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Childhood Poisoning During the COVID-19 Pandemic
Hakan Salman1, Zeliha Salman2, Mustafa Akçam3
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Süleyman Demirel University, School of Medicine, Isparta, Turkey.
Insights
The COVID-19 pandemic led to increased childhood poisonings, particularly from caustic-corrosive substances, alcohol-based hand sanitizers, and toxic gases. Increased family awareness and precautions are crucial to prevent these incidents.
Area of Science:
- Pediatric Emergency Medicine
- Toxicology
- Public Health
Background:
- The COVID-19 pandemic altered daily life, potentially impacting child safety and leading to changes in poisoning incidents.
- Previous studies provide a baseline for childhood poisoning trends before the pandemic.
Purpose of the Study:
- To evaluate the impact of the COVID-19 pandemic on childhood poisoning admissions.
- To compare poisoning data from the pandemic period with pre-pandemic data.
Main Methods:
- Retrospective analysis of children admitted to a pediatric emergency department for poisoning between March 2020 and March 2022.
- Comparison with historical data from a pre-pandemic study conducted at the same hospital.
Main Results:
- 82 children admitted during the pandemic; 51.2% were girls, mean age 6.43 years, with 59.8% under 5.
- Accidental poisonings accounted for 85.4%, with non-pharmacological agents (68%) being the most common cause, including caustic-corrosives (39%) and alcohol-based hand sanitizers (8.5%).
- Compared to pre-pandemic data, statistically significant changes (P < .001) were observed in poisoning causes, with increases in caustic-corrosives, alcohol, and toxic gases.
Conclusions:
- The COVID-19 pandemic correlated with an increased incidence of poisoning by caustic-corrosive substances, alcohol-based hand sanitizers, and toxic gases in children.
- Enhanced public awareness and specific preventive measures for families are recommended to mitigate these risks.
Objective:
To determine changes caused by the effect of the COVID-19 pandemic by examining the children admitted to our hospital because of poisoning during the pandemic and comparing these with data from a study conducted in the pre-pandemic period.
Materials And Methods:
A retrospective examination was made of children who were admitted to our pediatric emergency department with poisoning between March 2020 and March 2022.
Results:
Of the 82 (0.7%) patients admitted to the emergency department, 42 (51.2%) were girls, the mean age was 6.43 ± 5.62 years, and the majority of children (59.8%) were under 5 years of age. The poisonings were determined to be accidental in 85.4% of cases, 13.4% were suicide attempts, and 1.2% were iatrogenic. Poisonings occurred most frequently (97.6%) at home and most frequently (85.4%) by digestive tract. The most common causative agent (68%) was non-pharmacological agents. Caustic-corrosive substances were determined in 39% of cases, medical drugs in 32%, toxic gases in 11%, alcohol (hand sanitizers) in 8.5%, insecticide-pesticide in 6.1%, food in 1.2%, and animal bites in 1.2%. Compared to the study conducted in our hospital in 2013-2014, the difference in terms of factors causing poisoning was statistically significant (P < .001). Of the current study cases, 14 (17.1%) were followed up in the intensive care unit, and no mortality developed.
Conclusions:
The period of the COVID-19 pandemic was seen to cause an increase in poisoning rates with caustic-corrosive substances, alcohol (hand disinfectants), and toxic gases. Families should be made aware of this issue and take special precautions.
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