Alcohol-based hand sanitizer exposures and effects on young children in the U.S. during the COVID-19 pandemic

McCulley, Lynda; Cheng, Carmen; Mentari, Evelyn; Diak, Ida-Lina; Michele, Theresa

doi:10.1080/15563650.2020.1811298

Cited by 21 publications

(18 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Alcohol-based hand sanitizers, disinfectants containing bleach, disinfectants containing a biocide other than bleach, and essential oils were the sentinel categories with the largest increases. For the first three sentinel categories, a similar increase was observed in the United States [7,18].…”

Section: Discussionsupporting

confidence: 66%

Poisoning during the COVID-19 outbreak and lockdown: retrospective analysis of exposures reported to French poison control centres

Roux

Sinno‐Tellier

Puskarczyk³

et al. 2021

Clinical Toxicology

View full text Add to dashboard Cite

Introduction: The aim was to assess the impact of the COVID-19 pandemic on French Poison Control Centre (PCC) call characteristics. Methods: Reported cases of xenobiotic exposures from 1 March to 30 April in 2018, 2019, and 2020 were extracted from the French National Database of Poisonings. The collected data included call, patient, and exposure characteristics for both general calls and for calls involving sentinel xenobiotic categories related to the COVID-19 pandemic. The 2020 exposures were compared to 2018-2019 exposures by using simple logistic models in order to provide effect size with odds ratios. Results: From March to April 2020, 32,182 exposures were reported to French PCCs with an overall increase of 5.6% compared to exposures in the same time frame in 2018-2019. A similar increase in calls was observed in non-epidemic and epidemic COVID-19 areas with an increase in calls from the public (þ13.6%) while calls from health-professionals decreased (À7.5%). Despite the increase in exposures, the incidence of symptomatic exposures remained stable (À0.4%) with a decrease in severity (moderate/severe À17.2%). A significant increase in exposures to home cleaning products containing biocides, essential oils, and alcohol-based hand sanitizers (odds ratio >1.3, p < .0001) was observed. Discussion and conclusion: The COVID-19 pandemic altered calls to French PCCs with a small increase in calls during the study period and changes in the pattern of exposure. These changes possibly reflected the indirect consequences of the COVID-19 pandemic i.e., limited access to primary care, fear of contracting COVID-19 and anxiety related to home isolation.

show abstract

Section: Discussionsupporting

confidence: 66%

Poisoning during the COVID-19 outbreak and lockdown: retrospective analysis of exposures reported to French poison control centres

Roux

Sinno‐Tellier

Puskarczyk³

et al. 2021

Clinical Toxicology

View full text Add to dashboard Cite

show abstract

“…7 Hand sanitizers have become the newly recognized ingested material during the pandemic. 13 Patider et al have reported a 5-year-old child presenting with ataxia after ingestion of ethyl alcohol-based sanitizer. 14…”

Section: Discussionmentioning

confidence: 99%

Effect of COVID-19 Pandemic On Accidental Ingestions In Children: Observational Study

Sadeq

Husain

Almutawa

et al. 2021

Preprint

View full text Add to dashboard Cite

BackgroundCoronavirus disease-19 (COVID-19) was declared by the World Health Organization (WHO) as a global pandemic on March 2020. Several measures have been attempted to contain the spread of the virus including school closures and lockdown. These measures have resulted in children staying at home with potential hazard exposure such as accidental drug or foreign body ingestions. In this study, we want to investigate the impact of COVID-19-related measures on admissions of children with accidental foreign body or drug ingestion. Methods All accidental ingestion admissions to pediatric wards at Al-Amiri hospital during the pandemic from March 2020 till February 2021 were retrospectively reviewed. They were compared with admission data from the pre-pandemic period from March 2019 till February 2020. Results There were 90 admission with accidental ingestion during the Pandemic compared to 138 admissions in the pre pandemic period. The mean age of admission during non-COVID-19 period was 3.9 ± 2.6 years, and 4.1 ± 2.9 years during pandemic period. The most common cause of accidental ingestion in children in both periods was medication ingestion. Coin ingestion was the second common cause during the pandemic compared to detergent in the pre-pandemic period. ConclusionsDespite children’s stay at home during COVID-19 pandemic, there was a reduction in hospitalization with accidental ingestion. This emphasizes the significance of family availability and constant observation of children at home as an important safety measure.

show abstract

“…Accidental ingestion at a residential setting has been the primary exposure route in a large number of US children (<5 years), though with minor/minimal medical consequences (McCulley et al 2021). The reported cases of hand sanitizer exposure in 2020 from children (<12 years age) alone (24,802) surpass the annual average of total cases (>21,000) over the years between 2012 and 2019 (Fig.…”

Section: Hand Sanitizer Associated Toxicity and Health Hazardsmentioning

confidence: 99%

Unravelling the Enigma of Hand Sanitizer In COVID-19 – A Bibliometric Analysis of Related Publications Over the Year

Samuel

Babu

Arjunan

et al. 2021

Preprint

View full text Add to dashboard Cite

Alcohol-based sand sanitizers (ABHSs) are effective in controlling the spread of COVID-19 and has been integrated to our daily life since the onset of the outbreak. However, the sudden and unprecedented global induction of ABHSs has not been smooth, as conflicting reports continued to pour into the public domain, not all for good reason. This review, therefore, attempts to identify the emerging aspects of ABHSs in the era of COVID-19. Articles indexed in Scopus and PubMed on “hand sanitizer” published between January 2020 and February 2021, were screened based on PRISMA guidelines, and classified into different thematic groups. Selected articles on hand sanitizers (101) primarily echo “health hazard” (40, 39.6%) associated with accidental/intentional exposure, methanol toxicity, or occupational irritant contact dermatitis. Articles on “formulations” (23, 22.8%) and “efficacy” (18, 17.8%) mainly refer to alcoholic preparations, though a small subset of formulations has been actually been tested against SARS-Cov-2. Articles on semi-alcoholic, non-alcoholic, or even ayurvedic preparations have been implicated without a standardized efficacy report. Quality concern (12, 11.9%), and shortage (8, 7.9%) have also been reflected in publications during the pandemic. However, this representation is somewhat overinflated given that 28% of total articles are of review, editorial, letters, and not actual case studies. Many potential studies designed in the pandemic might not have reached to publication stage. However, the implication from existing studies on the use of ABHSs can still be useful to build better public awareness, and prioritize interventional strategies among stakeholders.

show abstract

Alcohol-based hand sanitizer exposures and effects on young children in the U.S. during the COVID-19 pandemic

Cited by 21 publications

References 4 publications

Poisoning during the COVID-19 outbreak and lockdown: retrospective analysis of exposures reported to French poison control centres

Poisoning during the COVID-19 outbreak and lockdown: retrospective analysis of exposures reported to French poison control centres

Effect of COVID-19 Pandemic On Accidental Ingestions In Children: Observational Study

Unravelling the Enigma of Hand Sanitizer In COVID-19 – A Bibliometric Analysis of Related Publications Over the Year

Contact Info

Product

Resources

About