Pesticide poisoning is a common medical emergency in the rural tropics, with significant associated mortality. Pesticide poisoning is an umbrella term that encompasses a wide variety of substances with differing clinical toxidromes and outcomes. Despite this, confirmation of the specific compound ingested is rarely performed. In this Lessons from the Field, we argue that pesticide-specific management is integral to optimise management. Using data from a quality improvement project in Chittagong, Bangladesh, we demonstrate that identifying the specific compound is possible in most patients through careful history taking and examination of the pesticide bottle. Identification of the specific compound is essential for anticipating and reducing complications, administering appropriate and timely management and reducing the length of hospital stay and cost of unnecessary medical intervention.

中文翻译：

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现场经验教训：急性农药中毒的化合物特异性管理

农药中毒是热带农村地区常见的医疗紧急情况，死亡率很高。农药中毒是一个总称，涵盖具有不同临床毒理学和结果的多种物质。尽管如此，很少对摄入的特定化合物进行确认。在本现场经验教训中，我们认为针对农药的管理是优化管理不可或缺的一部分。利用孟加拉国吉大港质量改进项目的数据，我们证明通过仔细采集病史和检查农药瓶，可以识别大多数患者的特定化合物。识别特定化合物对于预测和减少并发症、进行适当和及时的治疗以及减少住院时间和不必要的医疗干预成本至关重要。