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Nonfatal, unintentional medication exposures among young children--United States, 2001-2003
Insights
Young children face risks from unsecured medications, leading to thousands of emergency department visits annually. Secure storage is crucial to prevent accidental pediatric medication exposures and poisonings.
Area of Science:
- Pediatric Safety
- Public Health
- Toxicology
Background:
- Young children are at high risk for accidental exposure to prescription and over-the-counter (OTC) medications due to improper storage.
- Medication poisonings represent a significant public health concern for young children in the United States.
Purpose of the Study:
- To analyze the incidence and characteristics of unintentional medication exposures in young children treated in U.S. emergency departments.
- To highlight the vulnerability of children aged 4 years and younger to medication access.
Main Methods:
- Analysis of data from the National Electronic Injury Surveillance System--All Injury Program (NEISS-AIP) for the years 2001-2003.
- Examination of emergency department (ED) visit data for children aged 4 years and younger related to unintentional medication exposures.
Main Results:
- An estimated 53,517 children aged 4 years and younger were treated annually in U.S. EDs for unintentional medication exposures between 2001-2003.
- The majority of these exposures, approximately 72%, occurred in children aged 1-2 years.
- Children in this age group can easily access medications stored in accessible locations like purses, tables, or drawers.
Conclusions:
- Urgent need for parents and caregivers to implement secure medication storage practices.
- Emphasize keeping medications out of children's reach and sight to prevent accidental ingestion.
- Vigilance is required to prevent children's access to medications, including those in daily pill organizers.
Abstract:
Young children are vulnerable to inadvertent exposure to prescription and over-the-counter (OTC) medications, especially when these items are not stored securely. In 2002, according to death certificate data, 35 children aged < or =4 years died from unintentional medication poisonings in the United States (CDC, unpublished data, 2005). In 2003, according to reports to U.S. poison control centers, pharmaceuticals accounted for 1,336,209 (55.8%) of unintentional chemical or substance exposures. Of those pharmaceutical exposures, 568,939 (42.6%) involved children aged <6 years. For this report, CDC analyzed 2001-2003 data from hospital emergency department (ED) visits reported by the National Electronic Injury Surveillance System--All Injury Program (NEISS-AIP). The results of this analysis indicated that, during 2001-2003, an estimated 53,517 children aged < or =4 years were treated annually in U.S. EDs for unintentional medication exposures. An estimated 72% of these exposures were in children aged 1-2 years. Children aged < or =4 years can reach items on a table, in a purse, or in a drawer, where medications are often stored; young children also tend to put objects they find in their mouths. Parents and others responsible for supervising children should store medications securely at all times, keep them out of the reach of children, and be vigilant in preventing access by children to daily-use containers such as pill boxes.
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