Ingesta de psicofármacos: causa más frecuente de intoxicaciones pediátricas no intencionadas en España

Zubiaur, O.; Salazar, J.; Azkunaga, Beatriz; Mintegi, Santiago

doi:10.1016/j.anpedi.2014.12.017

Cited by 10 publications

(3 citation statements)

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“…Psychotropics are the drugs that imply the greatest toxicity because of their narrow therapeutic range. This may explain why they are the drugs with the highest rate of hospital admission and the ones that entail the greatest medical spending [11]. In consequence, doctors who prescribe psychotropic drugs need to stress to parents the importance of not taking drugs in the presence of children, because they tend to imitate adult behavior, and also of storing drugs in a safe place, out of range of children [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…The clinic variables were presence and kind of symptoms, general management, complementary tests required, need for admission, transfer to another hospital, and clinical evolution. All the variables were analysed from the global sample and separately for drugs and domestic products, which are the most frequent groups of unintentional poisonings in children reported in the literature [10,11].…”

Section: Methodsmentioning

confidence: 99%

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Unintentional Intoxications in Children: Detecting Risks

Hern¹,

S²,

L³

et al. 2015

Emerg Med (Los Angel)

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Introduction: Poisonings are an important problem in children. Identifying risk factors related with unintentional poisonings can help reduce their incidence and severity. The objective of this study was to define the characteristics of unintentional poisonings in children, with particular attention on drugs and household products. Materials and Methods: Observational retrospective study performed in a Spanish urban maternity and children's hospital from June 2012 to December 2014. We reviewed the computerized clinical history of suspected unintentional poisonings in patients under 18 years old, analyzing epidemiological and clinical variables. Results: 908 patients consulted due to suspected poisoning; in 558 of them (61.4%) the mechanism was unintentional. Males were 55%, and the median age was 2.5 years (IQR: 1.7-4.4). Drugs represented the most frequent group involved (49.6%) followed by household products (37.1%). The main pharmacological group involved was psychotropic drugs. These were the ones which most often associated clinical symptoms, as well as requiring medical treatment and admission. Dose error was more frequent in poisonings due to analgesics than in other groups. Among household products, the main group involved was caustics. Of the 25 detergents involved, 8 were laundry detergent pods. In 17.9 % of the cases the product was out of its packaging. Three patients presented caustic esophagitis, while 2 of them developed stenosis. None of the patients died. Conclusions: Although poisonings are not frequent, they represent a high risk and may cause persistent sequelae. It is important to insist on well-known preventive measures like correct packaging and careful written prescription.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Unintentional Intoxications in Children: Detecting Risks

Hern¹,

S²,

L³

et al. 2015

Emerg Med (Los Angel)

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“…Son menos frecuentes, pero más gra ves que las accidentales. Sus características más importantes son: se producen sobre todo del sexo femenino con problemas psicológicos; suelen estar causadas por más de un medica mento, frecuentemente con acción sobre el sistema nervioso central; tardan más tiempo en consultar que en el caso de las intoxicaciones accidentales, y el tratamiento suele ser más complejo, en su mayoría el toxico implicado son psicofármacos [3].…”

Section: Síntomasunclassified

Estrés laboral y sus efectos en la salud mental: a propósito de un caso

Cedeño Caballero

2023

Rev Med Panama

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Introducción: De acuerdo con la Organización Mundial de la Salud , el estrés laboral es identificado como un grupo de reacciones emocionales, psicológicas, cognitivas y conductuales ante exigencias profesionales que sobrepasan los conocimientos y habilidades del trabajador para desempeñarse de forma óptima. Caso clínico: Se presenta el caso de una femenina de 50 años de edad a la cual se le da manejo y seguimiento en sala de psiquiatría en septiembre de 2022 por envenenamiento intencionalmente auto- inflingido con antidepresivos tricíclicos debido a constantes preocupaciones sobre problemas económicos , conflictos laborales frecuentes y conflictos familiares. Inicialmente es manejada a su ingreso a la institución por el servicio de urgencias médicas con soporte respiratorio, debido a deterioro neurológico además de presentar arritmia cardiaca producto de la intoxicación con antidepresivos tricíclicos , requiere manejo en sala critica de urgencias donde posteriormente es transferida al servicio de medicina interna para estudios más específicos y descartar afección cardiaca. Una vez se descarta la misma se transfiere para manejo y estudio por salud mental. Conclusión: El estrés laboral es una patología conocida , pero en su mayoría con un subregistro importante, y que en muchas ocasiones lo vemos en estadísticas finales de mortalidad con una elevada tasa de suicidios por lo que es importante velar que el trabajador desarrolle su labor en un entorno laboral saludable , mejorando así la productividad laboral , disminución del ausentismo laboral y gastos económicos directos producto de incapacidades constantes por distintos trastornos antes mencionado.

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