Unintentional paediatric poisoning in rural <scp>V</scp>ictoria: Incidence and admission rates

Cheng, Daryl R; Ip, Christopher Chi Kit

doi:10.1111/j.1440-1584.2012.01316.x

Cited by 5 publications

(6 citation statements)

References 12 publications

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“…All cases under the age of 6 years were due to accidental poisoning. This is consistent with both developed and developing countries that younger children are over- represented in acute accidental poisoning [ 3 , 5 , 11 ]. This is due to younger children being more inquisitive and exploratory in nature compounded by their newly acquired hand skills and mobility and increased the tendency to mouth objects [ 15 , 30 ].…”

Section: Discussionsupporting

confidence: 88%

“…This differs from previously reported studies in the South Asian region from Sri Lanka, India, Pakistan in which kerosene was the most frequently ingested agent amongst a paediatric population [ 5 , 8 , 11 , 15 , 19 ]. This also differs from developed countries, whereby pharmaceuticals are the most common cause of paediatric poisoning hospital presentations [ 3 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…In developing countries, household products contribute to the majority of paediatric poisoning hospital presentations. In contrast, pharmaceuticals more commonly result in hospital presentations in developed countries [ 3 , 7 – 11 ]. Some studies have shown that hospital admission rates for unintentional poisonings are higher in rural compared to urban areas [ 4 , 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Paediatric poisoning in rural Sri Lanka: an epidemiological study

et al. 2018

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BackgroundAcute paediatric poisoning is a common public health concern for both developed and developing countries. The type of agent and underlying cause differ depending on the social, cultural, economic and educational background. The objectives of this study were to identify the incidence and pattern of paediatric poisoning in a rural district in Sri Lanka and establish whether tertiary referral hospital data are a useful surrogate for estimating district level epidemiology of paediatric poisoning.MethodsA subset of epidemiological data were obtained from March 2011 to February 2013 from a randomized controlled trial (SLCTR/2010/008) conducted in 45 hospitals in Kurunegala district.ResultsThe age adjusted annual incidence of all cause of acute poisoning in children aged 1 to 12 years in the study area was 60.4 per 100,000. The incidence of poisoning of younger age group (1 to 6 years; 76 per 100,000) was significantly higher than older age group (7 to 12 years; 41 per 100,000) (p = 0.0001) in Kurunegala district. The annual incidence rate of paediatric admissions due to deliberate self-poisoning is 18 per 100,000 population. This study also established that admission data from primary hospitals provided the most accurate epidemiological information on paediatric poisoning.ConclusionsIn rural districts of Sri Lanka, acute paediatric poisoning cases were less frequent and less severe compared to adult poisoning cases (426–446 per 100,000 population). The incidence of poisoning was significantly higher among young children with compared to old children. In this study, deliberate self-poisoning among older children was more frequently seen than in other comparable countries. Because most of the admissions are directed to and managed by primary hospitals, data from referral hospitals alone cannot be used to represent the true incidence of acute poisoning within a district. The data set from all the primary hospitals (n = 44) yielded more accurate poisoning incidence amongst a paediatric population.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Paediatric poisoning in rural Sri Lanka: an epidemiological study

et al. 2018

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“…Broadly, higher poisoning hospitalisations in remote areas may suggest more children are being poisoned, but also that children presenting to rural hospitals are more likely to be admitted4 16 for reasons including distance from facilities, limited specialist services and delayed diagnostic tests 23 32. Differences in poisoning agents by geographical region may also contribute.…”

