Poisoning is an increasingly common social problem in Nepal. Studies on
poisoning in semi urban areas of Nepal are minimal. Here we, present a prospective study of
poisoning in semi urban area of capital, Kathmandu lasting for six years duration. Altogether there were 354 cases of various
poisoning, admitted in Nepal Medical College Teaching Hospital from Baisakh 2062 (April 16, 2005) to Chaitra 2067 (April 15, 2011). Male: Female ratio was 135:219 (1:1.6) and Age +/- SD was age 29.3 +/- 13.8 years. Age group (20-29 years) comprised of 138 patients (38.9% followed by < 20 years age group (92, 25.9%). Brahman/ chhetri (150, 42.4%) and Mongolian (146, 41.2%) ethnic groups were the main sufferers of
poisoning, followed by newars (41, 11.6%) patients. Deliberate self harm was the cause for
poisoning in maximum number of patients (156, 44.1%), followed by depression (64, 18.1%) and accidental
poisoning (42, 11.9%). Organophosphorus (152, 42.9%), medicines (71, 20.1%), and
rodenticide poisoning (38, 10.7%) were common
poisons. Metacid (
Methyl parathion) (46, 15.5%) was the most popular brand of
poisoning agent used in Nepal for suicidal purpose. The over all mortality rate of
poisoning in general was 7.1% with
organophosphorus poisoning topping the list (19, 12.5%). We also present mad honey
poisonings in a small group of 9 (3.2%) patients with M:F 8:1, age 26.5 +/- 8.8 years. Due precaution should be undertaken during their management as some of them may go into
cardiopulmonary arrest and should not be considered benign when more than 5 tablespoonful wild honey is consumed.