Acute poisoning in children. Cases hospitalized during a three-year period in Trinidad
Related Experiment Video
Updated: Aug 24, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
G K Pillai1, K Boland, S Jagdeo
1Faculty of Medical Sciences, Pharmacy Programme, University of the West Indies, Trinidad and Tobago, West Indies. gopal@trinidad.net
Insights
Accidental poisoning is common in young children in Trinidad, with household products like drugs and kerosene being frequent culprits. Public education and child-resistant packaging are crucial for prevention.
Area of Science:
- Pediatrics
- Toxicology
- Public Health
Background:
- Acute poisoning in children is a significant public health concern.
- Understanding epidemiological patterns is vital for developing effective prevention strategies.
Purpose of the Study:
- To describe the epidemiology of acute childhood poisoning in North Trinidad.
- To identify common poisoning agents and susceptible age groups.
- To assess the need for preventive measures and a poison control center.
Main Methods:
- Retrospective review of medical records of 169 children under 16 admitted for acute poisoning.
- Data collected from January 1998 to December 2000.
- Analysis of poisoning agents, age distribution, and poisoning intent.
Main Results:
- Accidental poisonings accounted for 84.6% of cases.
- Most common agents included miscellaneous substances (24.8%), drugs (21.8%), kerosene (19.5%), and pesticides (15.9%).
- The highest incidence was in the 0-4 years age group (69.2%).
- A single fatality occurred in a 10-13 year-old due to paraquat ingestion.
Conclusions:
- Accidental poisoning is prevalent in young children in Trinidad.
- There is a clear need for enhanced public education on poison prevention.
- The implementation of child-resistant packaging and potentially a poison control center is recommended.
Abstract:
The aim of this study is to describe the epidemiological features of acute poisoning in children less than 16 years old who were admitted to a paediatric hospital in north Trinidad. The specific objectives included the determination of the age range most susceptible to poisoning, which agents are mainly responsible, an examination of the need for preventive strategies and educational programmes as well as to evaluate the need for a poison control centre in the country. Data were extracted from the medical records of 169 patients (83 males (49%) and 86 females (51%) with acute poisoning during the period of January 1998 to December 2000. The results revealed that the majority of cases of poisoning were accidental (84.6%), suicide (11.2%) and forced poisoning (4.1%). The largest category of poisoning was a miscellaneous group (24.8%) followed by the drug category (21.8%), kerosene (19.5%), pesticides (15.9%) and bleach (9.4%). Paraquat ingestion constituted 5.3% of cases. The highest prevalence of acute poisoning occurred within the age group of 0-4 years (69.2%), followed by the age group of 10-13 years (13.6%), 5-9 years (9.4%) and the age group with the lowest incidence was 14-16 years (7.6%). The only fatality was a female (10-13 year-group) and this was due to suicidal ingestion of paraquat. All other cases were treated and subsequently discharged. The frequency of accidental poisoning in Trinidad merits more widespread public education aimed at preventing exposure to toxic substances while increasing the use of deterrents such as child-resistant containers.
Related Concept Videos
Pharmaceutical Poisoning: Potential Scenarios
Pharmaceutical Poisoning: Treatment Strategies
Anticholinesterase Agents: Poisoning and Treatment
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is slower than the...
Prevention of Further Absorption of Poison
Toxidromes: Clinical Features
Types of Toxins
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...