Division of Medical Toxicology and Precision Medicine, Division of Clinical Data Analytics and Decision Support, Department of Medicine, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona, USA.
Division of Care Transformation, Banner-University Medical Center Phoenix, Phoenix, Arizona, USA.
Am J Ophthalmol. 2019 Aug;204:46-50. doi: 10.1016/j.ajo.2019.02.037. Epub 2019 Mar 7.
To identify and characterize the ocular exposures reported to poison control centers over a 5-year period from 2011 to 2015 in the United States.
Pooled cross-sectional study.
Callers to poison control centers.
We retrospectively analyzed data from 477 274 calls for ocular exposure to the National Poison Data System. Major medical outcomes, reason for exposure, location of exposure, and causative xenobiotic were evaluated.
A mean volume of 95 454 calls per year were reported to poison control centers, with most exposures occurring unintentionally, at home, and predominantly in children under 5 years of age. Most serious adult exposures occurred at work owing to alkali exposures. There was an increasing incidence in exposures in those over 64 years old. The most common treatment provided was irrigation and wash for the affected eye.
Children under 5 are most susceptible; they may have permanent disability owing to laundry detergent exposure; and concerted intervention is needed in this age group. Many serious adult exposures occurred at work owing to alkali exposures.
在美国，从 2011 年至 2015 年的 5 年期间，识别和描述向中毒控制中心报告的眼部暴露情况。
汇总的横截面研究。
中毒控制中心的来电者。
我们对来自国家毒物数据系统的 477274 例眼部暴露的电话咨询进行了回顾性分析。评估了主要的医疗结局、暴露原因、暴露地点和致病外源性物质。
每年向中毒控制中心报告的平均电话咨询量为 95454 例，大多数暴露是无意的，发生在家里，主要是 5 岁以下儿童。由于碱暴露，大多数严重的成人暴露发生在工作场所。64 岁以上人群的暴露发病率呈上升趋势。提供的最常见治疗方法是眼部冲洗。
5 岁以下儿童最易受影响；他们可能因接触洗衣液而永久残疾；需要在这个年龄段进行集中干预。由于碱暴露，许多严重的成人暴露发生在工作场所。
