological survey of drug poisoning and a comparison with other poisonings cases admitted to a university hospital in Gorgan, Iran, 2008-2015. Int J Epidemiol Res. 2017; 4(2): 94-103. [Persian].
4. Shokrzadeh M, Hoseinpoor R, Hajimohammadi A, Rezaei M, Delaram A, Pahlavani M, Esmaily M, Lashkarboloki G, Shayeste Y. Pattern of Acute Adult Poisoning in Gorgan, North of Iran. Toxicology International. 2016; 23(2): 140-146. [DOI:10.22506/ti/2016/v23/i2/146689]
5. Islambulchilar M, Islambulchilar Z, Kargar-Maher MH. Acute adult poisoning cases admitted to a university hospital in Tabriz, Iran. Hum Exp Toxicol. 2009; 28(4): 185-90. [DOI:10.1177/0960327108099679]
6. Saeidinejat S, Movaffagh J, Setayesh Y, Esmaeil H. Pattern of Benzodiazepine use in Outpatients in Mashad, Iran. irje. 2011; 7 (2):60-66. [Persian].
7. Shokrzadeh M, Hoseinpoor R, Hajimohammadi A, Delaram A, Shayeste Y. Epidemiological Survey of Suicide Attempt by Drug Poisoning in Gorgan, Iran, 2008 to 2015. J Mazandaran Univ Med Sci. 2016; 26 (143):201-210. [Persian].
8. Marcus A. Bachhuber, Sean Hennessy, Chinazo O. Cunningham, Joanna L. Starrels. Increasing Benzodiazepine Prescriptions and Overdose Mortality in the United States, 1996–2013. AJPH. 2016; 106(4):686-8. [DOI:10.2105/AJPH.2016.303061]
9. Shokrzadeh M, Hoseinpoor R, Hajimohammadi A, Delaram A, Shayeste Y. Epidemiological Survey of Suicide Attempt by Drug Poisoning in Gorgan, Iran, 2008 to 2015. Journal of Mazandaran University of Medical Sciences. 2016; 26 (143) :201-210
10. Mehdizadeh G, Manouchehri A, Zarghami A, Moghadamnia A. Prevalence and Causes of Poisoning in Patients Admitted to Shahid Beheshti Hospital of Babol in 2011-2012. JBUMS. 2015; 17 (7):22-28. [Persian].
11. Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/ clinical psychiatry: Lippincott: Williams & Wilkins; 2014.
12. Najafi F, Beiki O, Ahmadijouybari T, Amini S, Moradinazar M, Hatemi M, Moradi M. An assessment of suicide attempts by self-poisoning in the west of Iran. J Forensic Legal Med 2014; 27: 1-5. [DOI:10.1016/j.jflm.2014.07.003]
13. Portzky G, Audenaert K, Van Heeringen K. Suicide among adolescents. Soc Psych Psych Epid 2005; 40(11): 922-930. [DOI:10.1007/s00127-005-0977-x]
14. Ghoreishi SA, Mousavinasab N. Systematic review of researches on suicide and suicide attempt in Iran. IJPCP. 2008; 14(2): 115-121. [Persian].
15. Petrushevska T, Stefanovska VV. Use of Medicines from the Group of Benzodiazepines in the Period of 2003-2013 Year in the Republic of Macedonia. Macedonian Journal of Medical Sciences. 2015; 3(1):151-157.
16. Aghakhani K, Rasouli A, Jamilian H, Memarian A. Differences in Demographic and Psychological Variables in Suicide by Self-immolation and Poisoning. Iran J Toxicol 2013; 7(22): 882-886.
17. Shokrzadeh M, Hajimohammadi A, Delaram A, Shayeste Y. Characteristics of Patients Hospitalized with Tramadol Intoxication in Gorgan, Iran, 2008 - 2015. J Mazandaran Univ Med Sci. 2017; 26 (146):185-190. [Persian].
18. Aghakhani K, Rasouli A, Jamilian H, Memarian A. Differences in Demographic and Psychological Variables in Suicide by Self-immolation and Poisoning. Iran J Toxicol 2013; 7(22): 882-886.
19. Ahmadi H, Rezaie M, Hoseini J. Epidemiology Analysis of Poisonings with Tramadol. J Forensic Res 2012; 3(151):2. [DOI:10.4172/2157-7145.1000151]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Clinical and Basic Research

Designed & Developed by : Yektaweb

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).