Section: Discussionmentioning

confidence: 99%

Demographic and clinical characteristics of hospitalised unintentional poisoning in Aboriginal and non-Aboriginal preschool children in New South Wales, Australia: a population data linkage study

et al. 2019

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ObjectivesTo investigate differences in demographic and clinical characteristics of Aboriginal and non-Aboriginal children aged 0–4 years hospitalised for unintentional poisoning in New South Wales (NSW), Australia.Design and settingRetrospective whole-of-population cohort analysis of linked hospital and mortality data for 2000–2014.ParticipantsAll children (Aboriginal and non-Aboriginal) under the age of 5 years who were born in a hospital in NSW from 2000 to 2009.OutcomesThe primary outcome was hospitalisation for unintentional poisoning. Logistic regression was used to estimate odds of poisoning hospitalisation for Aboriginal and non-Aboriginal children. Poisoning agents and clinical outcomes were compared by Aboriginality.ResultsThe cohort included 767 119 children, including 28 528 (3.7%) Aboriginal children. Aboriginal children had approximately three times higher rates of hospitalised poisoning (1.34%) compared with non-Aboriginal children (0.41%). Poisoning incidence peaked at 2–3 years of age. Male sex, socioeconomic disadvantage and geographical remoteness were associated with higher odds of poisoning hospitalisation for Aboriginal and non-Aboriginal children, but associations with disadvantage and remoteness were statistically significant only for non-Aboriginal children. Most (83%) poisonings were caused by pharmaceutical agents. Few Aboriginal and non-Aboriginal children had repeat admissions for poisoning; most had a length of stay of 1 day or less. Only 8% of poisoning admissions involved contact with a social worker.ConclusionCommonly used medications in the general population contribute to poisonings among both Aboriginal and non-Aboriginal preschool-aged children. This study highlights a need to develop culturally safe poisoning prevention strategies and policies.

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“…It has been reported that the death rate from poisoning in children and adolescents under 20 years old is about 1.8/100,000 worldwide. So, one of the most common emergencies in childhood is toxic emergencies [1] [2] [3].…”

Section: Introductionmentioning

confidence: 99%

Childhood Poisoning Cases Admitted to Zagazig University Hospitals during the Year 2018: A Retrospective Study

Mahmoud¹

2019

ODEM

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Background: Childhood poisoning is considered major socioeconomic and public health problem as there are thousands of children admitted to the emergency departments and millions of calls are made to poison control centers every year. Aim of the Work: Determine the prevalence and pattern of childhood poisoning cases admitted to Zagazig University hospitals. Subjects and Methods: This is a retrospective study on children < 18 years old presented to Zagazig University hospital emergency department. The study was done from the beginning of January 2018 to the end of December 2018 on total of 624 cases with acute poisoning. All required epidemiological and clinical data were collected and analyzed. Results: A total of 624 childhood poisoning cases, more males than females (55.3% versus 44.7% respectively), and more in age group of 3 -6 years old (40.86%), more in rural than urban communities (65.06% against 34.94% respectively). Oral exposure was the most against other routes (84.94%). Most cases were unintentional (92.8%). The prevalence of childhood poisoning in descending order was; compound therapeutic medications (32.69%) followed by pesticides (26.92%) then corrosives (17.31%), while volatile hydrocarbons (benzene or kerosene) accounted for (15.38%) and carbon monoxide (3.85%) and others (3.85%). Overall, minor cases were the commonest (63%) while only 3.8% of cases were severe. About 88.94% of cases were discharged after completed management while death rate was 0.96%. Conclusion: Most childhood poisoning cases were males, accidentally, mainly by oral route and in rural areas, most commonly in age group of 3 -6 years. Most cases were due to therapeutic medications then pesticide exposures. Most of cases were completely cured.

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Unintentional paediatric poisoning in rural Victoria: Incidence and admission rates

Abstract: Although rates of paediatric poisoning seem to be lower in this particular rural setting, admission rates continue to be significantly higher than comparative urban figures. Further research and education is needed to gain a better understanding of this important public health topic.

Cited by 5 publications

References 12 publications

Paediatric poisoning in rural Sri Lanka: an epidemiological study

Paediatric poisoning in rural Sri Lanka: an epidemiological study

Demographic and clinical characteristics of hospitalised unintentional poisoning in Aboriginal and non-Aboriginal preschool children in New South Wales, Australia: a population data linkage study

Childhood Poisoning Cases Admitted to Zagazig University Hospitals during the Year 2018: A Retrospective Study

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