Trueblood Amber B, Shipp Eva, Han Daikwon, Ross Jennifer, Cizmas Leslie H
Texas A&M University Health Science Center, School of Public Health, Department of Environmental & Occupational Health, College Station, TX.
Texas A&M Transportation Institute, Center for Transportation Safety, College Station, TX.
Public Health Rep. 2016 Jul-Aug;131(4):588-96. doi: 10.1177/0033354916662218.
Acute exposure to pesticides is associated with nausea, headaches, rashes, eye irritation, seizures, and, in severe cases, death. We characterized pesticide-related hospitalizations in Texas among children and teenagers for 2004-2013 to characterize exposures in this population, which is less well understood than pesticide exposure among adults.
We abstracted information on pesticide-related hospitalizations from hospitalization data using pesticide-related International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes and E-codes. We calculated the prevalence of pesticide-related hospitalizations among children and teenagers aged #19 years for all hospitalizations, unintentional exposures, intentional exposures, pesticide classifications, and illness severity. We also calculated age- and sex-specific prevalence of pesticide-related hospitalizations among children.
The prevalence of pesticide-related hospitalizations among children and teenagers was 2.1 per 100,000 population. The prevalence of pesticide-related hospitalizations per 100,000 population was 2.7 for boys and 1.5 for girls. The age-specific prevalence per 100,000 population was 5.3 for children aged 0-4 years, 0.3 for children and teenagers aged 5-14 years, and 2.3 for teenagers aged 15-19 years. Children aged 0-4 years had the highest prevalence of unintentional exposures, whereas teenagers aged 15-19 years had the highest prevalence of intentional exposures. Commonly reported pesticide categories were organophosphates/carbamates, disinfectants, rodenticides, and other pesticides (e.g., pyrethrins, pyrethroids). Of the 158 pesticide-related hospitalizations, most were coded as having minor (n=86) or moderate (n=40) illness severity.
Characterizing the prevalence of pesticide-related hospitalizations among children and teenagers leads to a better understanding of the burden of pesticide exposures, including the type of pesticides used and the severity of potential health effects. This study found differences in the frequency of pesticide-related hospitalizations by sex, age, and intent (e.g., unintentional vs. intentional).
急性接触农药会引发恶心、头痛、皮疹、眼睛刺激、癫痫发作，严重时会导致死亡。我们对2004年至2013年德克萨斯州儿童和青少年中与农药相关的住院情况进行了特征描述，以了解该人群的接触情况，因为这一人群的农药接触情况比成年人的了解得更少。
我们使用与农药相关的《国际疾病分类第九版临床修订本》（ICD - 9 - CM）编码和E编码，从住院数据中提取与农药相关的住院信息。我们计算了19岁及以下儿童和青少年中与农药相关的住院在所有住院、无意接触、有意接触、农药分类和疾病严重程度方面的患病率。我们还计算了儿童中按年龄和性别划分的与农药相关的住院患病率。
儿童和青少年中与农药相关的住院患病率为每10万人2.1例。每10万人口中与农药相关的住院患病率，男孩为2.7例，女孩为1.5例。每10万人口中按年龄划分的患病率，0至4岁儿童为5.3例，5至14岁儿童和青少年为0.3例，15至19岁青少年为2.3例。0至4岁儿童无意接触的患病率最高，而15至19岁青少年有意接触的患病率最高。常见的报告农药类别为有机磷/氨基甲酸盐类、消毒剂、杀鼠剂和其他农药（如除虫菊酯、拟除虫菊酯）。在158例与农药相关的住院病例中，大多数被编码为病情轻微（n = 86）或中度（n = 40）。
对儿童和青少年中与农药相关的住院患病率进行特征描述，有助于更好地了解农药接触的负担，包括所使用的农药类型和潜在健康影响的严重程度。本研究发现，与农药相关的住院频率在性别、年龄和接触意图（如无意与有意）方面存在差异。
