Poisonings requiring admission to the pediatric intensive care unit: A 5-year review

Even, Katelyn; Armsby, C. C.; Bateman, Scot T.

doi:10.3109/15563650.2014.909601

Cited by 65 publications

(82 citation statements)

References 13 publications

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“…These findings agree with those of previous studies that reported significant associations between male gender and unintentional poisoning and female gender and intentional poisoning. 7,14–18 Higher rate of self-harm in adolescent females was reported by previous studies and it was explained by higher tendency of internalizing emotional and behavioral problems in female adolescents. 19,20 Moreover, previous studies on gender differences in suicide attempts report that females tend to use non-violent methods such as asphyxia by carbon monoxide poisoning, drug toxicity, and alcohol toxicity while males tend to use more violent methods like firearms or jumping from a height.…”

Section: Discussionmentioning

confidence: 81%

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Epidemiology of acute poisoning in children presenting to the poisoning treatment center at Ain Shams University in Cairo, Egypt, 2009–2013

Azab

Hirshon

Hayes

et al. 2015

Clinical Toxicology

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Introduction Pediatric poisonings represent a major and preventable cause of morbidity and mortality throughout the world. Epidemiologic information about poisoning among children in many lower- and middle-income countries is scarce. This study describes the epidemiology of acute poisonings in children presenting to Ain Shams University's Poisoning Treatment Center (ASU-PTC) in Cairo and determines the causative agents and characteristics of acute poisoning in several pediatric age groups. Methods This retrospective study involved acutely poisoned patients, 0 to 18 years of age, who presented to the ASU-PTC between 1/1/2009 and 12/31/2013. Data were extracted from electronic records maintained by the ASU-PTC. Collected data included demographics, substance of exposure, circumstances of the poisoning, patient disposition, and outcome. Results During the 5-year study period, 38,470 patients meeting our criteria were treated by the ASU-PTC; 19,987 (52%) were younger than 6 years of age; 4,196 (11%) were 6 to 12 years; and 14,287 (37%) were >12 years. Unintentional poisoning accounted for 68.5% of the ingestions, though among adolescents 84.1% of ingestions were with self-harm intent. In all age groups, the most frequent causative drugs were non-opioid analgesics, antipyretics, and antirheumatics. The most common nonpharmaceutical agents were corrosives in preschool children and pesticides in adolescents. Most patients had no/minor effects (29,174 [75.8%]); hospitalization rates were highest among adolescents. There were 119 deaths (case fatality rate of 0.3), primarily from pesticide ingestion. Conclusion Poisoning in preschool children is mainly unintentional and commonly due to nonpharmaceutical agents while poisoning in adolescents is mainly intentional (self-harm). Pesticides, mainly organophosphorous compounds and carbamates, were the most frequent agent leading to morbidity and mortality.

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Section: Discussionmentioning

confidence: 81%

“…These findings are consistent with the results of previous epidemiologic studies on pediatric poisoning, which found a bimodal age distribution of poisoning, with a high incidence among toddlers and a second peak during adolescence. 6–14 …”

Section: Discussionmentioning

confidence: 99%

Epidemiology of acute poisoning in children presenting to the poisoning treatment center at Ain Shams University in Cairo, Egypt, 2009–2013

Azab

Hirshon

Hayes

et al. 2015

Clinical Toxicology

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“…[11] Childhood poisoning exposures are almost always accidental. [14] Deliberate poisoning in children is unlikely to be reported to poison centres. A more accurate estimate of the prevalence of intentional poisoning in infants would be obtained from hospital admissions, as well as those from primary healthcare facilities.…”

Section: Discussionmentioning

confidence: 99%

A 3-year survey of acute poisoning exposures in infants reported in telephone calls made to the Tygerberg Poison Information Centre, South Africa

Marks

Hoving

2016

S Afr J CH

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“…Even ve ark. (37) zehirlenme olgusunun % 8'inin çocuk yoğun bakımda izlendiğini, bunlardan yalnızca birinin kaybedildiğini gözlemişlerdir. Yılmaz (9) % 0,4, Öntürk (10) % 0,6, Genç (15) % 0,7, Özdemir (30) % 0,9 mortalite bildirmişlerdir.…”

Section: Discussionunclassified

Update glance on childhood intoxication

Türkmenoğlu¹,

Akşahin²,

Saritaş³

et al. 2015

Okmeydani Medical Journal

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GİRİŞZehirlenme vücuda zararlı olabilecek maddelerin ağız, solunum, damar yolu veya cilt gibi yollardan alınmasıdır (1) . Aşılar ve gelişmiş medikal tedavilerle infeksiyonların azalmasından sonra zehirlenmeler çocukluk çağında kazalar ve tümöral hastalıklarla beraber en önemli mortalite nedenlerini oluşturmak-tadır. Acil başvurularda trafik kazaları, düşme ve yanıklardan sonra zehirlenmeler çocukluk çağı kazaları

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Poisonings requiring admission to the pediatric intensive care unit: A 5-year review

Cited by 65 publications

References 13 publications

Epidemiology of acute poisoning in children presenting to the poisoning treatment center at Ain Shams University in Cairo, Egypt, 2009–2013

Epidemiology of acute poisoning in children presenting to the poisoning treatment center at Ain Shams University in Cairo, Egypt, 2009–2013

A 3-year survey of acute poisoning exposures in infants reported in telephone calls made to the Tygerberg Poison Information Centre, South Africa

Update glance on childhood intoxication

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