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Published on: October 23, 2009
Effectiveness of child-resistant packaging on toxin procurement in young poisoning victims
R B Lembersky1, M H Nichols, W D King
1Department of Pediatrics, University of Alabama at Birmingham 35233, USA.
Insights
Child-resistant packaging is not always impenetrable, with young children accessing poisons even from properly secured containers. This highlights the need for improved safety measures and poison prevention education.
Area of Science:
- Pediatric Safety
- Toxicology
- Consumer Product Safety
Background:
- Unintentional poisonings are a significant risk for children under 5.
- Child-resistant packaging aims to prevent such incidents, but its effectiveness is debated.
Purpose of the Study:
- To assess the frequency and methods by which young children access poisons from child-resistant packaging.
- To evaluate the role of packaging in pediatric poisoning incidents.
Main Methods:
- A survey of caretakers for 168 children under 5 presenting with toxin exposures.
- Data collected on the toxin's container, closure type, and method of access.
- Exclusions included plant ingestions, bites/stings, and caretaker overdoses.
Main Results:
- 33% of exposures involved child-resistant closures.
- Children accessed poisons from properly closed child-resistant closures in 20% of cases.
- Improper packaging use (e.g., transferring contents) contributed significantly to exposures.
Conclusions:
- Child-resistant closures are not always impenetrable to young children.
- Current child-resistant closure testing protocols may need reevaluation.
- Packaging misuse and inadequate poison prevention education are critical factors in pediatric poisonings.
Abstract:
The objective of this study was to determine how often and how children < 5 y-of-age involved in unintentional poisonings gained access to those poisons by opening properly secured child-resistant packages. From June 1994 through February 1995 we surveyed caretakers of children < 5 y-of-age presenting with the chief complaint of ingestion, inhalation, or ocular or dermal exposure of potential or perceived toxins. Excluded were exposures to plants, bites or stings, or patients inadvertently overdosed by a caretaker. The survey was administered to caretakers of 168 patients. Mean age was 26 mo (range 9 mo to 56.9 mo). The toxin was in its original container in 71% and transferred to another container or found outside of its container in 29% of cases; 33% involved a child-resistant closure. The child gained access by opening a properly closed child-resistant closure in 20% of the exposures and in 18.5% by opening a properly closed non-child-resistant closure. Child-resistance did not ensure child impenetrability. This suggests the need to reevaluate child-resistant closure testing protocols or retest currently used closures. Packaging misuse, including improper closure use or transferring medications or household products from the original container accounts for a large percentage of pediatric toxin exposures, thus emphasizing the importance of poison prevention education.
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