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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Current management for foreign body and toxic agent ingestion in a pediatric primary emergency center

Takeshi Ninchoji1,2, Kandai Nozu3, Atsushi Kondo3

  • 1Kobe University Graduate School of Medicine, Department of Pediatrics, Kobe, Japan - nincho830@gmail.com.

Minerva Pediatrics
|September 13, 2021
PubMed

Insights

Accidental foreign body ingestion (FBI) and toxic agent ingestion (TAI) in children are common in primary emergency care. Few cases receive treatment, even after transfer, highlighting the need for unified management protocols.

Area of Science:

  • Pediatric Emergency Medicine
  • Toxicology
  • Public Health

Background:

  • Accidental foreign body ingestion (FBI) and toxic agent ingestion (TAI) are frequent pediatric emergencies.
  • Effective early detection and intervention are vital for improved patient outcomes.
  • Limited data exists on the management of these cases in primary emergency facilities.

Purpose of the Study:

  • To analyze the current management of accidental foreign body ingestion and toxic agent ingestion in children at a primary emergency center.
  • To identify trends, common agents, and treatment outcomes in this pediatric population.

Main Methods:

  • Retrospective analysis of medical records for FBI/TAI cases over four years.
  • Data collected included patient demographics, ingestion details, first aid, symptoms, examinations, treatments, and outcomes.
  • Study conducted at Kobe Children's Primary Emergency Medical Center, Japan.

Main Results:

  • 580 children were analyzed; 70% were under 2 years old.
  • Common ingestions included cigarettes, medicines, detergents, plastics, metals, and batteries.
  • Only 3 out of 42 transferred patients had foreign bodies removed (0.9%).

Conclusions:

  • This study clarifies the current management of accidental FBI/TAI in a primary emergency setting.
  • A low rate of treatment and foreign body removal was observed, even in transferred cases.
  • Establishment of unified protocols is recommended to enhance the management of pediatric FBI/TAI.
Abstract

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