A review of aluminium phosphide poisoning and a flowchart to treat it.

Pregled otrovanja aluminijevim fosfidom i prijedlog dijagrama tijeka njegova liječenja. (Croatian)

The use of pesticides such as aluminium phosphide (AlP) has increased in the recent years and improved the quantity and quality of agricultural products in a number of developing countries. The downside is that AlP causes severe chronic and acute health effects that have reached major proportions in countries such as India, Iran, Bangladesh, and Jordan. Nearly 300,000 people die due to pesticide poisoning in the world every year. Poisoning with AlP accounts for many of these deaths. Unfortunately, at the same time, there is no standard treatment for it. The aim of this article is to give a brief review of AlP poisoning and propose a treatment flowchart based on the knowledge gained so far. For this purpose we reviewed all articles on the management of AlP poisoning published from 2000 till now. Using a modified Delphi design, we have designed a handy flowchart that could be used as a guide for AlP poisoning management of patients in emergency centres. [ABSTRACT FROM AUTHOR]

Primjena pesticida poput aluminijeva fosfida (AlP) raste iz godine u godinu, povoljno utječući na količinu i kakvoću poljoprivrednih proizvoda u mnogim zemljama u razvoju. Nažalost, AlP može uzrokovati i snažne kronične i akutne zdravstvene posljedice, koje su u zemljama poput Indije, Irana, Bangladeša i Jordana dosegnule zabrinjavajuće razmjere. U svijetu svake godine od otrovanja pesticidima umre gotovo 300.000 ljudi. Mnoge od tih smrti uzrokovane su aluminijevim fosfidom. Svrha je ovoga članka dati kratak pregled literature vezane uz otrovanje AlP-om te predložiti algoritam njegova liječenja koji se temelji na dosadašnjim spoznajama. U tu smo svrhu pregledali sve članke o liječenju otrovanja AlP-om od 2000. naovamo. Oslanjajući se na prilagođeni Delphi-dizajn, osmislili smo koristan dijagram tijeka koji bi se mogao koristiti kao vodič kroz liječenje otrovanja aluminijevim fosfidom u hitnim službama. [ABSTRACT FROM AUTHOR]

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