Predictors of Clinical Decision Rule in Hydrocarbon Intoxicated Cases Admitted to Poison Control Center Ain Shams University Hospitals  during 2015-2016

Tawfik, Hany; Hafiz, Rabab

doi:10.21608/ajfm.2017.18313

Cited by 2 publications

(4 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was previously reported by Lang et al, (2008). The present study did not record any intentional ingestions of kerosene in contrast with previous Egyptian studies made by Madboly and Elgendy, (2014) and Tawfik and Hafiz (2017).…”

Section: Discussioncontrasting

confidence: 95%

“…Only three cases of ICU admitted cases died representing 1.9 %. This was in accordance with the study of Lang et al, (2008) who recorded a mortality rate of 2%, and the Egyptian study of Tawfik and Hafiz (2017) with a percent of mortality of 1.5% in hydrocarbon poisoned cases. In the majority of cases, the doses of toxic agents ingested in accidental pediatric poisoning are not high enough to lead to fatalities (Malangu et al, 2005).…”

Section: Discussionsupporting

confidence: 92%

“…This was in accordance with Lifshitz et al, (2003) who reported that children treated in the intensive care unit (ICU) aged 1 to 3 years. Additionally, Tawfik and Hafiz (2017) recorded that the highest percent of hydrocarbon deaths were in the age group (>2 -≤ 3years).…”

Section: Discussionmentioning

confidence: 99%

“…Gastrointestinal involvement is manifested by vomiting, abdominal pain and diarrhea is attributed to mucosal irritation (Shotar, 2005). Systemic effects include cardiac arrhythmia and central nervous system (CNS) depression (Tawfik and Hafiz, 2017). Standard treatment for acute accidental hydrocarbon poisoning includes resuscitation, removal of all contaminated clothing, decontamination of exposed skin with soap and water.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of cases of kerosene poisoning: A 3-year prospective study at Menoufia University Hospitals

Slima

Ragab

Abdalgeleel

2021

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

View full text Add to dashboard Cite

Background: kerosene is a common cause of childhood poisoning specially in low and middleincome countries. Complications are primarily related to pulmonary aspiration which is a significant contributor to Intensive Care Unit (ICU) admission. Objectives: To study the clinical profile of kerosene poisoning in children presented to Menoufia Poison Control Centre and to identify patients who need ICU admission. Methods: a prospective study including children presented to Menoufia Poison Control Center with acute kerosene poisoning during the period of three years from 2018 to 2020. Results: During the study period, a total number of 154 children were admitted. Male children were 56.5% and females represent 43.5%. More than half of cases (52.6%) were less than 3 years. The majority of cases were from rural areas (76.6%). All cases were exposed to kerosene orally and 24.9% had combined oral and dermal exposure. ICU admitted cases had longer period of hospitalization and presented mainly by tachypnea, hypoxemia and chest retractions. Conclusion:Respiratory system is mainly affected in kerosene poisoning. Patients presenting with respiratory distress, moderate or severe grades of PSS, hypoxemia on presentation should be admitted to the ICU. Community education is necessary to reduce this preventable poisoning in children.

show abstract

Section: Discussioncontrasting

confidence: 95%

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of cases of kerosene poisoning: A 3-year prospective study at Menoufia University Hospitals

Slima

Ragab

Abdalgeleel

2021

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

View full text Add to dashboard Cite

show abstract

Initial clinical and laboratory parameters triaging non-pharmaceutical acute pediatric poisoned patients for potential adverse outcomes: a three-year retrospective study

El-Sarnagawy

Ghonem

Helal

2023

Toxicology Research

View full text Add to dashboard Cite

Identifying high-risk pediatric patients with non-pharmaceutical poisoning is crucial to avoid prospective complications and decrease the evident hospital economic burden. Although the preventive strategies have been well studied, determining the early predictors for poor outcomes remains limited. Therefore, this study focused on the initial clinical and laboratory parameters as a triage of non-pharmaceutical poisoned children for potential adverse outcomes taking the causative substance effects into account. This retrospective cohort study included pediatric patients admitted to Tanta University Poison Control Center from January 2018 to December 2020. Sociodemographic, toxicological, clinical, and laboratory data were retrieved from the patient’s files. Adverse outcomes were categorized into mortality, complications, and intensive care unit (ICU) admission. Out of enrolled 1,234 pediatric patients, preschool children constituted the highest percentage of the patients investigated (45.06%), with a female predominance (53.2%). The main non-pharmaceutical agents included pesticides (62.6%), corrosives (19%), and hydrocarbons (8.8%), mainly associated with adverse consequences. The significant determinants for adverse outcomes were pulse, respiratory rate, serum bicarbonate (HCO3), Glasgow Coma Scale, O2 saturation, Poisoning Severity Score (PSS), white blood cells (WBCs), and random blood sugar. The cutoffs of serum HCO3 < 17.55 mmol/l, WBCs >8,650 cells/microliter, and PSS > 2 points were the best discriminators for mortality, complications, and ICU admission, respectively. Thus, monitoring these predictors is essential to prioritize and triage pediatric patients who require high-quality care and follow-up, particularly in aluminum phosphide, sulfuric acid, and benzene intoxications.

show abstract

Predictors of Clinical Decision Rule in Hydrocarbon Intoxicated Cases Admitted to Poison Control Center Ain Shams University Hospitals during 2015-2016

Cited by 2 publications

References 15 publications

Evaluation of cases of kerosene poisoning: A 3-year prospective study at Menoufia University Hospitals

Evaluation of cases of kerosene poisoning: A 3-year prospective study at Menoufia University Hospitals

Initial clinical and laboratory parameters triaging non-pharmaceutical acute pediatric poisoned patients for potential adverse outcomes: a three-year retrospective study

Contact Info

Product

Resources

About