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Acute Poisoning among Children Admitted in a Tertiary Care Hospital: A Descriptive Cross-sectional Study
Surabhi Aryal1, Susmin Karki2, Machhindra Lamichhane1
1Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Insights
Acute poisoning affects over 1% of pediatric hospital admissions in Nepal, with most cases being accidental. Understanding these childhood poisoning trends is crucial for prevention.
Area of Science:
- Pediatric Emergency Medicine
- Toxicology
- Public Health
Background:
- Acute poisoning is a significant global cause of pediatric hospital admissions.
- Understanding the clinical and demographic factors of childhood poisoning is vital for effective prevention strategies.
- This study focuses on the prevalence of acute poisoning in children admitted to a tertiary care hospital.
Purpose of the Study:
- To determine the prevalence of acute poisoning among children admitted to a tertiary care hospital in Nepal.
- To analyze the clinico-demographic profile of pediatric acute poisoning cases.
Main Methods:
- A descriptive cross-sectional study was conducted over three years (January 2020 - December 2022).
- Data were collected from 4972 pediatric admissions in a Nepalese tertiary care hospital.
- Convenience sampling was used to gather clinical and demographic data from poisoning cases.
Main Results:
- Acute poisoning accounted for 1.14% (95% CI: 0.81-1.39) of all pediatric admissions.
- Accidental poisoning comprised 54.39% of the cases.
- The mean age of affected children was 10.10±5.40 years, with adolescents (61.40%) being the most affected group.
Conclusions:
- Acute poisoning represents a significant health concern within pediatric admissions in Nepalese tertiary care settings.
- The findings highlight the need for targeted prevention strategies for childhood poisoning.
- Further research into specific poisoning agents and risk factors is warranted.
Introduction:
Acute poisoning is one of the critical causes of hospital admission in children worldwide. Understanding the clinico-demographic profile of childhood poisoning will help in developing targeted prevention strategies. This study aimed to find the prevalence of acute poisoning cases among children admitted to a tertiary care hospital.
Methods:
A descriptive cross-sectional study was done among 4972 children admitted in the pediatric ward, High Dependency Care Unit, and Pediatric Intensive Care Unit of a tertiary care hospital in Nepal. The data were collected from the hospital records from over three years between 1 January 2020 and 31 December 2022 after receiving ethical approval from the Institutional Review Committee. A convenience sampling method was used. Data related to the clinical and demographic data were collected from the patients with acute poisoning and analyzed. Point estimate at 95% Confidence Interval was calculated.
Results:
Out of 4972 paediatric cases admitted to the hospital, acute poisoning was seen in 57 (1.14%) (0.81-1.39, 95% Confidence Interval) patients. Out of these acute poisoning cases, 31 (54.39%) were accidental. The mean age was 10.10±5.40 years with 35 (61.40%) patients from the adolescent age group.
Conclusions:
This study conducted in a Nepalese tertiary care hospital identifies acute poisoning as a notable concern among pediatric admissions.
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