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Common culprits in childhood poisoning: epidemiology, treatment and parental advice for prevention
1Ontario Regional Poison Information Centre, The Hospital for Sick Children, Toronto, Canada. mcguigan@sickkids.on.ca
Insights
Unintentional poisoning in young children is common, often involving household products. Prevention through safe storage and child-resistant packaging is key to reducing these childhood injuries.
Area of Science:
- Pediatric Toxicology
- Public Health
- Injury Prevention
Background:
- Unintentional poisoning is a frequent pediatric emergency, particularly in children aged 1-2 years.
- Ingestion of nonpharmaceutical products constitutes the majority of these exposures.
- While often resulting in favorable outcomes, poisoning deaths do occur, with carbon monoxide and iron formulations being leading causes in the US.
Purpose of the Study:
- To highlight common pediatric poisoning exposures and their outcomes.
- To emphasize the importance of poison prevention strategies.
- To inform parents and healthcare professionals about high-risk exposures.
Main Methods:
- Analysis of data from the American Association of Poison Control Centers Toxic Exposure Surveillance System (AAPCC TESS).
- Identification of common substances involved in pediatric poisonings.
- Review of reported causes of death related to poisoning.
Main Results:
- Cosmetic/personal care products, household cleaning substances, and analgesics are the most frequently reported exposures.
- Carbon monoxide and adult iron formulations are leading causes of poisoning deaths in the US.
- Young children, especially 1- and 2-year-olds, are most commonly affected.
Conclusions:
- Pediatric poisonings are a significant public health concern and a preventable childhood injury.
- Child-resistant packaging and secure storage of hazardous substances are crucial for prevention.
- Awareness of high-risk vs. common exposures and the role of poison control centers are vital for effective prevention efforts.
Abstract:
Unintentional poisoning in children less than 6 years of age is a common occurrence. The majority of cases involve 1- and 2-year-old children who ingest nonpharmaceutical products. Although the clinical outcomes of these exposures is usually favourable, deaths do occur. In the US, the causes of death most commonly reported by the American Association of Poison Control Centers Toxic Exposure Surveillance System (AAPCC TESS) are carbon monoxide and adult formulations of iron. The exposures most commonly reported by the AAPCC TESS are cosmetic/personal care products (e.g. perfume, cologne and aftershave), household cleaning substances (e.g. bleach and alkaline corrosives) and analgesics [e.g. paracetamol (acetaminophen)]. Prevention is important and exposure to poisons should be considered a preventable childhood injury. The use of child-resistant packaging and the secure storage of household substances are the basis of preventing unintentional exposures. Parents and healthcare professionals need to be aware of what constitutes high risk exposure, as well as those exposures which are common but not serious. Poison prevention efforts should also address the appropriate role of the poison information centre.
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