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Published on: August 7, 2017
[Enquiries to the Danish Poison Information Centre concerning children aged 0-14-years during a year]
1Klinisk Farmakologisk Enhed og Giftlinjen, Bispebjerg Hospital, DK-2400 København NV.
Insights
Most childhood drug poisonings are not dangerous, but some cases, especially iron intake, can be life-threatening. Individual assessment is crucial for appropriate risk management and preventing unnecessary hospital visits.
Area of Science:
- Pediatric Toxicology
- Public Health
- Emergency Medicine
Context:
- Acute drug poisoning in children is a significant public health concern.
- The Danish Poison Information Centre (Giftlinjen) handles numerous inquiries regarding childhood poisonings.
- Understanding the patterns and severity of these poisonings is vital for prevention and intervention.
Purpose:
- To analyze all inquiries to the Danish Poison Information Centre (Giftlinjen) concerning children aged 0-14 years over a one-year period.
- To identify the types of drugs and toxicants involved in pediatric poisonings.
- To assess the severity and outcomes of drug poisonings in children.
Summary:
- Out of 9,920 total inquiries, 4,399 involved children, with 1,060 related to drug poisonings.
- Multivitamin intake was the most common reason for inquiry, usually not dangerous.
- One-third of cases required treatment, and 31 were life-threatening, often due to iron. Suicidal reactions were noted in adolescents.
- Most poisonings occurred at home in younger children, while older children showed trends towards intentional ingestion.
Impact:
- Highlights the importance of accurate risk assessment for each poisoning case.
- Emphasizes the role of poison control centers in guiding appropriate medical care.
- Informs public health strategies for preventing and managing childhood drug poisonings.
Introduction:
Acute drug poisoning in children poses a serious health problem. The present study assesses all enquiries to the Danish Poison Information Centre (Giftlinjen) concerning children during a one-year period.
Material And Methods:
All enquiries concerning children aged 0-14 years in the period 1.9.2006 to 31.8.2007 were reviewed and the following data registered: date and nature (drug or other toxicant) of the poisoning, gender, age, address of the poisoned patient, place of poisoning, drug name, dose and the final risk assessment.
Results:
Among the 9,920 enquiries to Giftlinjen, 4,399 concerned children. Among those, 1,060 were related to drugs. The most frequent cause of enquiry was related to intake of multivitamins, although these cases were mostly classified as not dangerous. One third (337/1,060) of all cases were categorised as requiring treatment, and 31/1,060 were categorised as life-threatening - often due to iron intake. The main part of all poisonings took place during play in the patient's own home (age group 0-6 years). However, there was a trend among patients aged 13-15 years that the poisoning was due to affective acts or a suicidal reaction (often with paracetamol = acetaminophen).
Discussion:
Most drug poisonings in children are not dangerous. However, there is often an uncertainty as to the toxic dose ingested, and an individual and thorough assessment of each case is therefore necessary. The risk assessment and advice given by Giftlinjen is an important tool to avoid unnecessary contact with hospital emergency rooms or other health care services.
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