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.
Abstract

Related Concept Videos

Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
880
Anticholinesterase Agents: Poisoning and Treatment01:26

Anticholinesterase Agents: Poisoning and Treatment

Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.     
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
940
Vaccinations01:51

Vaccinations

Overview
44.9K
Types of Toxins01:36

Types of Toxins

Humans continually engage with an environment rich in potentially harmful chemicals. These are introduced to our bodies through inhalation, ingestion, or skin contact. These chemicals exist in various forms, such as air and environmental pollutants, agricultural chemicals, organic solvents, and heavy metals.
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
1.8K
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
289
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.3K