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Published on: September 11, 2018
Patterns and determinants of potentially harmful first aid practices in children with acute poisoning
1Department of Paediatrics, Faculty of Medicine, University of Kelaniya, Thalagolla Road, PO Box 06, Ragama, Sri Lanka. kavindadayasiri@gmail.com.
Insights
Nearly 30% of children under 12 experienced harmful first aid for acute poisoning. Low maternal education, remote healthcare access, and cultural beliefs significantly influenced these dangerous practices.
Area of Science:
- Pediatric Emergency Medicine
- Toxicology
- Public Health
Background:
- Acute poisoning is a significant concern in children.
- Inappropriate pre-hospital first aid can worsen outcomes.
Purpose of the Study:
- To analyze harmful first aid practices in pediatric acute poisoning.
- To identify factors influencing caregiver pre-hospital management.
Main Methods:
- Cross-sectional study of 384 children under 12 with acute poisoning.
- Utilized univariate and multivariate analyses.
- Incorporated qualitative findings on caregiver decision-making.
Main Results:
- 29.4% of children received harmful first aid; household chemicals were common agents.
- Harmful practices linked to low maternal education, remote healthcare access, and cultural beliefs.
- Qualitative data revealed knowledge gaps and financial/cultural influences.
Conclusions:
- Targeted interventions are crucial to address knowledge gaps and socio-cultural factors.
- Improving caregiver education and healthcare access can reduce harmful first aid.
- Addressing cultural beliefs is essential for effective pre-hospital poisoning management.
Objective:
To assess the patterns and determinants of harmful first aid practices in children with acute poisoning, and identify factors influencing caregivers' pre-hospital management.
Results:
This study included 384 children under 12 years, with 29.4% receiving harmful first aid measures. The most common poisoning agents were household chemicals (31.5%), followed by medicines (29.2%). First aid was provided to 29.4% of children, with water and coconut milk being the most common remedies. Harmful first aid was more likely in household chemical poisoning (p = 0.046). Univariate analysis revealed associations between harmful practices and factors such as low maternal education (p = 0.002), remote healthcare access (p = 0.0001), and cultural beliefs (p = 0.003). Multivariate analysis identified remote healthcare access (p = 0.001), low socio-economic status (p = 0.001), low maternal education (p = 0.03), and cultural beliefs (p = 0.05) as significant determinants. Qualitative findings revealed knowledge gaps, financial constraints, and cultural beliefs influencing first aid decisions, highlighting the need for targeted interventions.
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