Piercing issue: a 10-year single-centre experience of magnet ingestion in children

John, Michael; Stern, Guy; Cameron, Fraser; Peeraully, Riyad; Shenoy, Manoj

doi:10.1136/archdischild-2021-321848

Cited by 5 publications

(9 citation statements)

References 5 publications

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“…This supports previous studies, where a median age of 6.8 years was observed in a UK cohort of 46 children ingesting magnetic foreign bodies. One study also observed that older girls may accidentally swallow magnets placed in their mouth to simulate piercings 4 , 14 , 15 . Children seem to more commonly ingest multiple magnets, suggesting that children have access to them in play in the form of toys.…”

Section: Discussionmentioning

confidence: 99%

“…All magnetic toys in the UK have a statutory requirement to be sold with a warning outlining the risks if swallowed or inhaled; however, this is often not disclosed at point of sale. In the USA, legislation regulating the sale of magnet products was passed in 2012, but this ruling was reversed in 2016 with an associated resurgence of magnet ingestion cases 14 . Action must be taken at a national and international level to regulate the sale of neodymium magnets, which have demonstrably caused significant harm to many children.…”

Section: Discussionmentioning

confidence: 99%

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Magnet and button battery ingestion in children: multicentre observational study of management and outcomes

Neville¹,

Harwood²,

Bethell³

et al. 2022

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Background Magnets and button batteries (BBs) are dangerous ingested foreign bodies in children. The scale and consequences of this public health issue in the UK are unknown. This study aims to report the current management strategies and outcomes associated with paediatric magnet and BB ingestion in the UK. Methods This multicentre, retrospective observational study involved 13 UK tertiary paediatric surgery centres. Children aged under 17 years, admitted between 1 October 2019 and 30 September 2020, following magnet, or BB ingestion were included. Demographics, investigations, management, and complications were recorded. Results In total, 263 patients were identified, comprising 146 (55.5 per cent) magnet, 112 (42.6 per cent) BB, and 5 (1.9 per cent) mixed magnet BB ingestions. Median (interquartile range) age was 4.8 (2.0–9.1) years and 47.5 per cent were female. In the magnet group, 38 (26.0 per cent) children swallowed single magnets, 3 of whom underwent endoscopic retrieval for oesophageal or gastric impaction. Of the 108 (74.0 per cent) children who swallowed multiple magnets, 51 (47.2 per cent) required endoscopic or surgical intervention, predominantly for failure of magnets to progress on serial imaging. Bowel perforations occurred in 10 children (9.3 per cent). Younger age and ingestion of greater numbers of multiple magnets were independently associated with surgery. BB ingestion caused morbidity in 14 children (12.5 per cent) and life-threatening injuries in two (1.8 per cent); the majority were caused by oesophageal BBs (64.3 per cent). Conclusion Multiple magnet and BB ingestions are associated with significant morbidity. Action must be taken at an international level to regulate the sale of magnets and BBs, and to raise awareness of the risks that these objects pose to children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Magnet and button battery ingestion in children: multicentre observational study of management and outcomes

Neville¹,

Harwood²,

Bethell³

et al. 2022

BJS Open

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“…Children inappropriately use these magnets to mimic tongue and cheek piercings and permanent dental work leading to accidental ingestion 4 5…”

Section: Key Informationmentioning

confidence: 99%

Key messages from a guideline: RCEM best practice guideline—ingestion of super-strong magnets in children

Gangalam

Paul

2021

Arch Dis Child Educ Pract Ed

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“…[8][9][10][11] Despite legislation stipulating that toys containing magnets should carry a warning, 12 the incidence of harm from these magnets is increasing. 7,13 In 2015, the North American Societies of Paediatric Gastroenterology, Hepatology and Nutrition released an algorithm for the management of ingestion of magnets. 6 However, this has not been internationally adopted, and there has been lack of consensus on ideal management.…”

mentioning

confidence: 99%

“…2 Case reports of harm from super-strong magnets begin in the medical literature around 2002. 1,6,7 More recently, magnets have also become part of social media 'crazes'. [8][9][10][11] Despite legislation stipulating that toys containing magnets should carry a warning, 12 the incidence of harm from these magnets is increasing.…”

mentioning

confidence: 99%

Managing magnets: An audit of introduction of the Royal College of Emergency Medicine Best Practice Guideline

McLeish,

Harwood,

Decker

et al. 2023

Acta Paediatrica

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AimTo evaluate management of children and young people presenting to the Emergency Department (ED) with magnet ingestion before and after new guidance.MethodsIn May 2021, a National Patient Safety Agency and Royal College of Emergency Medicine (RCEM) Best Practice Guideline about management of ingested magnets was published. This was implemented in our department. Children and young people presenting after magnet ingestion were identified from SNOMED (coded routinely collected data) and X‐ray requests between January 2016 and March 2022. Management was compared to national guidance.ResultsThere were 138 patient episodes of magnet ingestion, with a rising incidence over the 5‐year period. Following introduction of the guideline, there was a higher incidence of admission (36% vs. 20%) and operative intervention (15.7% vs. 8%). Use of follow‐up X‐ray increased from 56% to 90%. There was substantial variation in the management prior to guidance which reduced after introduction of the RCEM guidance.ConclusionManagement of magnet ingestion has become more standardised since introduction of the National RCEM Best Practice Guideline, but there is still room for improvement.

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Piercing issue: a 10-year single-centre experience of magnet ingestion in children

Cited by 5 publications

References 5 publications

Magnet and button battery ingestion in children: multicentre observational study of management and outcomes

Magnet and button battery ingestion in children: multicentre observational study of management and outcomes

Key messages from a guideline: RCEM best practice guideline—ingestion of super-strong magnets in children

Managing magnets: An audit of introduction of the Royal College of Emergency Medicine Best Practice Guideline

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