Poison Centers at the Millennium and Beyond

Ep, Krenzelok

doi:10.1081/clt-100102381

Cited by 5 publications

(5 citation statements)

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“…The first was in Chicago, and subsequently centres have developed across the world. 5 In the UK, the first centres were in major teaching hospitals in the early 1960s, and a national network evolved. A policy decision was made that these centres should only serve health professionals, and between the 1960s and the 1990s the demand for telephone information to aid management of poisoning increased.…”

Section: Discussionmentioning

confidence: 99%

Five years of poisons information on the internet: the UK experience of TOXBASE

Bateman

Good

2006

Emergency Medicine Journal

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Introduction: In 1999, the UK adopted a policy of using TOXBASE, an internet service available free to registered National Health Service (NHS) departments and professionals, as the first point of information on poisoning. This was the first use worldwide of the internet for provision of clinical advice at a national level. We report the impact on database usage and NPIS telephone call loads. were hospital emergency departments (60.5% of logons) and NHS public access helplines (NHS Direct and NHS24) (29.4%). Different user groups access different parts of the database. Emergency departments access printable fact sheets for about 10% of monographs they access. Conclusion: Provision of poisons information by the internet has been successful in reducing NPIS call loads. Provision of basic poisons information by this method appears to be acceptable to different professional groups, and to be effective in reducing telephone call loads and increasing service cost effectiveness.

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Section: Discussionmentioning

confidence: 99%

Five years of poisons information on the internet: the UK experience of TOXBASE

Bateman

Good

2006

Emergency Medicine Journal

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“…Poisoning prevention needs to be broadened to include this age group. 6 Communications Technology VPIC needs to implement improved communications technology such as voice mail and telephone queuing to ensure that the service operates more efficiently and priority is given to calls about exposures in humans. Receiving a prompt response is one of the most important attributes of the service for customers.…”

Section: Interaction Between Poisons Information Centresmentioning

confidence: 99%

Victorian Poisons Information Centre‐25 Years in the Royal Children's Hospital Pharmacy Department

Hender

Kainey

2001

The Australian Journal of Hospital Pharmacy

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The Victorian Poisons Information Centre has been based in the Pharmacy Department at the Royal Children's Hospital in Melbourne for 25 years. This article outlines changes in childhood poisoning and service development, and challenges for the future. Mortality from childhood poisoning has decreased with most serious poisonings now involving medicines. Inducing emesis is no longer recommended in the treatment of poisoning. Information sources are now CD-ROM and Internet based. The Centre has developed a web site to allow users an alternative means of access. A national telephone number for poisons information centres has facilitated inclusion of the number on product labels and advertising of the service. Challenges for the future include developing a relationship with clinical toxicologists, ensuring users understand the benefits of ringing the Centre rather than accessing information on the Internet, enhancing interaction between Australian poisons information centres, and undertaking relevant research.Aust J Hosp Pharm 2001; 31: 151-3.

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“…In general, the service aims to assist the health professional in the clinical management of the intoxicated patient, supported by information contained in electronic databases of international toxicological information constantly updated and in evidence available in the specialized literature, helping to prevent/reduce damage and lower health costs in this activity area. [1][2][3][4][5][6][7] Among the cases registered in PCCs, the toxic exposures in pediatrics stand out due to their frequency. 6,7 Despite this consideration, studies with the sole objective of evaluating case series of cases of severe acute toxic exposures (SATE) in children and adolescents, including epidemiological aspects and clinical management, have not been previously described in Brazil.…”

Section: Introductionmentioning

confidence: 99%

Severe Acute Toxic Exposures in Children and Adolescents: Case Series

Anjos

Ricardi

Borrasca-Fernandes

et al. 2021

Rev. paul. pediatr.

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Objective: To describe a case series of severe acute toxic exposures (SATE) in individuals <20 years old followed-up by a regional Poison Control Center (PCC). Methods: Descriptive cross-sectional study. All patients who were <20yo and classified as score 3 (severe) and 4 (fatal) following Poisoning Severity Score were included for analysis. According to the outcome, patients were classified as PSS 3 when they developed intense clinical manifestations with risk of death or important sequelae; and as PSS 4 when death had resulted from direct cause or complication of the initial exposure. The data of patients were obtained from the Brazilian electronic database system (DATATOX). Results: During the biennium 2014-2015, Campinas PCC followed up 5,095 patients <20yo, with 30 being classified as SATE (PSS=3, n=24; PSS=4, n=6). The exposures circumstances were unintentional (15); intentional (14; suicide attempt = 11; street drugs consumption = 3); and not explained (1). The exposures were significantly more frequent in adolescents >14yo (n=17; p<0.01). The involved agents were venomous animals (8; scorpions=5); medicines (8; miscellaneous=6); chemicals (6); illegal rodenticides containing acetylcholinesterase inhibitors (chumbinho, 4); drugs of abuse (3); button battery (1). Three patients evolved with sequels (esophageal stricture post-corrosive ingestion). The median length of hospital stay was 6 days (IQR: 5-12 days); 26 patients were treated in intensive care units, and 22 of them needed mechanical ventilation; 12, inotropic/vasopressors; and 3, renal replacement therapy. Conclusions: Scorpion stings and poisonings caused by medicines and chemicals were the main causes of SATE. The SATE were significantly more frequent in adolescents, due to deliberate self-poisoning.

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Poison Centers at the Millennium and Beyond

Cited by 5 publications

References 0 publications

Five years of poisons information on the internet: the UK experience of TOXBASE

Five years of poisons information on the internet: the UK experience of TOXBASE

Victorian Poisons Information Centre‐25 Years in the Royal Children's Hospital Pharmacy Department

Severe Acute Toxic Exposures in Children and Adolescents: Case Series

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