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Comparative Analysis of Pediatric Acute Poisoning Cases: Before and During the COVID-19 Pandemic

Aynur Arslan Sabancı1, Muhammed Cihan Güvel1, Okşan Derinöz Güleryüz2

  • 1Department of Medical Pharmacology, Faculty of Medicine, https://ror.org/054xkpr46Gazi University, Ankara, Turkey.

Disaster Medicine and Public Health Preparedness
|August 13, 2025
PubMed

Insights

The COVID-19 pandemic altered pediatric poisoning cases, increasing average age and chronic disease prevalence. Emergency department visits saw shifts in consultation types and hospitalization rates, necessitating updated prevention strategies.

Area of Science:

  • Pediatric Emergency Medicine
  • Toxicology
  • Public Health

Background:

  • Acute poisoning is a significant cause of pediatric emergency department visits.
  • The COVID-19 pandemic may have influenced exposure risks and help-seeking behaviors for pediatric poisonings.

Purpose of the Study:

  • To compare the characteristics of pediatric poisoning cases before and during the COVID-19 pandemic.

Main Methods:

  • Retrospective analysis of pediatric poisoning cases (1 month-18 years) at a single center from January 2018 to June 2022.
  • Cases were divided into pre-pandemic (BP) and during-pandemic (DP) groups.
  • Demographic and clinical data were analyzed for 178 BP and 94 DP cases.

Main Results:

  • The average age of poisoned children was higher during the pandemic (9.27 years) compared to before (7.63 years).
  • A greater proportion of cases during the pandemic involved children with chronic diseases (57% vs. 29%).
  • Hotline consultations increased during the pandemic (72.5% vs. 54.5%), while hospitalization rates decreased (35.2% vs. 55%).
  • The gender disparity in suicide attempt prevalence observed before the pandemic diminished during the pandemic period.

Conclusions:

  • The COVID-19 pandemic significantly altered the profile of pediatric poisoning cases.
  • Findings highlight the need for tailored prevention strategies and adaptable emergency care protocols for pediatric poisoning.
  • Further research is warranted to understand the long-term impacts and refine interventions.
Abstract

Keywords:
COVID-19emergencypandemicpediatric poisoningpediatric suicide

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