Nourhan Saeed - Department of forensic medicine and clinical toxicology, Faculty of Medicine, Alexandria University, Egypt.
Maha Ghanem - Department of forensic medicine and clinical toxicology, Faculty of Medicine, Alexandria University, Egypt.
Hanaa Alhoshy - Department of medical education, Faculty of Medicine, Alexandria University, Egypt.
Maram Atef - Department of forensic medicine and clinical toxicology, Faculty of Medicine, Alexandria University, Egypt.

Background: Poisoning remains one of the health problems that causes significant patient mortality and morbidity worldwide regardless of a country's development or culture. It can occur secondary to exposure to natural ingredient or chemical substance.Methods: This study was conducted to evaluate Alexandria Poison Center (APC) data for trends and modes of poisoning exposure over a ۵-year period and to evaluate the characteristics of human exposure based on the cases received by APC. The data was collected retrospectively from ۱st of January   ۲۰۱۷ to ۳۱st of December ۲۰۲۱ and all patients admitted through this time (۳۶۸۵۳ cases) were included.Results: The study revealed that poisoning occurs significantly more in females than males and the highest incidence of poisoning occurred in adult category. Pesticides were accountable for the highest number of poisoning cases; also, pesticides were responsible for more than ۷۰% of deaths. So, Pesticides were selected as a model to be analyzed in detail. On the side of the study, the effect of COVID-۱۹ was studied and revealed no significant changes in profile of acute poisoning cases, however, suicidal tendency remarkably increased in ۲۰۲۰ and ۲۰۲۱ in comparison to other studied years.

Acute poisoning, Pesticides, Poisoning, Alexandria