Guyodol Gaëtan, Danel Vincent
Centre antipoison et de toxicovigilance, Hôpital Fernand Widal, Paris, France.
Therapie. 2004 Nov-Dec;59(6):589-93. doi: 10.2515/therapie:2004101.
Data for 2002 from a number of French poison control centres were analysed in terms of several age groups; 87 678 possible or established poisoning cases were counted, including 49 355 cases in the 0- to 18-year age group.
The 0- to 3-year age group accounted for 71.7% of cases of childhood poisoning. Accidental poisoning was predominant up to 12 years, while from 13 to 18 years poisoning was essentially deliberate. The principal route of exposure was oral and involved liquids for babies and solid products for older children. The toxic agents most often implicated were pharmaceuticals and domestic products. The place of poisoning was mainly the home. A 'no-risk' evaluation was performed, and varied between 41.6% before the age of 3 years to 18.0% for the 13- to 18-year age group. The oldest children were more often managed in medical facilities.
Fortunately, most of these poisoning cases were not serious (death rate: 0.026%). The poison control centres' information system is continuing to expand: it will allow an improvement in medical health monitoring associated with poisoning.
对来自多个法国毒物控制中心的2002年数据按几个年龄组进行了分析;统计了87678例可能或确诊的中毒病例,其中0至18岁年龄组有49355例。
0至3岁年龄组占儿童中毒病例的71.7%。12岁之前意外中毒占主导,而13至18岁中毒基本为蓄意中毒。主要接触途径为口服,婴儿接触的是液体,大龄儿童接触的是固体产品。最常涉及的有毒物质是药品和家用产品。中毒地点主要是家中。进行了“无风险”评估,3岁前该比例为41.6%,13至18岁年龄组为18.0%。年龄较大的儿童更多在医疗机构接受治疗。
幸运的是,这些中毒病例大多不严重(死亡率:0.026%)。毒物控制中心的信息系统在持续扩展:这将有助于改善与中毒相关的医疗健康监测。