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Published on: September 11, 2018
Acute poisoning in children admitted to pediatric emergency department: a five-years retrospective analysis
Paolo Maurizio Soave1, Antonietta Curatola2, Serena Ferretti3
1Department of Emergency, Anesthesiology and Resuscitation Sciences, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy. paolomaurizio.soave@policlinicogemelli.it.
Insights
Most childhood poisonings are unintentional drug ingestions at home. Prevention strategies should target young children and adolescents through public information campaigns.
Area of Science:
- Pediatric Emergency Medicine
- Toxicology
- Public Health
Background:
- Acute poisoning is a significant cause of pediatric emergency department visits.
- Understanding risk factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To identify frequent risk factors for acute poisoning in children.
- To propose prevention strategies for pediatric poisoning cases.
Main Methods:
- Retrospective study in a tertiary care hospital.
- Analysis of data from 436 children admitted for acute poisoning.
- Description of poisoning frequency, nature, clinical management, and outcomes.
Main Results:
- The mean age of affected children was 30 months, with 51.1% being male.
- 90.1% of poisonings were unintentional, with drug ingestion being the most common cause (39.4%).
- Most incidents occurred at home (83.7%), with mothers as primary caregivers (61.5%); no fatalities were reported.
Conclusions:
- Children under 3 years and adolescents over 12 years are at the highest risk.
- Information campaigns on toxic substances for children, adolescents, and parents are essential.
- Targeted prevention efforts can reduce the incidence of pediatric acute poisoning.
Background And Aim:
to identify most frequent risk factors and to propose prevention strategies for the children admitted to Pediatric Emergency Department (PED) with acute poisoning.
Methods:
We performed a retrospective study in a tertiary care hospital, describing the frequency and nature of pediatric poisoning, clinical management and outcome.
Results:
We collected data of 436 children admitted for acute poisoning. The mean age was 30 months and 51.1% were male. Most poisoning incidents (90.1%) were unintentional and drug ingestion (39.4%) was the leading cause of poisoning. Acute poisoning happened at home in 83,7% of cases and the mother was the most frequent caregiver during the event in 61.5%. No died were reported.
Conclusion:
Our study showed that the two categories of patients at greatest risk for acute poisoning are children under 3 years and adolescents over 12 years. Adequate information campaigns about toxic substances are essential for children, adolescents and their parents.
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