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Cleaning Product-Related Injuries Treated in US Emergency Departments: 2007-2022
Rebecca J McAdams1, Marie Shonia1, Kristin J Roberts1
1Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Pediatrics
|April 1, 2026
Summary
Young children sustained over 240,000 household cleaning product injuries, primarily from bleach and detergents. Safer packaging is crucial to prevent poisonings and chemical burns in children under five.
Area of Science:
- Pediatric emergency medicine
- Consumer product safety
- Toxicology
Background:
- Household cleaning products pose significant risks to young children.
- Previous research indicates a need for improved safety measures.
Purpose of the Study:
- To analyze trends in household cleaning product-related injuries among children aged 5 years or younger treated in US emergency departments between 2007 and 2022.
Main Methods:
- Utilized the National Electronic Injury Surveillance System (NEISS) database.
- Examined unintentional, nonfatal injuries associated with household cleaning products.
- Focused on children aged 5 years or younger.
Main Results:
- An estimated 240,862 children aged 5 years or younger were treated for these injuries.
- Bleach (30.1%) and detergents (28.6%) were the most common product types.
- Poisoning (64.0%) was the leading diagnosis, followed by chemical burns (14.1%).
- Detergent packets (33.0%) and spray bottles (28.2%) were frequently implicated containers.
Conclusions:
- High injury rates underscore the need for enhanced product packaging standards, particularly child-resistant features for spray bottles and accessible containers.
- Urgent implementation of comprehensive prevention strategies, including safer packaging, public education, and environmental modifications, is necessary to reduce children's exposure to toxic household substances.
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