Analysis the Clinical Profile of children Admitted with Kerosene Poisoning in a tertiary care Medical College Hospital

Paswan, Dr Wakil

doi:10.18535/jmscr/v5i5.34

Cited by 3 publications

(7 citation statements)

References 6 publications

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“…Kerosene poisoning in children remains definitely a major cause for morbidity. The common age group of children affected in this study is 1-3 yrs similar to that observed in studies by Wakil Paswan et al and Kumaravel et al 3,4 This can be explained by the natural behaviour of children at 1 to 3 years during which the children are inquisitive, put things in their mouth and they are more mobile and able to get hold of poisons.…”

Section: Discussionsupporting

confidence: 89%

“…As thirst and dehydration are more common in summer season, along with the child's behaviour, Kerosene poisoning is more common in summer season. In this study the peak season of kerosene poisoning is April to June who accounts for 76% of cases, which is similar to Anwar S et al and Wakil et al 3,7 Kerosene toxicity predominantly affects the respiratory system due its high volatility it is directly aspirated into the lungs. Regarding central nervous system which is rich in a lipid component myelin, kerosene acts on the compound and causes drowsiness, altered mentation and in severe cases respiratory failure.…”

Section: Discussionsupporting

confidence: 82%

“…In this study, male children 61% are more affected than female child, which is similar to Wakil Paswan et al, Kumaravel K S, Lucas et al and Emad Siddique et al [3][4][5][6] Most of the children were from rural places similar to Anwar S et al and Sunilkumar et al, but in contrast to Kumaravel et al study where it was urban dominance. 3,7,8 Kerosene in rural population is stored in bottle containers and children can mistake it for soft drinks.…”

Section: Discussionsupporting

confidence: 79%

“…Regarding central nervous system which is rich in a lipid component myelin, kerosene acts on the compound and causes drowsiness, altered mentation and in severe cases respiratory failure. In our study, Cough was the major symptom present in 61% of children whereas it was found in 85% in Kumaravel study, 90% in Nagi NA et al study 80% in Lucas et al and 82% in Wakil Paswan study and Sunilkumar et al [3][4][5]8,9 Fever was present in 41% cases in this study compared to 69% in Wakil Paswan study, 83.5% in Nagi study and 3% of cases in Kumaravel study. 3,4,9 Vomiting following consumption of kerosene was found in 36% whereas it was found in 69% cases in Kumaravel study and Nagi study showed 60.6%.…”

Section: Discussionmentioning

confidence: 41%

“…3,7,8 Kerosene in rural population is stored in bottle containers and children can mistake it for soft drinks. Children tend to drink anything from bottle which has good aroma.…”

Section: Discussionmentioning

confidence: 99%

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Clinical profile and outcome of children with kerosene poisoning in a tertiary care centre: a study from South India

Thilakavathi

Elangovan

2018

Int J Contemp Pediatr

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Background: Accidental poison ingestion is very common in children. Among this kerosene ingestion is the most common ingested poison by children. Knowledge about complications of kerosene poisoning is important to manage the children. The study is aimed to analyze the demographic and clinical profile along with the Outcome of children admitted with kerosene ingestion.Methods: This retrospective study was done in Pediatric Intensive Care Unit of Government Villupuram Medical College, Villupuram from January 2016 to December 2016. The case records of all children were entered in a pre-structured Proforma and analysed on SPSS 20.0. P value of <0.05 was considered significant.Results: A total of 116 children were included in the study. There was a male preponderance (61%) with the common age group being affected as 1 to 3 years (88%) and most of the cases were from rural places (94%) during April to June. Cough (62%) was the major symptom followed by breathlessness (51%) and fever (41%). Chest radiology shows right lower lobe infiltrates (45%) as common finding followed by left lower lobe infiltrates (32%) and bilateral lower lobe infiltrates (18%) as least.Conclusions: The awareness of Kerosene Poisoning could reduce the morbidity and mortality rate as prevention of ingestion is the cure. These substances are not stored properly. Parental education is the hall mark in prevention of all acute Poisoning with due importance of acute Kerosene Poisoning at home.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 41%

