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Published on: September 11, 2018
Increase in pediatric magnet-related foreign bodies requiring emergency care
Jonathan A Silverman1, Julie C Brown, Margaret M Willis
1Department of Pediatrics, University of Washington, Seattle, WA.
Insights
Pediatric magnet ingestions and other magnetic foreign body injuries are a growing public health concern. Increased awareness and safety standards are needed to protect children from these dangerous incidents.
Area of Science:
- Pediatric Emergency Medicine
- Public Health Surveillance
- Consumer Product Safety
Background:
- Magnetic foreign body injuries in children represent a significant and increasing public health issue.
- These injuries can occur through ingestion, nasal insertion, or other routes, posing risks to various age groups.
Purpose of the Study:
- To analyze national estimates of magnetic foreign body (MFB) injury incidence among children in the United States.
- To examine trends in MFB injuries over a 10-year period (2002-2011).
Main Methods:
- Utilized the National Electronic Injury Surveillance System (NEISS) to identify MFB cases in individuals under 21 years old.
- Analyzed MFB cases by anatomical location, including the alimentary tract, respiratory tract, nasal cavity, ear canal, and genital area.
Main Results:
- Identified 22,581 estimated MFB cases between 2002 and 2011, with ingestions (74%) and intranasal cases (21%) being most common.
- Observed a significant increase in pediatric magnet ingestions from 0.57 to 3.06 cases per 100,000 children annually between 2002-2003 and 2010-2011.
- Multiple magnet ingestions, more common in later years, led to higher hospitalization rates (15.7%) compared to single magnet ingestions (2.3%).
Conclusions:
- Magnet-related injuries are an escalating public health problem affecting both young children and older children.
- Educational initiatives and enhanced magnet safety standards are crucial to mitigate the risks associated with small magnets for children.
Study Objective:
We describe magnetic foreign body injuries among children and obtain national estimates of magnetic foreign body injury incidence over time.
Methods:
We searched the National Electronic Injury Surveillance System for cases of magnetic foreign bodies in children younger than 21 years in the United States, from 2002 to 2011. Cases were analyzed by location: alimentary or respiratory tract, nasal cavity, ear canal, or genital area.
Results:
We identified 893 cases of magnetic foreign bodies, corresponding to 22,581 magnetic foreign body cases during a 10-year period (95% confidence interval [CI] 17,694 to 27,469). Most magnetic foreign bodies were ingested (74%) or intranasal (21%). Mean age was 5.2 years for ingested magnetic foreign bodies and 10.1 years for nasal magnetic foreign bodies (difference 4.9; 95% CI 4.1 to 5.6), suggesting different circumstances of injury. The incidence of pediatric magnet ingestions increased from 2002 to 2003 from 0.57 cases per 100,000 children per year (95% CI 0.22 to 0.92) to a peak in 2010 to 2011 of 3.06 cases per 100,000 children per year (95% CI 2.16 to 3.96). Most ingested magnetic foreign bodies (73%) and multiple magnet ingestions (91%) occurred in 2007 or later. Patients were admitted in 15.7% of multiple magnet ingestions versus 2.3% of single magnet ingestions (difference 13.4%; 95% CI 2.8% to 24.0%).
Conclusion:
Magnet-related injuries are an increasing public health problem for young children, as well for older children who may use magnets for play or to imitate piercings. Education and improved magnet safety standards may decrease the risk small magnets pose to children.
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