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Pattern of pediatric poisoning and accident in Patan Hospital
U D Chhetri1, I Ansari, S Shrestha
1Department of Pediatrics, Patan Hospital, Patan Academy of Health Sciences. udchhetri@yahoo.com
Insights
Pediatric accidents and poisonings are preventable, with pesticides and kerosene being common causes. Safe storage and supervision are crucial to prevent child injuries and fatalities.
Area of Science:
- Pediatric Emergency Medicine
- Public Health
- Toxicology
Background:
- Chemicals like kerosene, drugs, and pesticides pose significant risks to children.
- Parental negligence is a major contributing factor to accidental poisonings in children.
Purpose of the Study:
- To investigate the primary causes of pediatric accidents and poisonings.
- To analyze the outcomes of these cases admitted to Patan Hospital.
Main Methods:
- Conducted a 4-year prospective and retrospective study of pediatric accident and poisoning cases.
- Collected data from 35 cases admitted to Patan Hospital between 2066 and 2069 (Nepali calendar).
Main Results:
- Pesticides (11), kerosene (9), and drugs (7) were the most frequent poisons.
- Accidental poisonings were common in 1-5 year olds, while suicidal poisonings occurred in 11-14 year olds.
- Mortality rate was 6%, with two deaths from organophosphate and food poisoning.
Conclusions:
- Accidents and poisonings in children are largely preventable through environmental safety measures.
- Secure storage of hazardous substances and constant child supervision are essential.
- Implementing child-proof containers and restricting pesticide sales to minors can reduce incidents.
Background:
Kerosene, drugs, pesticides are chemicals used in home and farms. But because of parents' or caretakers' negligence, accidents and poisoning in children may take life of a child.
Objective:
To study the common causes and outcome of pediatric accident and poisoning cases admitted in Patan Hospital.
Method:
A prospective (2068-69) and retrospective (2066-67) studies of pediatric accident and poisoning cases admitted in Patan Hospital (2066-chaitra 2069) were done.
Result:
Out of 44 registered cases total 35 cases were collected in last 4 years. Twenty one in prospective and 14 in retrospective study. Male female ratio was 1.2:1. Most vulnerable age group was 1-5 years (21) and 11-15 yrs (8). Most common poison was pesticide (11), kerosene (9) and drugs (7). Twenty percent were suicidal, 3% were homicidal and rest was accidental. Suicidal poisoning was common in 11-14 years. Accidental poisoning was: taking kerosene from mineral water bottle for water. Small children took drugs and pesticides due its easy availability or careless storing. Five common accidents were near drowning (2), hot water scald, hanging and fall from height. Outcome was 2 expired; 1 Organo-phosphorous and 1 food poisoning. Mortality was 6%. One hanging survived as vegetation.
Conclusion:
Accident and poisoning are preventable. We need to make our home and surrounding poison and accident proof. Small children should never be left unattended. Drugs, pesticides, hot things, and sharp instruments should be kept out of reach of children and in child proof container in separate places. Pesticide should not be sold to children.
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