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Published on: August 30, 2018
[Acute poisonings in children in the years 2010-2012--single-centre study in Poznań]
Krystyna Gontko1, Joanna Mitkowska2, Paweł Panienski3
1Zakład Medycyny Ratunkowej Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu. gontko@ump.edu.pl
Insights
Acute poisoning in children is more common in girls, with drugs and alcohol as leading causes. Suicide attempts were noted in girls, while young children were more prone to accidental chemical ingestions.
Area of Science:
- Pediatrics
- Toxicology
- Public Health
Background:
- Poisoning represents a significant clinical syndrome resulting from the introduction of toxic substances into the body.
- Understanding the epidemiology of acute poisoning in children is crucial for developing targeted prevention strategies.
Purpose of the Study:
- To conduct a statistical analysis of acute poisoning cases among children treated between 2010 and 2012.
- To identify the primary causes, demographic patterns, and outcomes of acute pediatric poisonings.
Main Methods:
- A retrospective study of 308 children diagnosed with or suspected of acute poisoning.
- Data collected from the Admissions Room of the Specialized Health Care Mother and Child in Poznań over a three-year period.
- Analysis included patient demographics, toxic agents involved, time of year, and hospitalization details.
Main Results:
- Girls constituted 57.14% of the study group. The most frequent causes of poisoning were drugs (144 cases) and ethyl alcohol (75 cases).
- Drug overdose was more prevalent in girls (63.89%), while alcohol poisoning affected older children and adolescents. Chemical poisonings were more common in boys.
- Intentional poisoning and suicide attempts were diagnosed in a subset of patients, primarily adolescent girls. Accidental chemical poisonings were more frequent in younger children.
Conclusions:
- Acute poisoning, excluding household products, occurred more frequently in girls. Drugs and ethanol were the leading causes of poisoning in children.
- Suicidal poisonings were exclusively observed in females, whereas accidental poisonings were predominantly seen in younger children due to chemicals.
- These findings highlight the need for gender- and age-specific prevention and intervention programs for pediatric poisoning.
Unlabelled:
Poisoning is a clinical syndrome caused by the poison, which entered into the body. Poison is every substance that taken in the specified amounts may cause adverse effects.
Objective:
Statistical analysis of acute poisoning in children in the years 2010-2012.
Material And Methods:
The study group consisted of 308 children who went to the Admissions Room of the Specialized Health Care Mother and Child in Poznań because acute poisoning suspicion or diagnosis, in the period from 1 January 2010 to 31 December 2012.
Results:
In the group of 308 children, girls accounted for 57.14% and 42.86% boys. Children age ranged from 5 day old to 215 months of age (average 122 +/- 74). Toxic substances, which children have been exposed were drugs in 144 patients, ethyl alcohol in 75 children, carbon monoxide - 55 injured and chemicals in 34. The most commonly acute poisoning occurred in October (11.69%), December (11.04%) and September (10.71%). Of the 308 admitted children, 278 (90.26%) were hospitalized, including 11 patients (3.57%) in the Intensive Care Unit (ICU). In study population poisonings with drugs were dominated and related to 63.89% of girls and 36.11% of boys, aged from 2 to 213 months of age (average 120 +/- 75). In 50.69% of children intentional poisoning was diagnosed, in 18 patients (12.5%) mixture of different drugs was ingested, in five of them together ethyl alcohol. At 4.86% of the children reported a suicide attempt. This group accounted for girls with an average age of 178 +/- 8 months. Ethyl alcohol poisoning related to 56% of girls and 44% of boys between the ages of 152 to 215 months, giving an average age of 184 +/- 17 months. At 5.33% of the patients reported alcohol consumption along with medication, and 2.66% in addition took psychoactive substances. Because carbon monoxide poisoning aid granted to 50.91% girls and 49.09% boys between the ages of five day old to 209 months of age (mean 96 +/- 64). Poisoning with household chemicals related to 58.82% of boys and 41.18% of girls (mean age 32 +/- 36 months). Detergents were the most frequent ingested chemicals in 50% of children with an average age of 3 years.
Conclusions:
Acute poisoning with the exception of household products ingestion were more common in girls than in boys. The most common cause of poisoning in children were drugs overdose and ethanol ingestion. Cases of suicidal poisoning target group included only female sex. Accidental poisoning were observed mainly in young children and usually caused by chemicals.
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