Foreign Concepts in Paediatric Oesophageal Foreign Bodies: A Health Knowledge Study

Non-food object ingestion and resulting oesophageal foreign body (EFB) impactions are a common problem in children, with potentially severe consequences requiring urgent management. This study aimed to assess public knowledge of paediatric EFBs, including prevention, risks and management to inform future primary prevention efforts: METHODS: Members of the public were surveyed between January and May 2024. The pretested, electronic survey was distributed via social media and printed notices. Collected data included demographics, preventative household safety measures, recognition, perceptions of object danger and knowledge of EFB management. Responses were analysed using descriptive statistics.

Overall, 516 respondents completed the survey, including 444 (86%) with children in their home or workplace. Rated on a Likert-type scale from 1 (not dangerous) to 10 (most dangerous), button batteries were perceived as most dangerous EFBs (mean ± standard deviation [SD]: 8.7 ± 2.1), followed by high-powered magnets (8.3 ± 2.4). However, only 33% of participants with children at home reported storing dangerous objects away, most commonly sharp objects (94%), small toys (72%) and coins (69%). Despite being perceived as most dangerous, only 59% of participants stored button batteries and 34% stored high-powered magnets away from children. Upon survey completion, 84% of respondents indicated they would like to learn more about EFBs in children.

Paediatric EFBs represent a significant public health concern, and this study highlights substantial gaps in public knowledge regarding safety and preventative measures. By focusing public health initiatives on addressing these knowledge gaps, there is potential to significantly reduce the prevalence and impact of ingestion incidents in children.