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Pediatric Poisoning by Ingestion: Developmental Overview and Synopsis of National Trends
Insights
Pediatric ingestions are common, often exploratory, and pose risks throughout childhood. Healthcare providers can guide caregivers on preventing poisonings linked to developmental stages.
Area of Science:
- Toxicology
- Pediatrics
- Epidemiology
Background:
- Pediatric ingestions represent a significant portion of reports to the American Association of Poison Control Centers' National Poison Data Surveillance System.
- Children's developmental stages, from early childhood to adolescence, increase their vulnerability to various poisonous ingestions.
- Exploratory behavior is a primary driver for most pediatric ingestion incidents.
Purpose of the Study:
- To highlight the role of pediatric providers in preventing poisonings.
- To inform caregivers about age-specific risks and developmental milestones related to ingestions.
- To underscore the importance of real-time toxico-surveillance data.
Main Methods:
- Utilizing data from the American Association of Poison Control Centers' National Poison Data Surveillance System.
- Analyzing trends in pediatric ingestions based on developmental stages.
- Reviewing common agents associated with pediatric fatalities.
Main Results:
- Pediatric ingestions are a major component of poison control center reports.
- Developmental milestones correlate with specific ingestion risks.
- Common fatal agents include disc batteries, laundry pods, opioids, acetaminophen, benzodiazepines, and amphetamines.
Conclusions:
- Pediatric providers are crucial resources for anticipatory guidance on preventing ingestions.
- Caregivers need targeted information relevant to their child's developmental phase.
- Understanding developmental vulnerability is key to reducing pediatric poisoning incidents.
Abstract:
The American Association of Poison Control Centers' National Poison Data Surveillance System provides real-time toxico-surveillance and epidemiologic trends, and pediatric ingestions comprise most of those reports. The sequences in social and physical developmental milestones from young childhood to adolescence reveal the vulnerability of these age groups to a wide variety of potential poisonous ingestions. Most pediatric ingestions are exploratory. Some common agents associated with pediatric fatalities include disc batteries, laundry detergent "pods," opioid analgesics, acetaminophen, benzodiazepines, and amphetamines. The pediatric provider can be a valuable resource at all points throughout a child's life, offering anticipatory guidance to caregivers targeting developmental changes associated with poisonous ingestions. [Pediatr Ann. 2017;46(12):e443-e448.].
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