Investigation of pediatric poisoning in Aksaray (original) (raw)
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International journal of health sciences
Background : Poisoning is a serious emergency and a big problem that affects people of all ages all over the world. Education, demographics, socioeconomic conditions, customs, and local belief all influence the cause and kind of poisoning in different areas of the world and within the country. Poisoning patterns differ depending on age, the kind and amount of the poison, and the method of exposure. Even while there has been no major drop in the number of unintentional poisonings, the pattern of poisoning has changed, with new risks always emerging as a result of the introduction of novel pharmaceuticals and chemicals for home use and agricultural. Objective : To asses the clinical Profile and outcome of Poisoning among Pediatric Population in a tertiary care hospital. Materials and Methods : The present Prospective observational study conducted in Department of Pediatrics at Gadag Institute of Medical Sciences , between June 2020 to December 2021. All children and adolescent who...
International Journal of Contemporary Pediatrics, 2018
Poisoning as defined by Paracelsus as "All things are poison, and nothing is without poison; only the dose permits something not to be poisonous." Simply stated, "The dose makes the poison". 1 Poisoning is a significant global public health problem. The extent of the problem is different from one country to the other. 2 The World Health Organization (WHO) estimates that at global level three million severe pesticide poisoning episodes occur annually and, of these, a minimum of 3,00,000 die with 99% of the cases being from low and middle-income countries. 3 Pediatrics population is more vulnerable and 47.8% of poisoning cases reported in children. Unintentional poisonings are frequent among young children while ̴ 50% poisoning exposure in teenagers are intentional. 4 This research was conducted in our institute because there is a paucity of epidemiological data about the poisoning in children in rural Telangana. This will help to educate the community ABSTRACT Background: Acute poisoning in children is one of the common causes for emergency hospital visit in developing countries. Objectives of the present research was aimed to study the magnitude, nature, age, sex, socioeconomic status and outcome of poisoning in children aged <15 years. Methods: This prospective study was conducted for a period of 1 year between January 2017 to December 2017, at S.V.S. Medical College and Hospital, Mahabubnagar, Telangana. All poisoning cases under the age of 15 years were included in this study. Results: Out of 1975 admitted patients, 98 (5%) cases were due to acute poisoning, 52 (53.1%) were males and 46 (46.9%) were females. The majority of the poisoning was accidental (78, 79.6%) in nature and found to be common in the age group of 0-5 years (69, 70.4%). Majority of children belonged to upper lower (35, 44.9%) and lower (20, 25.6%) socioeconomic status. Kerosene (40, 40.8%) was the most common poisoning agent, followed by household compounds (22, 22.4%). 82 (83.7%) children had complete recovery, whereas 5 (5.5%) children died, all due to late visit to the hospital. Conclusions: Kerosene is the most common agent in paediatric poisoning in children, followed by household compounds. It is common in 0-5 years of age group and mostly accidental in nature. Corrosives were the common agent involved in suicidal poisoning.
An Epidemiologic Study of Pediatric Poisoning; a Six-month Cross-sectional Study
Emergency (Tehran, Iran), 2016
Intentional and unintentional poisoning are among the most common reasons for referrals to emergency department (ED). Therefore, the present study was designed to evaluate epidemiologic features and effective risk factors of intentional and unintentional poisoning in children. This prospective cross-sectional study was carried out in ED of Loghman Hakim Hospital, greatest referral poison center of Iran, Tehran during March to August 2014. Demographic data, medical history, history of psychiatric disease in child, the cause of poisoning, parents' educational level, household monthly income, location of residence, history of addiction or divorce in family, and the poisoning intentionality were gathered. Data were analyzed using SPSS 18 and appropriate statistical tests based on the purpose of study. 414 participants with the mean age of 4.2 ± 3.43 years were included (57.5% male). Children in the 0-4 year(s) age range had the most frequency with 281 (67.9%) cases. 29 (7%) cases we...
Objective: Acute poisoning is considered as an important health problem leading to admission of children. Also, the epidemiologic surveillance specific for each country is necessary. Therefore, we conducted this study to obtain the epidemiological information on poisoning in Nemazee Hospital, a referral center in South of Iran. Methods: In this cross sectional study, we determined age, sex, presence of suicidal intent and poisoning incidence and causes of the children admitted to Nemazee Hospital due to poisoning from 2008 to 2013. Results: We found that 1391 out of 21940 admissions were due to poisoning with an incidence of 6.3%. Mean age of the patients was 9.34±6.11 years; 40.5% were male. Poisoning was intentional in 53.3% of cases. The most frequent causes of poisoning were drugs (54.3%), opium (7.9%), methadone (7.6%), household products (6%) and hydrocarbons (3.5%). Conclusion: According to our findings, the rate of pediatric in-patient poisoning was high. Also, drugs, opium and methadone were the most common poisonous substances.
