S15.02 - Treatment of alcohol withdrawal with delirium in emergency room - Romanian experience

Abstract

The treatment of alcohol withdrawal with delirium implicate evaluations of multiple factors and even numerous guidelines are available the clinical practice shows important differences between centres.

The purpose of study is to evaluate the pharmacological intervention in delirium tremens in different Romanian settings.

Material and methods:

A case vignette was distributed between 50 psychiatrists, with similar professional experience, from 18 different psychiatric centres, with demand of establish the diagnostic and prescribe the treatment what they consider necessary. We evaluated the results concerning the diagnosis and pharmacological treatment.

Results:

Response rates was 56%, all psychiatrist recognised the diagnostic conform DSM IV “Alcohol withdrawal with delirium. Alcohol dependence.” The pharmacological treatments were different concerning the substance and also concerning the recommended doses. The proposed classes are benzodiazepines, anticonvulsivants, neuroleptics and other psychotrops.

Conclusions:

This study wants to underline the high diversity of treatment in psychiatry for the same diagnosis.