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Management of foreign body ingestions in children: button batteries and magnets

Ronan Kodituwakku1, Sarah Palmer2, Siba Prosad Paul3

  • 1Trainee Physician Associate, Peninsula College of Medicine and Dentistry, Plymouth.

British Journal of Nursing (Mark Allen Publishing)
|April 29, 2017
PubMed

Insights

Foreign body ingestion in children, especially button batteries and magnets, is rising. Early identification and prompt management are crucial to prevent serious harm and potential fatalities.

Area of Science:

  • Pediatric Medicine
  • Emergency Medicine
  • Gastroenterology

Background:

  • Foreign body ingestion and aspiration are common in children aged 6 months to 6 years.
  • Many ingestions are unwitnessed and asymptomatic, complicating diagnosis.
  • Recent trends show increased morbidity from button battery and magnet ingestions.

Purpose of the Study:

  • To highlight the growing concern of pediatric foreign body ingestions.
  • To emphasize the critical need for timely diagnosis and management.
  • To underscore the vital role of nurses in managing these cases.

Main Methods:

  • Literature review of recent trends in foreign body ingestions.
  • Analysis of clinical significance of button battery and magnet ingestions.
  • Discussion of diagnostic challenges and management strategies.

Main Results:

  • Button battery and (neomydium) magnet ingestions are associated with increased pediatric morbidity.
  • Delayed diagnosis of lodged button batteries or multiple magnets can lead to severe complications.
  • Deaths, though rare, are linked to delayed diagnosis of dangerous foreign body ingestions.

Conclusions:

  • Prompt identification and management are essential for pediatric foreign body ingestions, particularly button batteries and magnets.
  • Nurses are pivotal in the early detection and management of foreign body ingestions in children.
  • Vigilance and timely intervention can mitigate severe outcomes and prevent fatalities.

Keywords:
BatteriesForeign bodiesIngestionMagnetsX-rays

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