Epidemiological study on accidental poisonings in children from northeast romania

Abstract

Accidental poisonongs are an important cause of morbidity and even mortality, especially in young children.We performed a retrospective observational study on a group of children admitted at the Regional Center of Toxicology at the Children's Emergency Hospital “St. Mary” Iasi with accidental intoxication within a period of 3 years. Data were collected from patients’ files and processed with a SPPS 18.0 database and a 95% confidence interval.During this period, 480 children were admitted with accidental intoxication. Most of them were in the age group of 1 to 2 years (120 cases—24.3%). The etiology of these intoxications was dominated by nonmedication (67%), the most frequent being household chemicals, carbon monoxide, and insecticides. Accidental drug intoxication accounted for 33% of the cases, the main drugs involved being anticonvulsants, nonsteroidal anti-inflammatory drugs, and paracetamol. The mortality caused by accidental poisoning was 0.62%, all deaths owing to nonmedication intoxication.Identifying the epidemiological and evolutionary aspects of accidental intoxications must be a major objective for the health system, given that this pathology can be at least partially avoided and its incidence and severity may be reduced using appropriate measures.

Retrospective Analysis of Demographic, Epidemiologic, and Clinical Characteristics of Poisoning Cases Followed in Pediatric Intensive Care Unit

“…Zehirlenmeler çocukluk çağı morbidite ve mortalitesinin sık görülen ve önlenebilir nedenlerinden olup, gelişmiş ülkeler de dahil olmak üzere tüm dünyada çocuk acil servislerine başvuru ve hastane yatışlarının önde gelen sebeplerindendir. 1 Amerika Birleşik Devletleri' nde 2016 yılında meydana gelen 2,16 milyon zehirlenmenin %60,3' ü 19 yaş ve altında, %46,6' sı ise 5 yaş ve altındaki çocuklarda gerçekleşmiştir. 2 Ulusal Zehir Danışma Merkezi (UZEM)' nin çalışma raporuna göre ülkemizde 2008 yılında yapılan 77.988 başvurunun 46.894' ü (%60,1) 19 yaş ve altındaki olgular için yapılmış olup, bunların da %52,8' ini 5 yaş altı çocuklar oluşturmaktadır.…”

Effectiveness of an Educational Program among Mothers on Household Poisoning in Children in the Rural Community

“…This study shows that through education and preventive measures children were safe from poisonous substances at home. Through active preventive measures such as by using child-resistant packaging for medicines and household products and giving education to the mothers reduces exposures to poisonous products as children do not have access to them (Nistor et al, 2018).`…”

“…Mothers should be cautious to place products out of children approach. Moreover, educational measures are considered necessary among mothers on household poisoning in children to keep children safe and out of reach of these products (Nistor et al, 2018). Ingestion was a most common route of poisonous substances comprising of 75.5% poisoning in children.…”

Necessity of Intensive Care Requirement in Childhood Intoxicity

“…Olgular özellikle çocuk acil servis başvurularının önemli bir kısmını oluşturmaktadır; 1,2 sadece Amerika Birleşik Devletleri'nde yılda 2,2 milyon olgunun zehirlenme nedeniyle hastaneye başvurduğu ve bu olguların yarıya yakınının altı yaş altındaki çocuklar olduğu bilinmektedir. [3][4][5] Ülkemizde ise mevcut istatistik verileri, acil servis başvurularının %0,5-1,57 arasında olduğunu bildirmektedir. 6 Ülkemiz koşullarında zehirlenme olgularına genel yaklaşım, hastaya ilk müdahalenin yapılmasının ardından, 114 Ulusal Zehir Danışma Merkezi'nin aranmasıdır.…”