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A cross-sectional study of children with acute poisoning: A three-year retrospective analysis
Tigist Bacha1, Birkneh Tilahun2
1Division of Emergency Medicine, Department of Pediatrics, Addis Ababa University, Addis Ababa, Ethiopia.
Insights
Childhood poisoning in developing countries is often unintentional and caused by prescribed drugs. Early presentation to healthcare facilities is linked to younger age, but psychosocial support is lacking for affected children.
Area of Science:
- Pediatric Toxicology
- Public Health
- Epidemiology
Background:
- Limited data exists on childhood poisoning burden in developing nations.
- Acute poisoning in children presents unique challenges in resource-limited settings.
Purpose of the Study:
- To characterize children with acute poisoning.
- To identify factors influencing presentation time and poisoning nature.
Main Methods:
- A cross-sectional study was conducted in three pediatric referral hospitals in Addis Ababa, Ethiopia.
- Demographic data and poisoning characteristics were analyzed.
- Statistical analysis was performed using SPSS version 20.
Main Results:
- 128 children with acute poisoning were analyzed over three years.
- Prescribed drugs were the most common cause (29.7%), with 73.5% of incidents being unintentional.
- Younger children (under 2 years) presented earlier, while older children (over 5 years) were more prone to intentional poisoning.
Conclusions:
- Unintentional poisoning, particularly from prescribed drugs, is prevalent among children.
- There is a critical need for psychosocial evaluation and counseling for poisoned children.
- Community education and caregiver awareness are essential for poisoning prevention.
Background:
There is a lack of evidence on description of burden and cases of childhood poisoning in developing countries. This study aimed to assess the characteristics of children with acute poisoning, and factors for time of presentation to health facility and nature of poisoning.
Methods:
A cross-sectional study was conducted at three major pediatric referral hospitals in Addis Ababa, Ethiopia. Description of demographics of children with acute poisoning and factors associated with time to presentation and nature of poisoning were analyzed. Data were entered to Epi info 3.5.3 and analyzed with SPSS version 20.
Results:
Over three years, we retrieved records of a total of 128 children admitted for acute poisoning. The mean age of victims was 5.46 (SD, standard deviation=4.48) years. The majority (29.7%) were poisoned by prescribed drugs. Most poisoning incidents (73.5%) were unintentional in nature. The median time to health facility visit was 15.5 hours. Age less than 2 years was related to earlier presentation to health facility (P=0.010, OR=0.28, 95%CI=0.10-0.74). Children with age more than 5 years was more likely to have intentional poisoning (χ(2)=25.06, P<0.0001). None of the victims was provided psychosocial evaluation and counseling.
Conclusion:
Most poisoning incidents are unintentional. Prescribed drugs are the commonest causes. Psychosocial counseling and care for the affected children is lacking. Family and community education should be given on prevention of poisoning. We recommend that caregivers take the required action in keeping prescribed drugs at home. Psychosocial support should be part of care and treatment of children with poisoning.
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