Rush Jennifer A, Reith David M
Department of Emergency Medicine, Mater Children's Hospital, South Brisbane, Queensland, Australia.
Emerg Med (Fremantle). 2003 Aug;15(4):348-52. doi: 10.1046/j.1442-2026.2003.00473.x.
To ascertain the sources of information accessed by parents/caregivers following an incident of child poison ingestion, prior to their presentation to an ED.
A questionnaire based survey of the parents/caregivers of children presenting to the Mater Children's Hospital Emergency Department with poisoning from March to October 2001.
A total of 121 parents/caregivers were surveyed. In 117 cases (97%), information was sought prior to presentation. The Poisons Information Centre (PIC) was the initial source of information in 39 cases (32%), the ED in 25 cases (21%) and the family doctor (by telephone or consultation) in 21 cases (17%). Poisons Information Centres, emergency departments and family doctors were the sole sources of information for 18%, 15% and 12% of cases, respectively. For 46% of cases multiple sources of information were accessed, and overall, in 57 cases (47%) the Poisons Information Centre was accessed, the ED in 38 cases (31%) and the family doctor in 34 cases (28%).
Poisons Information Centres are under-utilized as the first point of contact after childhood poisoning but in nearly all cases of poison ingestion that presented to the ED, information was sought prior to presentation and in most cases this was from direct contact with a health professional.
确定儿童误食中毒后,家长/照顾者在前往急诊科就诊之前获取信息的来源。
对2001年3月至10月间因中毒到马特儿童医院急诊科就诊的儿童的家长/照顾者进行问卷调查。
共对121名家长/照顾者进行了调查。在117例(97%)中,就诊前寻求了信息。毒物信息中心(PIC)是39例(32%)的初始信息来源,急诊科是25例(21%)的初始信息来源,家庭医生(通过电话或会诊)是21例(17%)的初始信息来源。毒物信息中心、急诊科和家庭医生分别是18%、15%和12%病例的唯一信息来源。46%的病例获取了多种信息来源,总体而言,57例(47%)病例联系了毒物信息中心,38例(31%)联系了急诊科,34例(28%)联系了家庭医生。
毒物信息中心作为儿童中毒后的首要联系点未得到充分利用,但在几乎所有到急诊科就诊的误食中毒病例中,就诊前都寻求了信息,且在大多数情况下是直接与卫生专业人员联系获取的。