Poisning Center - Pediatric On Call

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katiha...

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POISIONING CENTER

Drug

Treatment Details

D.D.T. (Dichloro – Diphenyl – trichloroethane)

It is a white crystalline solid. It is insoluble in water but soluble in alcohol and kerosene oil. it is used as 2-5 percent solutionin kerosene to kill bugs, mosquitoes, lice, fleas and flies

Route : Ingestion , inhalation, absorbed through skin

Fatal dose : 30gm

Fatal Period : 24hrs

Mechanism of action : It interferes with nerve impulse transmission. CNS is first stimulated and then depressed

Clinical picture : • Acute poisoning manifests as: vomiting, cough, excitation, vomiting, tremors, convulsions,incoordination, paralysis of muscles, pulmonasry edema and coma
• In chronic poisoning: mental anxiety, insomnia, muscular weakness and pain, anemia, convulsions, coma

Treatment : • Gastric lavage
• I.V. calcium gluconate
• Injection atropine
• Symptomatic

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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

No, it should be used only after drug sensitivity report

Yes, under guidance of an infectious disease expert

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