الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Although special regulations restricting pesticides availability, the incidence of poisoning by these substances accounts for a rising percentage of the patients admit to poison centers. Fumigants are one of the several types of pesticides and the metal phosphides are classified in this category. The active component of aluminum phosphide is phosphine gas which is formed after contact with acidic medium or water.
Reported morbidity and mortality rate due to phosphide poisoning is too high, especially in developing countries like Egypt. It is around 40% - 91% and it is attributed to circulatory failure. In addition, AlP causes widespread organ damage.
The aim of this work was to evaluate the incidence, prognostic factors and outcome of acute AlP poisoning patients admitted to Alexandria Main University Hospital. The present study was conducted on thirty patients suffering from acute aluminum phosphide poisoning during the period of six months from the 1st November 2017 till the end of April 2018.
The patients or their relatives were interviewed. The patients were clinically examined, and managed according to therapeutic protocol. The data were recorded in a specially designed sheet.
Patients with acute aluminum phosphide poisoning represented 6% of the pesticides poisoning cases during the study period. The present study showed that, females were approximately three times more exposed than males. The age of the patients ranged from 3- 60 years with a mean value of 22.77±12.79 years. The highest percentage of the intoxicated patients was in the age group 10-<20 (40%).
Half of the exposed patients were students. All of the patients except one (3.3%) came from rural areas. Poisoning mostly occurred at home while only 2 cases (6.7%) encountered at farm. Intentional exposure was encountered in the majority of cases (93.3 %) and distributed as suicidal cases (90%) and induction of abortion case (3.3%). The accidental exposure was observed in 6.7% of cases. The oral route of poisoning was encountered in 90% of cases, while both inhalation and vaginal.