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[Poisoning in first year of age. A multicentre study]
A G Marchi1, S Renier, F Valent
1U.O. SAPS-PRACCO, IRCCS Burlo Garofolo, Trieste. marchi@burlo.trieste.it
Insights
Toxic exposures in infants are a growing concern. Improving parental education on poison prevention at home is crucial for preventing these completely avoidable incidents.
Area of Science:
- Pediatric Toxicology
- Public Health
- Epidemiology
Background:
- Toxic exposures in children represent a significant public health issue.
- Understanding the specific epidemiology and clinical features of poisoning in infants is essential for targeted prevention strategies.
Purpose of the Study:
- To describe the clinical and epidemiological characteristics of toxic exposures in children under one year of age.
- To compare these features with those observed in older children (1-4 years).
Main Methods:
- A prospective study was conducted in 14 Pediatric Emergency Departments (ED) during 2001.
- Data collected included epidemiological and clinical features, exposure circumstances (accidental/deliberate), and clinical outcomes.
- Comparisons were made with data from 1-4 year-old patients.
Main Results:
- Out of 1,026 children, 111 (10.8%) were under 1 year.
- Infant exposures occurred exclusively at home and accidentally, often due to parental errors (38.7%) and plant ingestions (22.5%).
- While most exposures were non-toxic or resulted in mild-to-moderate symptoms with prompt treatment, a concerning increase compared to previous studies was noted.
Conclusions:
- The rise in toxic exposures among children under 1 year warrants attention.
- These incidents are entirely preventable, highlighting the need for enhanced poison prevention education for parents.
- Improving home safety measures and parental awareness is critical to reduce childhood poisonings.
Aim:
The aim of this study is to describe clinical and epidemiological features of toxic exposures in children under 1 year.
Methods:
During 2001 a prospective study on poisoning was carried out in the Pediatric Emergency Departments (ED) of 14 hospitals. Information stored concerned epidemiological and clinical features, evaluation of accidental or deliberate manner of exposure as well as of clinical consequences. Data were compared with those registered in 1-4 year-old patients.
Results:
During 2001 out of 1,026 children registered, 111 (10.8%) were under 1 year. Exposure occurred exclusively at home and by accident. As compared to 1-4 year-old patients, children exposures were more frequently due to parental errors (38.7% of cases vs 7.3%), and involved plant poisons (22.5% vs 7.3%). In 1/3 of these cases the cause was due to non-toxic exposures, in another 1/3 an early treatment avoided clinical consequences. In the other cases, symptoms were of low to moderate severity, only in 1 case they were serious. No deaths occurred. One out of every 3 children was admitted, the others were sent home directly from ED (23.4%) or after a short observation period (44.1%).
Conclusion:
The increase in poisoning in children under 1 year, as compared to previous multicentre studies, is deserving of concern. In spite of the relatively low severity they are completely preventable. The study shows that information on poisons prevention for parents needs to be improved to prevent exposure of children under 1 year to toxic substances at home.
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