Epidemiological profile and outcome of pediatric poisoning: a prospective observational study from a tertiary care center

Reddy, A Bhaskar; Reddy, K. Venkataramana; Soren, Chapay; Eluzai, Zion; Srikanth, Manam Mani

doi:10.18203/2349-3291.ijcp20181522

Cited by 4 publications

(4 citation statements)

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“…Eighty percent of the cases were of accidental nature in our study which matches with the studies done by Reddy et al and Sahin et al [11,12] Twenty percent cases were not of accidental nature. They were either intentional or homicidal in nature.…”

Section: Discussionsupporting

confidence: 91%

“…[2] Similar results were obtained in a study conducted by Reddy et al, where 53.1% were male. [11] However, the study conducted by Sahin et al reported that the majority were female (51.6%). [12] It is difficult to interpret which gender is vulnerable in the Indian context with changing socioeconomic scenario, the gender gap in poisoning may not be significant.…”

Section: Discussionmentioning

confidence: 99%

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Poisoning in Children – A Study from Tertiary Care General Hospital

Reddy¹,

Kishor²,

Manjunath³

2021

JMSH

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The World Health Organization considers poisoning among the leading cause of morbidity and mortality. Poisoning in India is among the highest in the world. Childhood poisoning ranges 0.33-7.6%. Most commonly observed among the children in the age group of 1-5 years. The mortality rate due to poisoning is 3-5%. Accidental exposure is considered the most common reason for poisoning. However, there is a scarcity of studies in India which explores the nature of poisoning in children. A retrospective registerbased study was carried out in a tertiary care urban hospital. Information about children who were admitted in the Pediatric Intensive Care Unit of tertiary care hospital, between the time periods of December 2016 and December 2018 with a history of poison consumption was included in the study. Seventy-six children were admitted for poisoning; the majorities were of the male gender. Almost half of them were <2 years. The common compound implicated in poisoning was thinner, a solvent used for paints. Majority were recorded as accidental exposure. Some were suspected to be of intentional nature. Poisoning in Indian children is an area of concern. Most of the studies among children are on accidental poisoning. Intentional poisoning is not reported. This study highlight, the need for comprehensive assessment involving pediatricians, psychiatrists, and forensic medicine experts for prevention and management of childhood poisoning and the need for more research, especially in relation to intentional poisoning.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Poisoning in Children – A Study from Tertiary Care General Hospital

Reddy¹,

Kishor²,

Manjunath³

2021

JMSH

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“…Similar to our study, studies by Aggarwal et al and Manikyamba et al showed the incidence of acute poisoning among the paediatric population in tertiary care centres as 2.1% and 2.8%, respectively [9,15]. Also, the proportion of children who needed PICU admission was similar to the studies by Reddy et al and Selvakumar et al [16,17].…”

Section: Discussionsupporting

confidence: 91%

A Study on the Profile of Poisoning in the Paediatric Population in a Tertiary Care Teaching Hospital of Chitradurga Region

Shreekrishna¹,

Singi²,

Chandan³

et al. 2022

Cureus

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BackgroundMost poisoning events among children are preventable and the major reason is lack of supervision by adults, including poor knowledge and attitude toward storage of such items. So, the prevention policy on children's poisoning shall take into account the age group, gender, socioeconomic status, residence, and other aspects such as the knowledge and attitude of adults. The present study was conducted to describe the profile of poisoning in the paediatric population in a tertiary care teaching hospital. MethodsOur observational study was retrospective and was conducted at Basaveshwara Medical College and Hospital (BMCH), Chitradurga, Karnataka, under the Department of Forensic Medicine for a duration of three months (February 2021 to April 2021). Institutional ethical approval was obtained prior to the start of the study. As our study participants were paediatric patients (0-17 years) with acute poisoning (excluding homeopathic drug ingestion), a total of 81 paediatric patients' case sheets were finally reviewed and analysed. The data of paediatric poisoning cases were collected in a predesigned study proforma and included details about children's age (in years), gender (male, female), residence (rural, urban), outcome (death, discharge), nature of poisoning (accidental, suicidal), and toxic agents in poisoning. The collected data were entered and analysed in the Microsoft Excel spreadsheet (Microsoft Corporation, Redmond, WA). ResultsThe incidence of acute poisoning among the paediatric population in our teaching hospital was 1.4%. The most common age group with acute poisoning was 13-17 years (30.9%). The prevalence of acute poisoning was higher in male children (56.8%) when compared to female children (43.2%). Around three-fourths of paediatric cases (71.6%) with acute poisoning were having a rural residence. The overall mortality rate among children due to acute poisoning was 9.9%. The most common toxic agents involved in acute poisoning among children were organophosphate compounds (35.8%), followed by organochlorine compounds (30.9%) and pyrethrum compounds (11.1%). ConclusionFrom this study, we concluded that acute poisoning among children is mainly accidental, and the most common toxic agent responsible for the poisoning is pesticide or insecticide. Most poisoning events among children are preventable, and the major reason is a lack of supervision by adults, including poor knowledge and attitude toward storage of such items.

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“…The contribution of acute poisoning cases to total admissions PICU is comparable to earlier studies conducted in various part of India. 6,13,14 The lower figures also have been reported. 5,15,16 They may be due to taking total pediatric admissions as denominator.…”

Section: Discussionmentioning

confidence: 71%

Pattern and outcome of poisoning in children: A study from a rural teaching hospital, Western Maharashtra, India

Poyekar

2022

Pediatric Oncall

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Background: Acute poisoning is a common cause for morbidity and mortality in children. The profile and outcome in children with acute poisoning depend a lot on the socioeconomic status, cultural practices, parental education status, and availability of health care. The present study was aimed to analyze the pattern and outcome of pediatric poisoning in rural area.Methodology: This is a retrospective study conducted over a period of twenty-four months in a rural hospital attached to medical college. Results:The poisoning constituted 4.7% of total admissions in Pediatric Intensive Care Unit (PICU). Male: Female ratio was 1.33. 98(87.5%) of children were less than 5 years of age. Organophosphorus compounds were most commonly (n=55, 49.1%), responsible for poisoning, followed by kerosene (n=20, 17.9%). Thirty percent children had short stay in hospital i.e., less than 48 hours. Overall survival rate noted in the study was 91% (n=103). Conclusion:Poisoning in Pediatric age contributes to significant number of admissions to Pediatric Intensive Care Unit in rural area. Insecticide/Pesticides, Kerosene, and plants were leading causes of poisoning.

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Epidemiological profile and outcome of pediatric poisoning: a prospective observational study from a tertiary care center

Cited by 4 publications

References 5 publications

Poisoning in Children – A Study from Tertiary Care General Hospital

Poisoning in Children – A Study from Tertiary Care General Hospital

A Study on the Profile of Poisoning in the Paediatric Population in a Tertiary Care Teaching Hospital of Chitradurga Region

Pattern and outcome of poisoning in children: A study from a rural teaching hospital, Western Maharashtra, India

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