Evaluation of poisoning cases admitted to pediatric emergency department
International Journal of Pediatrics and Adolescent Medicine, 2019
Background: Every year, more than one million children lose their lives due to preventable accidents. Poisoning is the most common among these accidents. Objective: In this study, we investigated the demographic and clinical characteristics of poisoning cases referred to the pediatric emergency department. Methods: The cases (0e18 years old) related to complaints of intoxication in the pediatric emergency department between January 1, 2017, and December 31, 2017, were examined retrospectively. Results: The study included 453 patients, with 202 (46.4%) female and 233 (53.6%) male patients. The mean age of the patients was 51.12 months. The most frequent poisoning agents were 211 (46.6%) household cleaning products and 172 (38%) drugs. When the mechanism of poisoning was examined, it was determined that 377 (83.2%) cases were accidental and 47 (10.4%) cases were suicide attempts. It was observed that 286 (45.8%) items were not in original packaging and 95% of those in original packaging were not locked. Conclusion: To avoid childhood poisoning that may have widespread and serious consequences, the poisonous products should be sold with locked covers and kept in places where children cannot reach them.
Acute poisonings among children and adolescents- results of the analysis of 401 cases
Archives of Medical Science
IntroductionAcute poisoning is a significant concern in modern pediatrics and emergency medicine, as it is the fifth leading cause of life-threatening injuries in children under 5 years of age. The aim of this study was to analyze and evaluate the overall patterns of acute poisoning among pediatric patients admitted to the Emergency Department of the Pediatric Hospital of the Medical University of Warsaw.Material and methodsThe study is a retrospective analysis of the medical records of children aged 0–18 years admitted to the emergency department due to acute poisoning from January 2020 to June 2021 (18 months).ResultsA total of 401 children aged from 1 month to 18 years old were included in the study. It was the patient’s first poisoning in the vast majority of cases. Most cases were accidental. Acute poisoning was more common among females than males. The most common route of exposure to the poisonous substance was the oral route. The overwhelming majority of patients did not req...
Cureus
Introduction: Acute pediatric poisoning poses significant morbidity and mortality to a country. This study looks at the pattern of acute pediatric poisoning in ages 0-12 years old presenting to a pediatric emergency department in a tertiary hospital in Kuala Lumpur. Method: We performed a retrospective review of acute pediatric poisoning aged 0-12 years old presenting to the pediatric emergency department of Hospital Tunku Azizah Kuala Lumpur from 1st January 2021 to 30th June 2022. Results: A total of 90 patients were included in this study. The ratio of female to male patients was 2:3. Oral ingestion was the most common route of poisoning. 73% of patients were from 0-5 years old and primarily asymptomatic. Pharmaceutical agents were the most common agent of poisoning-no mortality in this study. Conclusion: The prognosis of acute pediatric poisoning was good in the 18 months of the study period.
Clinical profile of poisoning in children: a hospital based study
International Journal of Contemporary Pediatrics, 2016
Poisoning is a common medical emergency in children. Most of the poisoning in children is accidental. Poisoning account for 1-6% of bed occupancy in children hospitals and 3.9% in pediatric intensive care unit in India. 1 According to the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF), poisoning in childhood is common because children are curious and explore their world with all their senses, most commonly by mouthing. 2 Toddlers are at increased risk due to their increased motor abilities and explorative curiosities. It is a common cause of unnatural death in children. It is the second most common cause of injury resulting in the hospitalization of children under the age of five years. 1 The most common agents involved are over-the-counter (OTC) medications, prescription medications, household products, paraffin/kerosene, pesticides, poisonous plants and animal or insect bites. 3 Unfortunately poisoning in children is becoming more common due to easy access of poison, children with temperamental and behavioural issues, increased screen media exposure, lack of adequate supervision etc. These accidents are preventable because the main reasons for such incidents are a lack of knowledge, a lack of awareness and a lack of adult supervision. The cause of paediatric poisonings varies in different age groups and hence, preventive strategies should be planned accordingly. The present research was aimed to study the ABSTRACT Background: Poisoning is a common medical emergency in children and most of the cases are accidental in nature. The objective was to study clinical profile of children presenting with poisoning to the pediatric emergency department of a tertiary care hospital in Mumbai, India. Methods: This is Prospective study conducted in a Pediatric ward over a period of 18 months after obtaining permission from institutional ethics committee. Total 50 cases fulfilling the inclusion criteria were enrolled in the study over the period of 18 months. Neonates and the children with snake, scorpion and animal envenomation were excluded. Children with allergic drug reaction or food poisoning were excluded. Descriptive analysis of the collected data was performed using SPSS v.15. Results: Fifty cases of poisoning formed 1.3% of all paediatric admissions (3700 admissions). Most of the cases were accidental (94%). There were 84 % children between 1-5 years of age with male preponderance. Kerosene oil poisoning remained the commonest (32%) accidental poisoning in this study. An interesting trend was concentrated HCL poisoning (now a common household product) as the second commonest poisoning (17.3%). This was followed by poisoning with various drugs used by adults in the house. Conclusions: Acute accidental kerosene poisoning in children is of frequent occurrence in the paediatric emergency department; and thorough knowledge about the management of each poison is essential. Most of the accidents are preventable and prompt treatment can reduce mortality and long term morbidity.
