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[儿童急性意外中毒:瓦加杜古(布基纳法索)戴高乐儿童医院的流行病学、病因学及预后情况]

[Acute accidental poisoning in children: aspects of their epidemiology, aetiology, and outcome at the Charles de Gaulle Paediatric Hospital in Ouagadougou (Burkina Faso)].

作者信息

Kouéta Fla, Dao Lassina, Yé Diarra, Fayama Zéinabou, Sawadogo Alphonse

机构信息

Service de pédiatrie médicale du CHUP-CDG, Unité de formation et de recherche en sciences de la santé (UFR-SDS), Université de Ouagadougou, BP 1198 Ouagadougou 01, Burkina Faso.

出版信息

Sante. 2009 Apr-Jun;19(2):55-9. doi: 10.1684/san.2009.0157.

Abstract

Accidents are a daily concern in the paediatric ward because of their frequency, diversity and severity. Acute accidental poisoning (AAP) accounts for an important portion of these. To help improvement management of AAP, we conducted a retrospective study covering a period of 2 years from January 2005 to December 2006 at Charles de Gaulle Paediatric University Hospital in Ouagadougou. Of 9390 admissions during the study period, 123 children, or 1.3%, were admitted for poisoning. A cumulative average of 11 were admitted monthly, with a peak of 16 patients in April 2005 and 2006, together. AAP was most common among children aged 1 to 4 years. Their mean age was 3 years and ranged from 6 days to 12 years. Boys outnumbered girls, with a sex ratio of 1.2. Mothers of more than half (61%) of the children poisoned worked in the home. Household products accounted for 44.7% of AAPs, followed by drug (22.7%) and food (22%) poisoning. Kerosene and other petroleum products topped the list of household products, with 54.5%. Tranquilizers (46.4%) and dairy products (37%) dominated the drug and food poisoning categories. Immediate outcome was fatal in 3% of cases, and three quarters of these deaths occurred during drug poisoning of children aged 1 to 4 years. The mean hospital stay was 2 days, and ranged from 0 to 9 days. Health officials, the media, and community outreach must all help to increase awareness about the dangers of poisoning and of preventive measures.

摘要

由于事故发生的频率、多样性和严重性,其在儿科病房中是每日都需关注的问题。急性意外中毒(AAP)在其中占重要部分。为了帮助改善AAP的管理,我们于2005年1月至2006年12月在瓦加杜古的戴高乐儿科大学医院进行了一项为期2年的回顾性研究。在研究期间的9390例入院病例中,有123名儿童(占1.3%)因中毒入院。每月累计平均入院11例,2005年4月和2006年4月共同达到峰值16例。AAP在1至4岁儿童中最为常见。他们的平均年龄为3岁,年龄范围从6天至12岁。男孩人数多于女孩,性别比为1.2。中毒儿童中超过一半(61%)的母亲在家工作。家用产品占AAP的44.7%,其次是药物(22.7%)和食物(22%)中毒。煤油和其他石油产品在家庭用品中位居榜首,占54.5%。镇静剂(46.4%)和乳制品(37%)分别在药物和食物中毒类别中占主导地位。3%的病例直接结局为死亡,其中四分之三的死亡发生在1至4岁儿童药物中毒期间。平均住院时间为2天,范围从0至9天。卫生官员、媒体和社区宣传都必须帮助提高对中毒危险和预防措施的认识。

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