Cognitive and behavioral characteristics of children with caustic ingestion

Çakmak, Murat; Göllü, Gülnur; Boybeyi, Özlem; Küçük, Gönül; Sertçelik, Mehmet; Günal, Yasemin Dere; Aslan, Mustafa; Soyer, Tutku; Koçak, Orhan Murat; Çakmak, Aytül; Çetin, Şirin; Bingöl-Koloğlu, Meltem; Yağmurlu, Aydın; Dindar, Hüseyin; Kılıç, Birim Günay

doi:10.1016/j.jpedsurg.2014.10.052

Cited by 16 publications

(16 citation statements)

References 12 publications

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“…In terms of the nature of caustic, 69.2% were reported to be acidic (36) and 30.8% were alkali (16). In terms of the physical form of caustics, 92.5% of cases were liquid (49), 3.8% were powder (2) and 3.8% were solid substances swallowed by children. Antibiotics had been used to treat 63% of children (34) and they were not administered for 37% of them (20).…”

Section: Resultsmentioning

confidence: 99%

Clinical and endoscopic findings of children hospitalized in Qa'em Hospital of Mashhad due to caustic ingestion (2011-2013)

et al. 2017

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IntroductionOne of the leading causes of damage to the gastrointestinal tract in children is caustic ingestion which is sometimes life-threatening. The most reliable way to study the severity and extent of damage is endoscopy, which can be harmless in terms of time and technique. The aim of this study was to investigate, evaluate and compare clinical findings and endoscopic results of caustic ingestion.MethodsThis retrospective cross-sectional study was conducted on the records of children diagnosed with caustic ingestion, and hospitalized in Qa’em Hospital of Mashhad from March 2011 to December 2013. Intended data were extracted from patients’ records and in case of any ambiguity, it was removed by phone call. Obtained data were analyzed using SPSS 11.5 and chi-square test.ResultsOf 54 patients, there were 36 cases of burn with acidic substance and 16 cases of burn with alkaline. The highest value was related to caustics related to acid batteries (31.5%) and in 77.5% of cases the container of caustic agent was not standard. In endoscopic results, 50 patients out of 54, had esophagus burn such that in 6 cases it was grade I burn, in 15 cases grade IIa, 27 cases with grade IIb and 2 cases with Grade IIIa burn. In addition, mild erythema of stomach in 6 cases, average erythema in 5 cases, mild ulcer in 15 cases, average ulcer in 5 cases and 3 cases with severe ulcer were reported. There was no significant relation between clinical findings and endoscopic results (p=0.68).ConclusionSince caustic ingestion can be regarded as a life-threatening factor for children, the importance of observing precautions in the storage of caustics and the role of training and adequate attention of parents to this issue to prevent such accidents is clear.

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Section: Resultsmentioning

confidence: 99%

Clinical and endoscopic findings of children hospitalized in Qa'em Hospital of Mashhad due to caustic ingestion (2011-2013)

et al. 2017

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“…1,7,10 Çocuklarda korozif madde içimi kazaları gelişmekte olan ülkelerde gelişmiş ülkelere nazaran çok daha fazla görülmektedir. 2,4,7,[10][11][12][13][14][15][17][18][19][20][21][22][23][24] Gelişmekte olan ülkelerde yasal yaptırımların yeterince uygulanmaması nedeni ile korozif maddeler çocukların kolaylıkla açabileceği kaplarda satılmaktadır. Koruyucu hekimlik, bu kazaları etkili bir şekilde azaltmada yetersiz kalmaktadır.…”

Section: Korozi̇f Maddelerunclassified

“…[1][2][3][4][5][6][7][8][9][10] Bu kazalar, çocuk ve çocuk cerrahisi alanlarıyla doğrudan ilgili olmasının yanı sıra, toplum sağlığı ve koruyucu hekimlik açısından da ciddi bir konudur. 4,7,[11][12][13] Çocuklarda Korozif Madde İçimi:…”

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Corrosive Substance Ingestion in Children: A Current Evaluation and Treatment Approach

Uygun¹

2018

Turkiye Klinikleri J Pediatr

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RESİM 1: Bazı açıkta satılan tehlikeli korozif maddeler (A-F). (A): su kaplarına konularak açıkta satılan sıvı korozif maddeler; (B, C): Mahalle pazarlarında (B) orijinal sirke ruhu (C1) ve hakiki Siirt sirkesi gibi isimlerle satılan ve turşu yapımında kanunen yasak olmasına karşın kullanılan asetik asit (C1 ve C2) normal pet şişe suyuna (C3) çok benzemektedir; (D): Sülfürik asit içeren çocuk korumalı kapaksız akü asidi (D1) ile akü için saf su (D2) yanyana satılmaktadır; (E): Korozifler gıdalar ile birlikte pet su şişesinde; E1: kireç çözücü; E2: çamaşır suyu; E3: deterjan, (F): Kostik etiketi ile merdiven altı üretilmiş güçlü alkali sodyum hidroksit içeren yağ çözücü.

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“…[8] Conditions that carry an increased risk of ingestion/ aspiration include attention-deficit hyperactivity syndrome, [9] low levels of parental education, [9,10] young mothers, [8] lack of parental supervision, [8] and rural abode. [11] Male gender predominance is an inconstant finding.…”

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confidence: 99%

“…[11] Male gender predominance is an inconstant finding. [5,9,[12][13][14] Curiosity, exploration of the developing oral phase, the child's inexperience and limited understanding of the environment combined with inadequate caregiver supervision put children under-5 [15] at the highest risk of injury from ingested foreign bodies and caustic substances, with a peak incidence at 3 years of age. [5] A child may present acutely with peri-oral inflammation, dysphagia, drooling, cough, stridor, hoarseness, vomiting or signs of peritonitis.…”

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confidence: 99%