Analysis of the toxicological situation in Moscow in the first three months of the COVID-19 pandemic

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Abstract

Introduction. On March 11, 2020, WHO announced the global COVID-19 pandemic. According to literature data, the spread of coronavirus infection COVID-19 affected the structure of acute chemical poisoning.

The aim. Assessment of the impact of the COVID-19 pandemic and restrictive measures on the peculiarities of seeking advice and the structure of acute chemical poisoning in Moscow. 

Material and methods. The data of the registration forms “Card of recording of a consultation of a patient with acute poisoning of chemical etiology” in the period from March 30 to June 30, 2020 and 2019 were studied. The analysis indicators of a hospitalization of patients in the department of acute poisoning and somatopsychiatric disorders of N.V. Sklifosovsky, the Research Institute of Emergency Medicine.

Results. It was found that in the analyzed period of 2020 compared to 2019, the proportion of injured people of working age decreased by 11.2%, while it increased at the age of 0-17 years by 3.2 times. An increase in the number of consultations for individuals by 2.1 times was noted. There was an increase in the number of complaints about poisoning with antibiotics, drugs from the T45 group (anticoagulants, vitamins, etc.), T37 (antiviral, anti-microbial, etc.) by 1.7-2 times. 

In March-June 2020, there was an increase in the number of complaints about the toxic effects of alcohol (T51), an increase in hospitalized patients with acute alcohol poisoning by 4 times, and with combined alcohol poisoning – by 2.7 times. The number of complaints about poisoning with detergents and disinfectants in the first three months of the pandemic increased by 2.7 times.

Conclusion. The pandemic and the introduction of restrictive measures for COVID-19 have affected the toxicological situation in Moscow, which must be taken into account when determining the guidelines for organizational measures for the provision of medical care for acute chemical poisoning during the COVID-19 pandemic.

About the authors

Anastasiya Yurevna Simonova

Research and Applied Toxicology Center of Federal Medical and Biological Agency; Department of Acute Poisonings and Somatopsychiatric Disorders, N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Health Department

Author for correspondence.
Email: simonovatoxy@mail.ru
ORCID iD: 0000-0003-4736-1068

MD, PhD, Leading Researcher, Department of Acute Poisonings and Somatopsychiatric Disorders, N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Health Department,
Moscow, 107045, Russian Federation.

e-mail: simonovatoxy@mail.ru

Russian Federation

Pavel Gennadevich Rozhkov

Research and Applied Toxicology Center of Federal Medical and Biological Agency

Email: tox65@mail.ru
ORCID iD: 0000-0003-4157-9015

Директор ФГБУ «Научно-практический токсикологический центр» Федерального медико-биологического агентства (ФГБУ НПТЦ ФМБА России), 129090, Москва.

e-mail: tox65@mail.ru 

Russian Federation

Mariya Vladimirovna Belova

Department of Acute Poisonings and Somatopsychiatric Disorders, N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Health Department

Email: maniabel@gmail.ru
ORCID iD: 0000-0002-0861-5945

Доктор биологических наук, ведущий научный сотрудник отделения острых отравлений и соматопсихиатрических расстройств ГБУЗ г. Москвы «НИИ СП им. Н.В. Склифосовского ДЗМ», 107045, Москва.

e-mail: maniabel@gmail.ru 

Russian Federation

Kapitolina Konstsntinovna Ilyashenko

Research and Applied Toxicology Center of Federal Medical and Biological Agency; Department of Acute Poisonings and Somatopsychiatric Disorders, N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Health Department

Email: toxikapa@mail.ru
ORCID iD: 0000-0001-6137-8961

Доктор медицинских наук, профессор, научный консультант отделения острых отравлений и соматопсихиатрических расстройств ГБУЗ г. Москвы «НИИ СП им. Н.В. Склифосовского ДЗМ»,
107045, Москва.

e-mail: toxikapa@mail.ru

Russian Federation

Mikhail Mikhaylovich Potskhveriya

Research and Applied Toxicology Center of Federal Medical and Biological Agency; Department of Acute Poisonings and Somatopsychiatric Disorders, N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Health Department

Email: potskhveriya@mail.ru
ORCID iD: 0000-0003-0117-8663

Кандидат медицинских наук, заведующий отделением острых отравлений и соматопсихиатрических расстройств ГБУЗ г. Москвы «НИИ СП им. Н.В. Склифосовского ДЗМ», 107045, Москва.

e-mail: potskhveriya@mail.ru

Russian Federation

Yuriy Nikolaevich Ostapenko

Research and Applied Toxicology Center of Federal Medical and Biological Agency; Department of Acute Poisonings and Somatopsychiatric Disorders, N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Health Department

Email: ostapenkoyu@mail.ru
ORCID iD: 0000-0002-5023-7685

Кандидат медицинских наук, ведущий научный сотрудник отделения острых отравлений и соматопсихиатрических расстройств ГБУЗ г. Москвы «НИИ СП им. Н.В. Склифосовского ДЗМ», 107045, Москва; руководитель отдела развития федерального банка данных по острой химической патологии ФГБУ «Научно-практический токсикологический центр» Федерального медико-биологического агентства (ФГБУ НПТЦ ФМБА России), 129090, Москва.

e-mail: ostapenkoyu@mail.ru

Russian Federation

Yuriy Semenovich Goldfarb

Department of Acute Poisonings and Somatopsychiatric Disorders, N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Health Department

Email: goldfarb@mail.ru
ORCID iD: 0000-0002-0485-2353

Доктор медицинских наук, профессор, заведующий отделом внешних научных связей ГБУЗ г. Москвы «НИИ СП им. Н.В. Склифосовского ДЗМ», 107045, Москва; заведующий кафедрой клинической токсикологии ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» МЗ РФ, 125993, г. Москва.

e-mail: goldfarb@mail.ru

Russian Federation

Anna Ivanovna Fetisova

Research and Applied Toxicology Center of Federal Medical and Biological Agency

Email: grig3636@gmail.com
ORCID iD: 0000-0002-9225-6382

Кандидат фармацевтических наук, заместитель директора по научной работе ФГБУ «Научно-практический токсикологический центр» Федерального медико-биологического агентства (ФГБУ НПТЦ ФМБА России), 129090, Москва.

e-mail: grig3636@gmail.com

Russian Federation

Alexandr Nikanorovich Elkov

Research and Applied Toxicology Center of Federal Medical and Biological Agency; Department of Acute Poisonings and Somatopsychiatric Disorders, N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Health Department

Email: 2bobika@mail.ru
ORCID iD: 0000-0002-5945-503X

Кандидат физико-математических наук, старший научный сотрудник отделения острых отравлений и соматопсихиатрических расстройств ГБУЗ г. Москвы «НИИ СП им. Н.В. Склифосовского ДЗМ», 107045, Москва.

e-mail: 2bobika@mail.ru

Russian Federation

Tatyana Anatolevna Sokolova

Research and Applied Toxicology Center of Federal Medical and Biological Agency

Email: tanyaasokolova@mail.ru
ORCID iD: 0000-0003-2117-4563

Научный сотрудник отдела организации консультативной помощи ФГБУ «Научно-практический токсикологический центр» Федерального медико-биологического агентства (ФГБУ НПТЦ ФМБА России), 129090, Москва.

e-mail: tanyaasokolova@mail.ru

Russian Federation

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Copyright (c) 2021 Simonova A.Y., Rozhkov P.G., Belova M.V., Ilyashenko K.K., Potskhveriya M.M., Ostapenko Y.N., Goldfarb Y.S., Fetisova A.I., Elkov A.N., Sokolova T.A.


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