Methods Data on children hospitalized due to intoxication were retrieved from hospital medical records. Children were classified into 4 age groups: 0-5, 6-9, 10-13, and 14-18 years, and their sex and type of intoxication were recorded. For children with alcohol intoxication, data on time of intoxication, reason for drinking, presence of injuries or suspected suicide attempts, and possible presence of other drugs in the organism were collected.Results Out of 29 506 hospitalized children, 594 were hospitalized due to intoxications. Out of these, 239 (40.2%) were hospitalized due to intoxication by alcohol. More boys than girls were hospitalized (71.1%). The proportion of alcohol intoxication cases among all types of intoxication cases increased from 16.7% in 1997/98 to 66.3% in 2006/07. The proportion of patients hospitalized due to alcohol intoxication increased from 0.3% of all hospitalized children in the first year to 1.7% in the last year of the study (P = 0.015, z test for comparison of two proportions). Eighty two per cent of alcohol intoxication cases were in the 14-18 age-group. The number of alcohol intoxication cases increased among girls from 1 case (6.3% of all intoxication cases among girls) in 1997/98 to 15 cases (45.5%) in 2006/07, while among boys it increased from 6 cases (23.1% of all intoxicated boys) in 1997/98 to 44 cases (78.6%) in 2006/07. Children usually drank outside their homes (79.4%) and mostly on weekends and holidays (73.2%).
ConclusionThe alarming increase in the number of hospitalizations due to alcohol intoxication in children, especially among girls and in the adolescent age group, represents a serious problem, which requires further attention and research. Clinical intoxication is a condition characterized by sudden or gradual threat to one or more organic systems due to contact with poison (1). Acute intoxications are often urgent situations that require a specific medical procedure. The first signs of acute alcohol intoxication in terms of behavior changes appear when the concentration of ethanol in serum reaches approximately 0.5‰ (1). When the concentration rises to 2.5‰, mydriasis, diplopia, ataxia, hypothermia, nausea, and vomiting appear (1). Concentration over 4.5‰ can lead to disorders of consciousness (sopor to coma), as well as to death due to respiratory insufficiency. Hypothermia often coexists with the described symptoms (1). The development of chronic alcoholism in adults lasts 5-10 years (2). Therefore, the term "alcoholism" cannot be applied to children, but we rather use the term "problems with alcohol. " The term includes all children who have social, psychological, or legal problems due to acute intoxication or regular excessive alcohol abuse or dependence (2).Alcohol intoxication is a growing phenomenon all over the world, which develops independently of the political, economical, social, and health care situation in the country. Thus, alcoholism is a serious problem in many countries, such as the United States (3-6), Scandinavian countries (7,8), Switzerla...