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Published on: October 2, 2016
Opium as a fatal substance
Sima Besharat1, Ali Jabbari, Mahsa Besharat
1Golestan Research Center of Gastroenterology and Hepatology, Golestan University of Medical Sciences, Gorgan, Iran. s_besharat_gp@ yahoo.com
Insights
Opium poisoning in children under five is a serious risk, particularly in Golestan province, Iran. Unrestricted use by parents for common ailments led to severe outcomes, including four deaths, highlighting the urgent need for public education.
Area of Science:
- Pediatric Toxicology
- Public Health
Background:
- Opium use for symptomatic therapy in young children is prevalent in Golestan province, Iran.
- Pediatric poisoning poses significant health risks, with opium being a notable concern in the region.
Purpose of the Study:
- To assess the incidence and outcomes of opium toxicity in children under five years old.
- To identify risk factors associated with opium poisoning in pediatric patients.
Main Methods:
- A prospective cross-sectional study was conducted.
- Data was collected from 67 opium-intoxicated children referred to pediatric centers.
- Statistical analysis included Chi-square and Fisher exact tests.
Main Results:
- The study included 67 children aged 6 days to 5 years.
- Opium was administered primarily by uneducated mothers from low socio-economic backgrounds.
- Four deaths were recorded among the affected children.
Conclusions:
- Opioids, especially in children under five, are dangerous and can lead to severe outcomes like respiratory depression, coma, and death.
- The unrestricted use of opium contributes to pediatric mortality.
- Educational programs are essential to curb this practice and reduce child mortality.
Objective:
Poisoning does the most serious damages in pediatrics. In the northeast of Iran (Golestan province), opium is used widely for symptomatic therapy of routine illnesses in young children by parents. In the present study, opium toxicity was assessed in young children referred to pediatric centers in our area.
Methods:
This survey was done as a prospective cross-sectional study. At first, a pilot study was undertaken to estimate the condition of opium intoxicated children and evaluate the validity of questionnaire. We collected data in collaboration with committee of Adverse Drug Reactions (ADR) in Golestan Province. All members of ADR committee in pediatric centers were trained to complete questionnaires in referred or admitted children under-5-year. Data was entered into computer and analyzed by Chi-square and Fisher exact test.
Results:
In this survey, 67 opium-intoxicated children were recruited. Minimum age of the cases was 6 days and maximum 5-year. Uneducated mothers, in most cases, gave opium to the child. Most of them were from the low socio-economic level. Ethnic was disparity was observed. Four deaths occurred.
Conclusion:
As the results showed, opioids are dangerous in pediatric population, especially under 5-year. Respiratory depression, bradypnea, coma and death are the serious outcomes of opium toxicity in pediatrics. Such a practice of unrestricted use of opium contributes to children mortality and so it is essential to launch educational programs.
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