Acute medication poisoning causing hospital admissions in childhood: a 3-year prospective observational single-center

P Matalová1, M Poruba, M Wawruch

  • 1Department of Pharmacology, Faculty of Medicine and Dentistry, Palacký University in Olomouc, Olomouc, Czech Republic. urbanek@fnol.cz.

Physiological Research
|November 23, 2019
PubMed

Insights

Acute medication poisoning in children is a significant concern, particularly among toddlers. Non-steroidal anti-inflammatory drugs (NSAIDs), especially ibuprofen, are the most common culprits in these pediatric poisoning cases.

Area of Science:

  • Pediatric Toxicology
  • Public Health

Background:

  • Medication poisoning in children is understudied, with most research focusing on broader xenobiotic exposures.
  • Existing literature often emphasizes alcohol intoxications over pharmaceutical ingestions.

Purpose of the Study:

  • To investigate the incidence and characteristics of acute medication poisoning among pediatric hospital admissions.
  • To identify common agents, demographic factors, and outcomes associated with childhood medication poisonings.

Main Methods:

  • Prospective recording of all hospital admissions over a three-year period.
  • Evaluation of patients under 19 years old admitted for acute drug intoxications.
  • Analysis of demographic data, causative agents, route of exposure, and outcomes.

Main Results:

  • 55 out of 15,069 pediatric admissions were for acute medication poisoning.
  • Poisoning was more prevalent in girls (72.7%) and toddlers (36.4%).
  • Non-steroidal anti-inflammatory drugs (NSAIDs), particularly ibuprofen, were the most frequent agents (20%). Accidental poisonings were highest in 1-3 year olds, while suicide attempts were noted in adolescents.

Conclusions:

  • Acute medication poisoning represents a notable cause of pediatric hospitalizations, with NSAIDs being a primary concern.
  • Understanding demographic trends and common agents is crucial for targeted prevention strategies.
  • Ongoing research with an expanded ten-year cohort aims to further elucidate these pediatric poisoning patterns.

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