Poisoning cases who admitted to the pediatrics emergency unit in the last 5 years: Evaluation of 1734 cases
Objective: Childhood poisoning is an important public health problem that can suddenly appear and it can lead to serious morbidity and mortality. In this study, we evaluated the children admitted to our pediatric emergency department due to poisoning within the last five years.
Materials and Methods: Between January 1,2013 and December 31, 2017, the records of 1734 children who applied to our pediatric emergency department due to poisoning were examined retrospectively. The cases were evaluated in terms of age, gender, reason for poisoning, pharmacological agents and management.
Results: In our study, the ratio of poisoning cases to all pediatric emergency admissions was 0,68%. Of those, 1020 (58.8%) were female and 714 (41.2%) were male (female to male ratio: 1.4). The mean age of the children was 9.68 ± 2.85 years (5 months-18 years) and the mean age of female was higher than that of the male (12.61 ± 2.7 years and 8.14 ± 3.7 years, respectively p= 0.07). The most frequent (%59.4) causes of poisoning were drugs and the most of them was analgesics (21.5%). 571 of the cases (32.9%) had suicide attempts. The cases were treated at pediatric emergency unit (66.2%), pediatrics department (10.9%), pediatric intensive care unit (3.5%) and pediatric surgery department (18.7%).
Conclusion: Our findings showed that the most common poisoning agents in children were drugs. A considerable part of these events was suicide attempt. The measures to be taken by environment, family, drug manufacturers and physicians may prevent childhood poisoning.
Mowry JB, Spyker DA, Brooks DE, McMillan N, Schauben JL. 2014 Annual Report of theAmericanAssociation of Poison Control Centers’ NationalPoison Data System (NPDS): 32nd Annual Report. ClinicalToxicol (Phila). 2015;53:962-1147. DOI: https://doi.org/10.3109/15563650.2015.1102927
Özcan N, İkincioğulları D. Ulusal Zehir Danışma Merkezi 2008 Yılı Çalışma Raporu. Türk Hij Den Biyol Derg. 2009;66:29-58
Yavuz S, Aydın S. Zehirlenme olgularının profili. Toksi¬koloji Dergisi 2003;1:47-52
Sarıkayalar F. Zehirlenmeler. Katkı Pediatri Dergisi 2001;22:377-95
Sahin S, Carman KB, Dinleyici EC. Acute poisoning in children; data of a pediatric emergency unit. Iran J Pediatr. 2011;21:479-84
Mc Kenzie LB, Ahir N, Stolz U, Nelson NG. Household cleaning product-related injuries treated in US emergency departments in 1990-2006. Pediatrics. 2010;126:509-16. DOI: https://doi.org/10.1542/peds.2009-3392
Shannon M. Ingestion of toxic substances by children. N Engl J Med. 2000;342:186-91. DOI: https://doi.org/10.1056/NEJM200001203420307
Ozdemir R, Bayrakcı B. Zehirlenmeler ve Hacettepe Deneyimi. Katkı Ped Derg 2009; 31: 47-87
Nalliah RP, Anderson IM, Lee MK, Rampa S, Allareddy V, Allareddy V. Children in the United States make closeto 200,000 emergency department visits due to poisoning each year. Pediatr Emerg Care. 2014;30:453-7. DOI: https://doi.org/10.1097/PEC.0000000000000160
Aji DY, İlter O. Türkiye’de çocuk zehirlenmeleri. Türk Ped Arş 1998; 33 :154–8
Rodgers GC, Matyunas NJ. Poisonings: Drugs, chemicals, and plants. In: Nelson Textbook of Pediatrics. Editors: Behrman RE, Kliegmen RM, Jenson HB, W.B. Saunders, Philadelphia. 2004, pp. 2362-74
Biçer S, Sezer S, Çetindağ F, Kesikminare M, Tombulca N, Aydoğan G, ve ark. Çocuk Acil Kliniği 2005 Yılı Akut Zehirlenme Olgularının Değerlendirilmesi. Marmara Medical Journal 2007;20:12-20
Litovitz T, Manoguerra A. Comparison of pediatric poisoning hazards: as analysis of 3,8 million exposure incidents. Pediatrics 1992;89:999-1006
Yılmaz HL, Derme T, Yıldızdaş D, Alhan E. Çukurova bölgesi’ndeki çocukluk çağı zehirlenme olgularının değerlendirilmesi. Nobel Med 2009;5:35-44
Franklin RL, Rodgers GB. Unintentional child poisonings treated in United States hospital emergency departments: national estimates of incident cases, population-based poisoning rates, and product involvement. Pediatrics. 2008 Dec;122(6):1244-51. DOI: https://doi.org/10.1542/peds.2007-3551
Özcan T, Tosun A, İnan G, Yendur G, Özbek E, Can D ve ark. Hastanemize başvuran zehirlenme olgularının değerlendirilmesi. ADÜ Tıp Fakültesi Dergisi 2002;3:5-8. DOI: https://doi.org/10.4274/tpa.46.80
Ozdemir R, Bayrakci B, Tekşam O, Yalçin B, Kale G. Thirty-three-year experience on childhood poisoning. Turk J Pediatr. 2012;54:251-9
Copyright (c) 2018 Gülçin Bozlu, Necdet Kuyucu
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Bulletin of Legal Medicine is an open access scientific journal. Open access means that all content is freely available without charge to the user or his/her institution on the principle that making research freely available to the public supports a greater global exchange of knowledge. The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.
The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
The Bulletin of Legal Medicine requires the author as the rights holder to sign and submit the journal's agreement form prior to acceptance. The authors retain copyright of their work and grant the Association for its publication. This ensures both that The Journal has the right to publish the article and that the author has confirmed various things including that it is their original work and that it is based on valid research.
Authors who publish with this journal agree to the following terms:
*Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
*Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
*Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.