Exposições tóxicas agudas em crianças: um panorama

Bucaretchi, Fábio; Baracat, Emílio Carlos Elias

doi:10.1590/s0021-75572005000700012

“…16 This fact may suggest that the population had difficulty to access the health services or it is not sufficiently clear about the potential risks in poisoning.…”

Section: Discussionmentioning

confidence: 99%

Poisoning in children and adolescents notified at a toxicology center in the Northeast of Brazil

Amorim

¹

,

Mello

²

,

Siqueira

³

2017

Rev. Bras. Saude Mater. Infant.

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“…10,11,16,17 Studies have reported that children who are poisoned are more likely to belong to families with few social resources. 8,10 The lack of significant difference between groups with respect to socioeconomic status of families suggests that the magnitude of this variable has no statistical power.…”

Section: Discussionmentioning

confidence: 99%

Fatores de risco que contribuem para o envenenamento pediátrico

Ramos¹,

Barros²,

Stein³

et al. 2010

J. Pediatr. (Rio J.)

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Objective: To investigate whether the lack of knowledge of toxic agents in households is a risk factor for individual unintentional childhood poisoning. Methods:The case group (n = 25) was composed of caregivers of children under 60 months of age who underwent accidental oral poisoning and were treated at two reference hospitals in Porto Alegre, southern Brazil, and recorded in the Toxicology Information Center database. The control group (n = 25) was composed of caregivers of children matched for sex, age, and presence in their homes of the same toxic agents found in the case group, who sought emergency medical care at the same hospitals, but for other reasons. A structured questionnaire was administered to verify the following questions: sociodemographic data, clinical history, behavioral antecedents of caregivers, storage of toxic agents, history of previous poisoning accidents.Results: The children's mean age was 31.8 months (±0.97) and mean height was 93 cm (±11). Families, in both groups, were aware of the toxic action of agents available in their homes; however, caregivers in the control group were twice as likely to have such knowledge compared to the case group. Distraction was 15 times more likely to occur among caregivers of children who underwent poisoning compared to the control group. Storage of toxic agents below 150 cm was approximately 17 times more likely to occur in the group of children who underwent poisoning compared to children in the control group.Conclusions: Lack of knowledge of the toxic action of agents stored in households is not a risk factor for childhood poisoning. The attributable risks described in this study indicated that the elimination of other factors, such as distraction and storage below 150 cm, would lead to the prevention of 13 and 19% of poisonings in childhood, respectively. J Pediatr (Rio J). 2010;86(5):435-440: Risk factors, poisoning, accident prevention, home accidents, preschool child, behavior.

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“…Dessa forma, armazenam-se medicamentos e produtos em locais inadequados por descaso ou falta de informação dos pais e responsáveis. O hábito de automedicação induz ao consumo de medicamentos, aumentando a disponibilidade desses agentes nos domicílios e conferindo risco de crianças terem acesso a eles e sofrerem intoxicações [8][9][10] . Ramos et al 11 identificaram características dos acidentes tóxicos na infância, tais como horário da intoxicação (18:01-22:00 horas) e locais (chão do quarto e/ou sala) em que se encontravam os agentes tóxicos.…”

Section: Introductionunclassified

Risk factors contributing to childhood poisoning

Ramos¹,

Barros²,

Stein³

et al. 2010

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Objective: To investigate whether the lack of knowledge of toxic agents in households is a risk factor for individual unintentional childhood poisoning. Methods:The case group (n = 25) was composed of caregivers of children under 60 months of age who underwent accidental oral poisoning and were treated at two reference hospitals in Porto Alegre, southern Brazil, and recorded in the Toxicology Information Center database. The control group (n = 25) was composed of caregivers of children matched for sex, age, and presence in their homes of the same toxic agents found in the case group, who sought emergency medical care at the same hospitals, but for other reasons. A structured questionnaire was administered to verify the following questions: sociodemographic data, clinical history, behavioral antecedents of caregivers, storage of toxic agents, history of previous poisoning accidents.Results: The children's mean age was 31.8 months (±0.97) and mean height was 93 cm (±11). Families, in both groups, were aware of the toxic action of agents available in their homes; however, caregivers in the control group were twice as likely to have such knowledge compared to the case group. Distraction was 15 times more likely to occur among caregivers of children who underwent poisoning compared to the control group. Storage of toxic agents below 150 cm was approximately 17 times more likely to occur in the group of children who underwent poisoning compared to children in the control group.Conclusions: Lack of knowledge of the toxic action of agents stored in households is not a risk factor for childhood poisoning. The attributable risks described in this study indicated that the elimination of other factors, such as distraction and storage below 150 cm, would lead to the prevention of 13 and 19% of poisonings in childhood, respectively. J Pediatr (Rio J). 2010;86(5):435-440:Risk factors, poisoning, accident prevention, home accidents, preschool child, behavior. ResumoObjetivo: Investigar se a falta de conhecimento dos agentes tóxi-cos nos domicílios é fator de risco de evento tóxico individual acidental na infância. Métodos:Grupo caso (n = 25) é composto por cuidadores de crianças com menos de 60 meses, do município de Porto Alegre (RS), que sofreram evento tóxico acidental oral, atendidas em dois hospitais de referência e com registro no Centro de Informação Toxicológica. O controle (n = 25) é formado por cuidadores de crianças pareadas por sexo, idade e presença nos domicílios de agente tóxico igual ao do caso, que buscaram atendimento médico emergencial nos mesmos hospitais, mas por outras causas. Foi aplicado um questionário próprio, estruturado, verificando-se as questões: sociodemográficas, história clínica, antecedentes comportamentais dos cuidadores, armazenamento dos agentes tóxicos, história pregressa de acidente toxicológico. Resultados:A idade média das crianças foi de 31,8 meses (±0,97) e a estatura média, de 93 cm (±11). As famílias, nos dois grupos, apresentaram conhecimento da ação tóxica de agentes existe...

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Exposições tóxicas agudas em crianças: um panorama

Cited by 23 publications

References 30 publications

Poisoning in children and adolescents notified at a toxicology center in the Northeast of Brazil

Poisoning in children and adolescents notified at a toxicology center in the Northeast of Brazil

Fatores de risco que contribuem para o envenenamento pediátrico

Risk factors contributing to childhood poisoning

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