A retrospective study on non-drug related poisoning in the community among children from south India

Adhikari, Debasis Das; Das, Saibal; A, Blessed Winston; Vazhudhi, Kaysina; Kumar, Ajay; Fx, Margaret Shanthi; Agarwal, Indira

doi:10.1080/21548331.2017.1303326

Cited by 10 publications

(6 citation statements)

References 13 publications

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“…In a study conducted by das Adhikari et al, 62.79% were male. [2] Similar results were obtained in a study conducted by Reddy et al, where 53.1% were male. [11] However, the study conducted by Sahin et al reported that the majority were female (51.6%).…”

Section: Discussionsupporting

confidence: 85%

“…Similar distribution was also seen in a study conducted by Das Adhikari et al, where 77.42% of children were below the age of 5 years, which seem to be in line with the study done by Reddy et al, where 70.4% were within the age group of <5 years. [2] The study conducted by Agarwal et al also reiterated this point with the majority of children belonging to 1-3year age group. [3] Hence, children younger than 5 years in India are vulnerable age for poisoning.…”

Section: Discussionmentioning

confidence: 90%

“…Around one-fourth of the accidental deaths among the age group 1-15 years are due to poisoning. [2] Poisoning most commonly occurs between the ages of 1 and 5 years. During the 1 st year of life, medications given by the parents are the common cause of poisoning.…”

Section: Introductionmentioning

confidence: 99%

“…With increasing urbanization and rapid socioeconomic development in India during the last decade, change in pediatric poisoning profile and outcome is to be expected. [2] Apart from accidental poisoning, intentional poisoning is also another area of concern in children. A study done by Spiller et al concluded that incidence and rates of suicide attempts in…”

Section: Introductionmentioning

confidence: 99%

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Poisoning in Children – A Study from Tertiary Care General Hospital

Reddy¹,

Kishor²,

Manjunath³

2021

JMSH

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The World Health Organization considers poisoning among the leading cause of morbidity and mortality. Poisoning in India is among the highest in the world. Childhood poisoning ranges 0.33-7.6%. Most commonly observed among the children in the age group of 1-5 years. The mortality rate due to poisoning is 3-5%. Accidental exposure is considered the most common reason for poisoning. However, there is a scarcity of studies in India which explores the nature of poisoning in children. A retrospective registerbased study was carried out in a tertiary care urban hospital. Information about children who were admitted in the Pediatric Intensive Care Unit of tertiary care hospital, between the time periods of December 2016 and December 2018 with a history of poison consumption was included in the study. Seventy-six children were admitted for poisoning; the majorities were of the male gender. Almost half of them were <2 years. The common compound implicated in poisoning was thinner, a solvent used for paints. Majority were recorded as accidental exposure. Some were suspected to be of intentional nature. Poisoning in Indian children is an area of concern. Most of the studies among children are on accidental poisoning. Intentional poisoning is not reported. This study highlight, the need for comprehensive assessment involving pediatricians, psychiatrists, and forensic medicine experts for prevention and management of childhood poisoning and the need for more research, especially in relation to intentional poisoning.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Poisoning in Children – A Study from Tertiary Care General Hospital

Reddy¹,

Kishor²,

Manjunath³

2021

JMSH

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“…1 , [3][4][5] The morbidity and mortality associated with such poisoning in children are primarily related to the pulmonary aspiration and its subsequent complications. 6 The inflammatory reaction in the lungs depends on the degree of exposure, volatility, and viscosity of the particular hydrocarbon. Among hydrocarbons, those with low viscosity and surface tension, such as, kerosene, lighter fluid, lamp oil, and naphtha, are frequently associated with clinically significant effects on the respiratory system.…”

Section: Introductionmentioning

confidence: 99%

Prophylactic Use of Steroids and Antibiotics in Acute Hydrocarbon Poisoning in Children

Das

Behera

Xavier

et al. 2018

Journal of Pharmacy Practice

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Ingestion of hydrocarbons is a common cause of childhood poisoning in low and middle-income countries. Although mild ingestions are usually devoid of complications, the morbidity and mortality associated with such poisoning are primarily related to pulmonary aspiration. Subsequent complications, most importantly, secondary bacterial infections can worsen the clinical condition. Standard treatment protocol for acute accidental hydrocarbon poisoning does not advocate routine use of steroids or antibiotics. However, some studies have demonstrated beneficial effects of prophylactic steroid and antibiotic to prevent chemical pneumonitis. In this article, we have summarized the findings of the clinical studies from literature, which have evaluated the advantages of early administration of steroids and antibiotics to prevent chemical pneumonitis in acute hydrocarbon poisoning in children. From these studies, we have found that there is no convincing evidence for initiating steroid and antibiotic to improve outcome in these children.

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