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Acute exogenous intoxications in childhood: factors related to hospitalization
Juliana Gabriela Burgardt Werner1, Vanessa Borges Platt2
1Hospital Infantil Joana de Gusmão - Florianópolis, SC, Brazil.
Insights
Acute poisoning in children is common, often occurring at home with household chemicals or medications. Increased prevention and parental guidance are crucial to reduce pediatric poisonings.
Area of Science:
- Pediatric Emergency Medicine
- Toxicology
- Public Health
Background:
- Acute poisoning is a significant cause of pediatric emergency room visits.
- Understanding the profile of affected children and toxic agents is vital for prevention.
Purpose of the Study:
- To describe the profile of children treated for acute poisoning in a pediatric emergency room.
- To characterize the involved toxic agents and identify hospitalization factors.
Main Methods:
- Retrospective, descriptive, and observational study.
- Data collected from medical records and compulsory notification forms (2016-2021).
- Analysis included victim/incident characteristics, substance type, and hospitalization predictors.
Main Results:
- 411 consultations, mean age 7.2 years, predominantly female (59.9%).
- Most poisonings occurred at home (82.1%) and orally (93.7%).
- Household chemicals/cleaning products were common in infants; medications in older children. Hospitalization occurred in 38.7% of cases.
Conclusions:
- Preventive measures, including legislation and parental education on safe product storage, are essential.
- Reducing exogenous intoxications in the pediatric population requires a multi-faceted approach.
Objective:
To describe the profile of children assisted in the Emergency Room of a Children reference Hospital in the South of Brazil, victims of acute poisoning between 2016 and 2021, to characterize the toxic agents and to present the factors related to hospitalization.
Methods:
Retrospective, descriptive and observational study with data collection from medical records at a children's hospital from July 2016 to June 2021 based on the compulsory notification forms. The characteristics of victims, of the incident, the type and class of the substance involved, the procedures demanded and the need for the Intensive Care Unit were evaluated. The outcome considered was hospitalization. Absolute and relative frequencies were calculated for the categorical variables and measures of central tendency and dispersion for the numerical ones. Binary logistic regression was performed to identify variables related to hospitalization.
Results:
There were 411 consultations, with the mean age of 7.2±5.5 years, and predominance of females (59.9%). Most of the poisoning occurred at home (82.1%) and orally (93.7%). Chemicals or cleaning products were the main agents in children up to 1 year of age, whereas in the other age groups accidents occurred most frequently with medicines. Hospital admission occurred in 38.7% of the cases, with related variables being: number of agents, type of substance involved, medication that acts on the Central Nervous System, recurrence, motivation (accidental/intentional), and performance of simple exams.
Conclusions:
More preventive actions are needed, such as legislation, as well as greater guidance to parents on how to store products in the domestic environment, in order to reduce the number of exogenous intoxications in the pediatric population.
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