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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.
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.
Abstract:
Although the risks of medication poisoning in children are often reported, there is a lack of studies addressing this issue. The majority of papers deal with a wide range of xenobiotics poisoning and, in particular, alcohol intoxications. All hospital admissions during three years were prospectively recorded. Patients younger than 19 years of age admitted for acute drug intoxications were further evaluated. A total of 15,069 children were admitted. Of them, 55 were hospitalized for acute medication poisoning. The condition was more common in girls (72.7 % vs. 27.3 %, p<0.01). Toddlers were the largest patient group (36.4 %). Non-steroidal anti-inflammatory drugs (NSAIDs) were the most frequently used agents, with ibuprofen being the leading drug (20 % of all cases). The route of intoxication was almost exclusively oral. Solid drug forms were involved in 40 (72.7 %) cases. There was one fatal accidental poisoning. The highest occurrence of accidental drug intoxications was in the age group from one to three years. Attempted suicides were most frequent among adolescents. We are currently actively dealing with the issue. The cohort has been expanded to include a period of ten years and is being analyzed.
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