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Epidemiological Study of Acute Unintentional Poisoning Among Children in Iran
Fariba Tarhani1, Alireza Nezami1, Ghobad Heidari1
1Department of Pediatric, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
Insights
Medication poisoning, primarily from methadone, is the leading cause of acute poisoning in children. Age is a significant factor, but gender is not associated with poisoning type.
Area of Science:
- Pediatrics
- Toxicology
- Epidemiology
Background:
- Early diagnosis and understanding poisoning causes are crucial for effective treatment in children.
- Acute poisoning presents a significant health concern in pediatric populations.
Purpose of the Study:
- To investigate the epidemiological factors contributing to acute poisoning in children.
- To identify common causes and associated risk factors for pediatric poisoning.
Main Methods:
- A retrospective descriptive study analyzing data from 336 children treated for acute poisoning between 2010-2019.
- Data extracted from the Electronic Medical Record system included demographics, poisoning type, clinical findings, and outcomes.
Main Results:
- The most frequent age group affected was 5 years and under (69.6%), with a mean age of 4.90±3.27 years.
- Medication poisoning, predominantly methadone, accounted for 60.6% of cases.
- A significant correlation was found between child's age and poisoning type (p=0.001), as well as between parental education, ICU admission, and poisoning type (p=0.001). No significant gender correlation was observed.
Conclusions:
- Pharmacological drugs, particularly methadone, are the primary cause of acute poisoning in the studied pediatric population.
- Childhood age is a significant risk factor for specific types of poisoning, while gender does not appear to be a differentiating factor.
Abstract:
The occurrence of different types of poisoning and early diagnosis is important for therapeutic measures. In this study, we investigate the epidemiological causes of acute poisoning in children.In this retrospective descriptive study, children presented with acute poisoning during 2010-2019 to Shahid Madani Hospital were included. The Electronic Medical Record system of the hospital was accessed to obtain the data of the patients. The data included was demographic information, type of poisoning, clinical findings, complications, duration of hospitalization, parents' education status, and mortality status.Of 336 patients included in the study, the mean age of patients was 4.90±3.27 years (range: 1-12 years). There was a significant correlation between the age of the child and the type of poisoning, p=0.001. The most frequent age group was 5 years and less (69.6%). The most frequent sex group was male (58.6%). However, there was no significant correlation between the sex of the child and the type of poisoning. Parents' education and ICU admission were also associated significantly with the type of poisoning, p=0.001, respectively. The most common type of poisoning in children was medication (60.6%) which was mainly due to methadone. The mortality rate in the study was 1.2%.Our study showed that pharmacological drugs are the main cause of poisoning in our population. Age of the children is likely to be associated with the type of poisoning however, no gender difference was found in this regard was found in our study.
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