Forrester Mathias B
Texas Department of State Health Services, Austin, Texas 78756, USA.
J Toxicol Environ Health A. 2006 Feb;69(3-4):263-8. doi: 10.1080/15287390500227464.
Although children and adolescents spend a large amount of time in school, there is little information on the factors involved in school exposures that are reported to poison centers. This study used data involving exposures among children age 6-19 yr reported to 6 Texas poison centers during 1998-2002. The distribution of school and nonschool exposures was determined for various demographic and other factors, and comparisons were made between the two types of exposures. The lowest proportion of reported school exposures occurred in June-August and the next lowest proportion occurred in December-January; nonschool exposures were more constant throughout the year. Males accounted for 58% of school exposures and 49% of nonschool exposures. The exposure was unintentional in 74% of school and 67% of nonschool exposures. Ingestion was the most frequently reported exposure route for school (64%) and nonschool (76%) exposures. Among those cases with known medical outcome, the most frequently reported medical outcome involved minor effects for both school exposures (58%) and nonschool exposures (46%). Nonpharmaceuticals were involved in 75% of school exposures and 48% of nonschool exposures. The most frequently reported substances involved in school exposures were arts, crafts, and office supplies (18%), while the most frequently reported substances involved in nonschool exposures were analgesics (17%). This information may allow school administrators and health care providers to implement prevention strategies.
尽管儿童和青少年在学校度过大量时间,但关于向中毒控制中心报告的学校暴露相关因素的信息却很少。本研究使用了1998 - 2002年期间向6家得克萨斯州中毒控制中心报告的6至19岁儿童暴露的数据。针对各种人口统计学因素和其他因素确定了学校暴露和非学校暴露的分布情况,并对这两种暴露类型进行了比较。报告的学校暴露比例最低的是6月至8月,其次是12月至1月;非学校暴露全年较为稳定。男性占学校暴露的58%,占非学校暴露的49%。74%的学校暴露和67%的非学校暴露是无意的。摄入是学校暴露(64%)和非学校暴露(76%)中最常报告的暴露途径。在已知医疗结果的病例中,最常报告的医疗结果对学校暴露(58%)和非学校暴露(46%)而言均为轻微影响。非药品涉及75%的学校暴露和48%的非学校暴露。学校暴露中最常报告的物质是艺术、工艺和办公用品(18%),而非学校暴露中最常报告的物质是镇痛药(17%)。这些信息可能有助于学校管理人员和医疗保健提供者实施预防策略。