Plant poisonings in children in the Czech Republic, 1996-2001
1Department of Pharmaceutical Botany and Ecology, Faculty of Pharmacy, Charles University in Prague, Czech Republic.
Insights
Acute childhood plant poisoning is common, with thorn apple, dumb cane, and common yew being frequent culprits. While serious symptoms occurred, no fatalities were reported in this Czech Republic study.
Area of Science:
- Toxicology
- Paediatric Medicine
- Environmental Health
Background:
- Plant ingestion is a frequent reason for paediatric hospital admissions, particularly in toddlers.
- This study retrospectively analyzed plant poisonings in children within the Czech Republic from 1996 to 2001.
Observation:
- Data from 174 plant exposures were collected from multiple hospital departments.
- The most common exposures involved thorn apple seeds (14.9%), dumb cane (11.5%), and common yew (9.8%).
- Thorn apple, dumb cane, golden chain, and raw beans were associated with the most severe symptoms.
Findings:
- The study classified plant poisonings by agent frequency, clinical presentation, symptom severity, age, and gender.
- No fatalities were recorded among the analyzed cases.
- The findings reflect common plant poisoning causes and species in the Czech Republic, despite incomplete national data.
Implications:
- Understanding common plant toxins in children is crucial for prevention and emergency response.
- This data can inform public health initiatives and clinical guidelines for managing childhood plant poisonings.
- Further research with comprehensive national data is needed for a complete epidemiological picture.
Abstract:
Ingestion of or exposure to potentially poisonous plants is a relatively common presenting complaint in hospital paediatric departments, especially amongst toddlers. We present a retrospective study conducted to review the hospital admissions following acute childhood poisoning with plants in the Czech Republic over a 6-year period from 1996 to 2001. Six university hospital paediatric departments and two local hospital paediatric departments were involved in the study. Information and complete data on the cases were collected on the basis of all hospital medical records and internal hospital database outcomes. A total of 174 plant exposures were analysed to tabulate the list of top species involved in plant poisonings. The aims were to provide classification according to agent frequency, clinical presentations, severity of symptoms expressed, affected age groups and gender of patients and to evaluate the treatment according to patient outcome. The most frequent ingestions were of thorn apple seeds (14.9%), followed by dumb cane exposures (11.5%) and common yew (9.8%). Thorn apple, dumb cane, golden chain and raw beans caused the most serious symptoms. There were no fatalities reported out of the reviewed medical records. Complete data on plant poisoning in children from all over the territory of the Czech Republic are not available; however, we believe that the frequency of causes and the rank of plant species commonly involved are properly reflected in our study.
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