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Published on: July 29, 2020
Acute Poisoning in Children in Bahia, Brazil
Dilton Rodrigues Mendonça1, Marta Silva Menezes1, Marcos Antônio Almeida Matos1
1Escola Bahiana de Medicina e Saude Publica, Salvador, Brazil.
Insights
Acute childhood poisoning is common, especially in toddlers. Medications and animal bites were leading causes, with most cases being mild and having low fatality rates.
Area of Science:
- Pediatrics
- Toxicology
- Public Health
Background:
- Acute poisoning represents a significant public health concern in pediatric populations.
- Children under 4 years old are particularly vulnerable to accidental poisoning events.
Purpose of the Study:
- To analyze the epidemiological characteristics of acute poisoning cases in children.
- To identify the primary toxic agents and outcomes associated with pediatric poisoning.
Main Methods:
- A descriptive epidemiological study was conducted.
- Data were collected from standardized Poison Control Center forms and patient records.
- Cases of acute poisoning in children aged 0–14 years between 2008 and 2012 were analyzed.
Main Results:
- A total of 657 cases were recorded, with a higher incidence in males (53.4%) and children aged 1–4 years (48.7%).
- Accidental poisonings accounted for 92% of cases; suicide attempts were 5.8%.
- Predominant toxic agents included medications (28.5%), venomous animals (19.3%), and household cleaning products (9.0%). Most cases were mild (73.5%), with 18% requiring hospitalization and a low lethality rate (0.5%).
Conclusions:
- Childhood acute poisoning is a frequent occurrence, predominantly accidental, with medications and animal-related exposures being common culprits.
- The majority of pediatric poisoning cases present with mild symptoms, necessitating appropriate management and prevention strategies.
- Effective public health interventions and parental education are crucial for reducing the incidence and severity of childhood poisoning.
Abstract:
Acute poisoning is a frequent accident in childhood, particularly in children under 4 years of age. This was a descriptive study with data collected from standardized forms of the Poison Control Center and patient record charts. All the cases of acute poisoning in children aged 0 to 14 years during the period 2008 to 2012 were selected. The variables studied comprised characteristics of the events and toxic agents, clinical development, and outcome. A total of 657 cases of acute poisoning, with higher frequency in the age-group from 1 to 4 years (48.7%) and male sex (53.4%), were recorded. The occurrences were accidental in 92% of the cases, and 5.8% were due to suicide attempts. Among the toxic agents, medications (28.5%), venomous animals (19.3%), nonvenomous animals (10%), household cleaning products (9.0%), and raticide agents (8.7%) predominated. The majority of cases were characterized as light (73.5%) and around 18% required hospitalization, and there was low lethality (0.5%).
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