Ain Shams Journal of Forensic Medicine and Clinical Toxicology
Acute poisoning represents a major cause of morbidity and mortality among children. The pattern of incidence and risk factors for acute poisoning in children change with time and differ from country to country. Thus, specific epidemiological studies for each country are necessary for determination of the extent and characteristics of the problem, accordingly appropriate preventive measures can be taken. Aim of the study: This is an epidemiological retrospective study aimed to determine the pattern of acute poisoning in children admitted to PCC, Ain Shams University Hospitals during the year 2012. Methods: The collected data about the cases included demographic data (age, gender and residence), circumstances of poisoning (substance of exposure; place, time, mode and route of exposure and coingestion of other agents) and cases' outcome (recovery and discharge or death). Results: This study included 1,521 children; adolescents represented the most frequent age group (55.6%), followed by toddlers (21.9%). Female gender was more frequent than male (67.8% versus 32.2%). The majority of admitted pediatric cases were resident in Greater Cairo governorates. Drugs were more common cause of poisoning in the included cases than non-medicinal agents (57.1% vs 42.9%) and theophylline was the most frequent drug. Pesticides were the most frequent non-medicinal agent in all age groups, except for toddlers where chemicals (kerosene and corrosives) were the most frequent agent. Intentional poisoning was more frequent than unintentional poisoning (55.5% vs 44.5%). While unintentional poisoning occurred in all age groups, intentional poisoning (mainly suicidal) occurred exclusively in older age groups (school age group and adolescents). The house was the site of exposure to poisons in all cases. The winter was the season of greatest frequency of poisoning by pesticides, gases and drugs while the summer was the season of greatest frequency of animal, food, fish and plant poisoning as well as poisoning by chemicals. Ingestion was the most common route of exposure in all age groups (1484 cases, 97.4%) and it was the only route of exposure in infants. About 3.5% of the included cases (59 cases) were presented with co-ingestion of other substances; most of them were in the adolescent group. The percentage of mortality of the admitted cases was 2.2% (33 cases). Iatrogenic/ therapeutic poisoning had the highest mortality ratio (25%) followed by accidental poisoning (2.8%) and suicidal poisoning (1.4%). Conclusion: The greatest frequency of poisoning in children was in adolescents, followed by toddlers. Oral route was the most common route of exposure. Poisoning in children may occur unintentional (in all age group) or intentional (only in older age groups). Suicidal poisoning was the main manner of exposure in adolescents. The percentage of mortality was 2.2%. Recommendations: Appropriate injury prevention strategies, such as safe storage of medicines and cleaning supplies should be implemented. Also, more restrictive measures on the use and storage of pesticides should be taken. Further studies on the risk factors of deliberate self-poisoning in adolescents are recommended as it was found as a major manner of exposure to poisoning in this stage.
Retrospective evaluation of poisoning cases who presented to the Pediatric Emergency Unit
turkpediatriarsivi.com
Aim: Childhood poisoning is a frequently seen health problem in our country. This study aimed to determine epidemiological and clinical features of childhood poisoning in our region and guide for the necessary measures. Material and Method: In this study, epidemiological features of 233 cases who presented to the Pediatrics Emergency Unit of Kahramanmaraş Sütçü İmam University Medical Faculty between the years 2003 and 2009 were evaluated with Statistical Package for the Social Sciences (SPSS) 16.0 (IBM Company Chicago, Illinois) statistics program retrospectively. Results: The ratio of poisoning cases to all pediatric emergency admissions was 1.14%. 60.5% of these cases were male and 39.5% were female. Male/female ratio was 1.5/1. The highest rate of poisoning was observed in the 7 months-4 years of age group (73.8%). Exposure to poisoning agents occurred mostly by the gastrointestinal route (91%) and most of the agents were ingested accidentally (97%). The most common factor leading to intoxication was (54.9%) non-pharmacological agents. These included caustic-corrosive substances (25.3%), insecticides and pesticides (7.3%), carbon monoxide (CO) (6%), hydrocarbons (5.2%), rat poison (2.6%), fungi (2.6%), and herbal products (2.6%) in order of frequency. Pharmacological agents that cause intoxication were the second most common (41.2%) factor. These included antidepressants (15.5%), iron-containing medications (3%), antipsychotics (2.6%), anticholinergics (1.7%), paracetamol (1.7%), cardiovascular system drugs (1.7%), and gastrointestinal drugs (1.7%) in order of frequency. Conclusions: In our region, the most common poisoning agents were drugs and then caustic-corrosive substances. (Turk Arch Ped 2011; 46: 226-32)