Abordaje de la intoxicación por organofosforados

Abstract

Introduction: Organophosphate poisoning is a very common public health problem in the country and can produce structural or functional lesions in organs or systems and can even cause death, which has a great social impact because it mostly affects the economically active population. Objective: To establish the best treatment alternative for organophosphate poisoning by reviewing scientific articles and medical practice guidelines to provide adequate care to patients. Materials and methods: An exhaustive search of clinical practice guidelines and current bibliographic articles published in the last 5 years was carried out on the scientific platforms PubMed, Cochrane, Mesh, Scielo, and the academic search engine Google Scholar, to collect information on the treatment of poisoning by organophosphates. Conclusion: The use of organophosphates is essential in agricultural production in most countries, therefore poisonings by these compounds are quite common, the fundamental thing is to make a good diagnosis, give prompt and effective treatment, starting by removing the source. of intoxication and carry out a good cleaning, especially of the entry route of the poison into the body, secure airways, analyze if the patient needs oxygen and anticonvulsants, monitor, apply the necessary doses of atropine and oximes and place a urinary catheter for faster and more effective removal of the toxin. It is important to keep the patient under observation to monitor the progression of his symptoms.