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Accidental poisoning in children
Syed Kashif Abbas1, Shiyam Sundar Tikmani, Nida Tariq Siddiqui
1Department of Accident and Emergency, Liaquat National Hospital, Karachi.
Insights
Acute poisoning in children is a concern, with pharmaceutical products being the most common cause. Further research is needed to identify risk factors for accidental poisoning in pediatric populations.
Area of Science:
- Pediatric Emergency Medicine
- Toxicology
- Public Health
Background:
- Acute poisoning in children presents a significant public health challenge.
- Understanding poisoning patterns is crucial for developing targeted prevention strategies.
Purpose of the Study:
- To investigate the epidemiological patterns of acute poisoning among children treated at Liaquat National Hospital, Karachi.
- To identify common sources and outcomes of acute poisoning in pediatric patients.
Main Methods:
- A one-year descriptive study was conducted in a Paediatric Emergency Unit.
- Data was collected from hospital records of children under 12 with accidental toxic substance exposure.
- Outcomes analyzed included admission, discharge, and leaving against medical advice (LAMA).
Main Results:
- 43 cases of accidental poisoning were recorded, representing 0.58% of emergency visits.
- Children under 3 years old constituted the majority of cases (46.5%).
- Pharmaceutical products (34.9%) were the leading cause, followed by kerosene, organophosphorous, alkali, and acid ingestions.
Conclusions:
- Acute poisoning in children, though a small percentage of emergency visits, requires attention.
- Pharmaceutical agents are a frequent source of pediatric poisoning.
- Further investigation into risk factors for childhood poisoning is recommended.
Objective:
To assess the pattern of acute poisoning in children at Liaquat National Hospital, Karachi.
Methods:
The one-year descriptive study was conducted in the Paediatric Emergency Unit of the Liaquat National Hospital, Karachi, from April 1, 2006 to March 31, 2007, involving all patients under 12 years of age who visited the unit with a history of accidental exposure to toxic substances. Demographic data and all other relevant information were obtained mainly by retrieving hospital records and the admission register. Immediate outcomes were analysed in terms of admission, discharge and 'left against medical advice' (LAMA).
Results:
During the study period, 43 cases of accidental poisoning were registered, constituting 0.58% of the total emergency visits. Most (46.5%) were less than 3 years of age. Pharmaceutical products (34.9%) were the leading cause of ingestion followed by kerosene oil (25.6%), organophosphorous (16.3%), alkali (9.3%) and acid (7%). Regarding the outcome of these cases, 29 were admitted, 7 were discharged and 7 patients left against medical advice.
Conclusion:
In our study, a small percentage of children presented with acute poisoning. Pharmacologic agents were a common source of poisoning in children. There is a need to further study and identify risk factors of acute poisoning in children.
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