Presgrave Rosaura de Farias, Camacho Luiz Antônio Bastos, Villas Boas Maria Helena Simões
Departamento de Farmacologia e Toxicologia, Instituto Nacional de Controle de Qualidade em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2008 Dec;24(12):2901-8. doi: 10.1590/s0102-311x2008001200019.
Unintentional poisoning occurred mainly among children. The leading cause of such poisoning in Brazil, among consumer products was household cleaning products. For this study 2810 calls made to two poison control centers in the State of Rio de Janeiro between January 2000 and December 2002 were analyzed. Children under five were the most vulnerable group. More boys under 10 suffered accidental poisoning than girls, although above this age, the distribution was inverted. The calls received by poison control centers were mainly from health services within the first two hours following poisoning. The most frequent exposure routes were ingestion (90.4%), followed by inhalation (4.3%), skin and eye contact (2.4% and 2% respectively). The products involved were bleach, petroleum derivates, rodenticides and pesticides. The main causes were products within the children's reach, storage in soft drink bottles, food mixed with rodenticides, incorrect product use, and kitchen utensils used for measured cleaning products. The most common outcome was that the patient was cured, although a lot of cases were lost to follow-up. Education programs are necessary in order to avoid these poisonings.
非故意中毒主要发生在儿童中。在巴西,消费品导致此类中毒的主要原因是家用清洁产品。本研究分析了2000年1月至2002年12月期间向里约热内卢州两个中毒控制中心拨打的2810个电话。五岁以下儿童是最脆弱的群体。10岁以下男孩意外中毒的人数比女孩多,不过在这个年龄以上,分布情况则相反。中毒控制中心接到的电话主要来自中毒后最初两小时内的医疗服务机构。最常见的接触途径是摄入(90.4%),其次是吸入(4.3%)、皮肤和眼睛接触(分别为2.4%和2%)。涉及的产品有漂白剂、石油衍生物、灭鼠剂和杀虫剂。主要原因是儿童能够接触到的产品、储存在软饮料瓶中、食物与灭鼠剂混合、产品使用不当以及用于计量清洁产品的厨房用具。最常见的结果是患者治愈,不过很多病例失访了。为避免这些中毒事件,开展教育项目很有必要。