Household cleaning product-related injuries treated in US emergency departments, 1990–2006

McKenzie, L. Brooks; Ahir, Nisha; Stolz, Uwe; Nelson, Norman M.

doi:10.1136/ip.2010.029215.895

Cited by 6 publications

(12 citation statements)

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“…4 Beş yaşından küçük çocuklarda temizlik ürünleri başta olmak üzere kostik/korozif maddelerle zehirlenmeler de sık görülmektedir. 5 Zehirlenme nedeniyle başvuran çocuklar genellikle asemptomatik olmakla birlikte nadiren hayatı tehdit edici bulgular gözlenebilir. 6 Zehirlenme nedeni ve ajanı yaşa, cinsiyete, mevsimlere göre değişkenlik göstermektedir.…”

Section: Introductionunclassified

Retrospective Analysis of Childhood Poisoning

Akgül¹,

Er²,

Çelik³

et al. 2016

cayd

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Amaç: Zehirlenmeler çocuk yaş grubunda sık görülen, hızlı tanı ve tedavi gerektiren, önlenebilir çevresel acillerdendir. Bu çalışmada zehirlenme nedeniyle başvuran hastaların epidemiyolojik ve klinik özellikleri incelenmiştir. Yöntemler: Haziran 2010-Ocak 2015 yılları arasında çocuk acil servisine zehirlenme nedeniyle başvuran hastaların hastane kayıtları geriye dönük olarak değerlendirilmiştir. Bulgular: Çalışmaya alınan 997 zehirlenme olgusunun, %55'inin kız olduğu görülmüştür. Hastaların ortanca yaşının 43 ay [çeyrekler arası aralık: 24-166], %58,1'inin 5 yaş altında, %30,7'sinin 12 yaş üstünde olduğu bulunmuştur. Zehirlenmelerin, beş yaş altında çoğunlukla erkeklerde (%57,5) ve tamamının kaza sonucu, 12 yaş üstünde ise kızlarda (%81) ve özkıyım amaçlı (%76,1) olduğu saptanmıştır. Olguların %84,7'si tek etkenle, %15,3'ü ise birden fazla etkenle zehirlenmiştir. En sık ilaçlarla (%56,7), ikinci sırada ise kostik/korozif maddelerle (%27,8) olan zehirlenmeler saptanmıştır. İlaçlar ile olan zehirlenmelerin en sık analjezikler (%26,9) ve santral sinir sistemi ilaçları (%24) ile olduğu görülmüştür. Hastaların %71,3'ünün asemptomatik olduğu, semptomatik hastalarda ise en sık gastrointestinal sistem bulguları olduğu bulunmuştur. İlaçlarla zehirlenen olguların %21'ine mide lavajı; %28'ine aktif kömür uygulanmış, %2'sine antidot tedavisi verilmiştir. Hastaların %92'si çocuk acil servisinden taburcu edilirken, 14 olgu (%1,4) yoğun bakımda tedavi edilmiştir. Beş yıl süresince zehirlenmeye bağlı mortalite gözlenmemiştir. Sonuç: Zehirlenmeler çocuk yaş grubunda morbiditenin önemli ve önlenebilir bir nedenidir. Beş yaş altı grupta kaza sonucu, adölesan yaş grubunda özkıyım amaçlı zehirlenmelerin sık olduğu, ilaçlar ve kostik/korozif maddelerle olan zehirlenmelerin en önemli neden olduğu bulunmuştur. Yaş gruplarına göre bu epidemiyolojik ve klinik özelliklerin bilinmesi, nedene yönelik hızlı tanı ve tedavi yapılmasını sağlayacak; gerekli önlemler alınarak zehirlenmelerin azaltılmasına katkı sağlayacaktır.

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Section: Introductionunclassified

Retrospective Analysis of Childhood Poisoning

Akgül¹,

Er²,

Çelik³

et al. 2016

cayd

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“…With the control of infectious diseases, the contribution of poisoning to childhood mortality and morbidity has been increasing in developed countries [1][2][3][4][5][6]. The developed world has accurate information on incidence and changing trends of causative agents as a result of rigorous population census and mortality data and the development of poisons control centres (PCC) [7][8][9][10][11]. In contrast, pediatric poisoning incidence in developing countries is poorly documented [8,12,13].…”

Section: Introductionmentioning

confidence: 99%

Pediatric Poisoning Trend in Lucknow District, India

Rathore¹

2013

J Forensic Res

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Poisoning is a major problem in the pediatric population. The offending substances used vary from place to place. Although the clinical outcome of these exposures is usually favorable, deaths do occur. The present study was undertaken to determine in children the major offending agents, their seasonal distribution, mortality associated with them and change, if any in the type of poison by comparing data with previous studies available. This prospective study was carried out at King George Medical College and it's associated Gandhi smarak hospitals, Lucknow. A total of 100 pediatric patients of <15 years of age made the material of the following series. 62% were under 5 years of age and 70% male. Incidence was also more common in urban areas (55%) as compared to rural (45%) and rainy season was found to be the most vulnerable period for poisoning. Kerosene and snake bite were the most common offending agents, both accounting for 31% cases each. Mortality of 4% was reported. Mortality due to poisoning in children has remained high over the last five decades (2.9%-4.7%). Kerosene has remained the single largest contributor to childhood poisoning (51.5% in the 1960s vs. 52.8% in the 1990s).

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Section: Discussionmentioning

confidence: 99%

“…This analysis finds support in a study of household cleaning product injuries in children ≤5 years of age where it was determined that the most common source of injury (40.1%) was spray bottles. 56 The persistence of cosmetic-related morbidity and mortality highlights the need to apply injury prevention strategies to this domain of consumer products. New emphasis needs to be placed on the safe storage recommendations put forward by the American Academy of Pediatrics on bathroom safety.…”

Section: Discussionmentioning

confidence: 99%

Cosmetic-Related Injuries Treated in US Emergency Departments: 2002 to 2016

Vajda

McAdams

Roberts

et al. 2019

Clin Pediatr (Phila)

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A retrospective analysis was conducted by using data from the National Electronic Injury Surveillance System for children <5 years who were treated in US emergency departments (EDs) from 2002-2016) for a cosmetic-related injury. An estimated 64 686 (95% confidence interval = 53 037-76 335) children were treated in EDs for cosmetic-related injuries during the 15-year study period. There was no significant change in the rate (slope = 1.1 per 10 000 children per year, P = .95) of injuries over the study period. Injuries were most commonly associated with nail care (28.3%), hair care (27.0%), skin care (25.0%), and fragrance (12.7%) products. Children aged <2 years were most frequently injured (59.3%), and poisoning was the most common diagnosis (86.2%). To our knowledge, this is the first study to use a nationally representative sample to describe the epidemiology of cosmetic-related injuries among children aged <5 years. Unintentional exposure to cosmetics is an important source of injury for young children.

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Household cleaning product-related injuries treated in US emergency departments, 1990–2006

Cited by 6 publications

References 0 publications

Retrospective Analysis of Childhood Poisoning

Retrospective Analysis of Childhood Poisoning

Pediatric Poisoning Trend in Lucknow District, India

Cosmetic-Related Injuries Treated in US Emergency Departments: 2002 to 2016

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