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All patients admitted in the ICU of the PCC-ASUH due to acute poisoning by acute organophosphorus poisoning will be included in the study. The diagnosis of intoxication will be based on history of acute exposure , clinical examination and laboratory investigations. Patients will be randomly allocated into 2 equal groups.
Group 1 -. Patients who will receive (conventional treatment of acute organophosphorus poisoning plus NAC) and Group 2 - Patients who will receive conventional treatment only
40 patients with acute organophosphorus poisoning will be randomly assigned as control groups and study group in a 1:1 ratio ( 20 patients in each group). The diagnosis of acute organophosphorus intoxication will be based on history of acute exposure, clinical examination and laboratory investigations. Patients will be randomly allocated into 2 equal groups.
Group 1 - Patients who will receive (conventional treatment of acute organophosphorus poisoning plus NAC) Group 2 - Patients who will receive conventional treatment only
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| study group | Active Comparator | Patients who will receive (conventional treatment of acute organophosphorus poisoning plus NAC) |
|
| control group | Other | Patients who will receive conventional treatment only |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| n acetyl cysteine | Drug | A patients received NAC 140 mg/Kg IV infusion (as a loading dose), then 70 mg/KgIV infusion every 4 hours up to 17 doses |
|
| Measure | Description | Time Frame |
|---|---|---|
| mortality | 72 hours |
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Inclusion Criteria:
All patients (above 16 years) admitted to the ICU of the PCC-ASUH due to acute poisoning by acute organophosphorus poisoning will be included in the study. The diagnosis of intoxication will be based on history of acute exposure, clinical examination and laboratory investigations. -
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sarah S Mohammed | faculty of medicine ain shams university | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of medicine Ain shams university | Cairo | None Selected | 11566 | Egypt | ||
| Faculty of Medicine |
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| ID | Term |
|---|---|
| D000111 | Acetylcysteine |
| D001285 | Atropine |
| D010091 | Oximes |
| ID | Term |
|---|---|
| D003545 | Cysteine |
| D000603 | Amino Acids, Sulfur |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
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| standard treatment | Drug | stabilization and antidotes |
|
|
| Cairo |
| None Selected |
| 11566 |
| Egypt |
| Poison Control Center Ain Shams University Hospitals | Cairo | 02 | Egypt |
| D000596 |
| Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D001286 | Atropine Derivatives |
| D014326 | Tropanes |
| D053961 | Azabicyclo Compounds |
| D001372 | Aza Compounds |
| D001533 | Belladonna Alkaloids |
| D012991 | Solanaceous Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D019086 | Bridged Bicyclo Compounds, Heterocyclic |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006898 | Hydroxylamines |
| D000588 | Amines |