“…3,7,8 Kerosene in rural population is stored in bottle containers and children can mistake it for soft drinks. Children tend to drink anything from bottle which has good aroma.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical profile and outcome of children with kerosene poisoning in a tertiary care centre: a study from South India

Thilakavathi

Elangovan

2018

Int J Contemp Pediatr

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How safe are our children in our own homes? accidental ingestion in children: a 6 year retrospective study from a tertiary care centre

Earan¹,

Krishnakumar²,

Sangili³

et al. 2019

Int J Contemp Pediatr

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Background: According to the World Health statistics, in 2016 more than 100000 deaths were caused due to unintentional poisonings. Children are vulnerable due to their smaller body surface area, an inherent behaviour of negation, curiosity in exploring their surroundings, their initial phallic stage where they tend to put any objects they come across into their mouth.Methods: This study is a hospital based retrospective observational study where the records of all the children admitted due to poisoning, accidental or intentional from June 2012 to November 2018 were reviewed. All the children admitted due to food poisoning and idiosyncratic drug reactions were excluded from the study.Results: A total of 203 cases of accidental ingestion were admitted during the study period, of which the majority of the patients were male children. The age group varied from 5 months to 14 years. Majority of the accidental ingestions were due to kerosene (108), followed by insecticides (25) and cleaning agents (20).Conclusions: Poisoning in young children is unintentional and accidental; hence the introduction of safe child resistant containers should be encouraged in storing harmful chemicals. Knowledge about the chemicals, awareness about their hazardous effects and education of the care givers about safe storage would be the first step in the prevention of accidental ingestion. Establishment of a reporting system from all the health care centres and establishment of poison information system at all the levels is the need of the hour.

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Profile of acute childhood poisoning at a tertiary care teaching hospital in North India

Kumar¹,

Singh²,

Aggarwal³

2019

Indian J Child Health

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Objective: The objective of the study was to determine the profile and outcome of children under the age of 12 years admitted with acute poisoning at a tertiary care teaching hospital in Delhi. Materials and Methods: We retrospectively reviewed case files of all patients <12 years of age admitted with poisoning at pediatric emergency from January 2016 to December 2016. All cases with definite history of poisoning were included in the study. Exclusion criteria included chronic poisonings such as lead poisoning, food poisoning, foreign body ingestion, and homeopathic drug ingestion. Baseline characteristics of patients, type of poison, signs and symptoms of poisoning, investigations, treatment, and outcome were recorded from the case files and analyzed. Results: A total of 91 patients were presented with poisoning during the study period. Almost all cases (n=89, 97.8%) were accidental, only 2.2% (n=2) cases were suicidal, and none was homicidal. The mean age of presentation of these patients was 4.08±3.11 years with males outnumbering females (M: F=1.6:1). Corrosives (n=20, 21.9%), kerosene (n=17, 18.7%), prallethrin (n=11, 12.1%), and drugs (n=7, 7.7%) were the most frequently implicated agents. 11 patients (12.1%) were completely asymptomatic, while 30.7% (n=28) patients developed serious symptoms such as breathing difficulty, altered sensorium, seizures, abnormal speech, hematemesis, nasal bleeding, and hypotonia. Gastric lavage was done in 15 cases, three patients received activated charcoal, and three patients required intubation, and one patient required an emergency tracheostomy. One patient expired and rest all survived. Conclusion: The trends of pediatric poisoning noted in our center were different from those observed in other hospital based studies. Corrosives (particularly acids) being the most common agents. Prallethrin, kerosene, and drugs were other common agents.

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Analysis the Clinical Profile of children Admitted with Kerosene Poisoning in a tertiary care Medical College Hospital

Abstract: ABSTRACT

Cited by 3 publications

References 6 publications

Clinical profile and outcome of children with kerosene poisoning in a tertiary care centre: a study from South India

Clinical profile and outcome of children with kerosene poisoning in a tertiary care centre: a study from South India

How safe are our children in our own homes? accidental ingestion in children: a 6 year retrospective study from a tertiary care centre

Profile of acute childhood poisoning at a tertiary care teaching hospital in North India

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