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Patterns of Acute Poisoning in Childhood in Zagazig, Egypt: An Epidemiological Study
Basheir A Hassan1, Mohamed G Siam2
1Pediatrics Department, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt.
Insights
Accidental poisoning is common in children under six, with pesticides and medications being the most frequent culprits. This study highlights the need for increased awareness and prevention strategies in Egypt.
Area of Science:
- Pediatrics
- Toxicology
- Public Health
Background:
- Acute poisoning is a frequent pediatric emergency.
- Limited data exists on childhood poisoning patterns in Egypt.
- This study addresses the knowledge gap regarding childhood poisoning in Zagazig.
Purpose of the Study:
- To investigate the epidemiological and clinical characteristics of acute poisoning in children.
- To identify common poisoning agents and outcomes in a specific Egyptian population.
- To inform prevention and management strategies for childhood poisoning.
Main Methods:
- Retrospective analysis of 300 children (≤12 years) admitted for acute poisoning.
- Data collection included demographics, poisoning agents, and clinical presentation.
- Analysis of cases admitted to Zagazig University Hospitals from January 2011 to August 2012.
Main Results:
- The majority of cases (81%) involved children aged 1-6 years.
- Accidental poisoning accounted for 99% of cases, with pesticides (28.7%) and medications (22.7%) as leading agents.
- Most children (86%) required supportive care, decontamination, or specific antidotes.
Conclusions:
- Childhood poisoning in this cohort was predominantly accidental, affecting young children.
- Pesticides and therapeutic drugs are the primary agents involved in pediatric poisonings.
- Findings underscore the importance of targeted prevention efforts and prompt medical intervention.
Abstract:
Background. Acute poisoning represents one of the most common medical emergencies in childhood. In view of paucity of literature on accidental poisoning among children in Egypt, this study was designed to describe the pattern of childhood poisoning in Zagazig University Hospitals. Patients and Methods. This retrospective study included 300 children up to 12 years with acute poisoning admitted to the Pediatric Department and Poisoning Treatment Unit, Zagazig University Hospitals, from January 2011 to August 2012. Complete epidemiological and clinical data were recorded and analyzed. Results. Three hundred of poisoned children were enrolled in this study. Children from 1 to 6 years were more liable to poisoning (81%). More boys than girls were poisoned at all age groups. The majority of all cases (99%) were due to accidental poisoning. Overall, 32% of the poisoned cases were living in Zagazig city while 68% were living in the rural areas. The presenting symptoms were classic in 60% of the cases. Pesticides, therapeutic drugs, and cleaning and disinfectant agents were the most frequent poisoning agents (28.7%, 22.7%, and 17.0%, resp.). In 86.0% of cases, observation with or without supportive measures together with decontamination and specific antidote therapy whenever needed was sufficient. Conclusion. Most of the poisonings were due to accidental ingestions by infants and young children. Pesticides and medications were the most commonly involved agents.
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