Benabdellah Fatima Zohra, Soulaymani Abdelmajid, Mokhtari Abdelrhani, Soulaymani-Bencheikh Rachida, Khadmaoui Abderrazzak, Hami Hinde
Laboratory of Genetics and Biometry, Faculty of Science, Ibn Tofail University, Kenitra, Morocco.
Moroccan Poison Control Center, Rabat, Morocco.
Arch Public Health. 2020 Jun 19;78:59. doi: 10.1186/s13690-020-00440-z. eCollection 2020.
The analysis of the economic burden for childhood poisoning has great value in Morocco where there still exists a paucity of information on the subject. The objective of this study was to explore the economic costs of unintentional and intentional poisoning in children in the region of Rabat-Salé-Kénitra, Morocco.
A prospective study of children younger than 15 years with a poisoning diagnosis conducted between March and July 2016 in the Children's University Hospital of Rabat, Morocco. The source of data for this study was questionnaire that collected information on the costs, the epidemiological and the socio-economic characteristics of childhood poisoning.
Eighty-seven patients were interviewed during the study period (39 females and 48 males). The majority of poisoning cases (98.85%) were accidental and 1.15% were intentional. Drugs, snake bites and scorpion stings, carbon monoxide, food, plants, household products, illegal drugs, pesticides, petroleum and industrial chemicals products were caused the poisoning. Of all the hospitalized patients, 77 (88.5%) were admitted to the emergency department and 5 (5.7%) were admitted to the intensive care unit. The average direct medical costs and the average direct non-medical costs of providing poison treatment were USD 127 and USD 30 per child, respectively. Total average direct cost of USD 157 (127 + 30) represented 60% of the national minimum wage per month in Morocco. Total direct medical costs accounted for 80%, as against 20% direct non-medical costs. The mean ± SD length of stay (LOS) for children with poisoning was 2.15 ± 1.87 days with a range variated between 0 day and 10 days.
Overall, this study confirms that the costs of childhood poisoning are not negligible costs in Morocco. Therefore, the prevalence and the costs of childhood poisoning can be reduced by monitoring an open communication between parents, the Poison Control Centre of Morocco (MPCC) and physicians in order to increase the vigilance of parents against the risks related to unintentional poisoning that can be prevented with more awareness.
在摩洛哥，对儿童中毒经济负担的分析具有重要价值，因为该国在这方面的信息仍然匮乏。本研究的目的是探讨摩洛哥拉巴特-萨勒-凯尼特拉地区儿童无意和有意中毒的经济成本。
2016年3月至7月在摩洛哥拉巴特儿童医院对15岁以下有中毒诊断的儿童进行前瞻性研究。本研究的数据来源是一份问卷，该问卷收集了有关儿童中毒成本、流行病学和社会经济特征的信息。
在研究期间共采访了87名患者（39名女性和48名男性）。大多数中毒病例（98.85%）是意外中毒，1.15%是故意中毒。药物、蛇咬伤和蝎子蜇伤、一氧化碳、食物、植物、家用产品、非法药物、杀虫剂、石油和工业化学品导致了中毒。在所有住院患者中，77人（88.5%）被收入急诊科，5人（5.7%）被收入重症监护病房。提供中毒治疗的平均直接医疗成本和平均直接非医疗成本分别为每名儿童127美元和30美元。总平均直接成本157美元（127 + 30）占摩洛哥每月国家最低工资的60%。直接医疗总成本占80%，直接非医疗成本占20%。中毒儿童的平均住院时间（LOS）为2.15 ± 1.87天，范围在0天至10天之间。
总体而言，本研究证实儿童中毒成本在摩洛哥并非可以忽略不计。因此，通过监测父母、摩洛哥中毒控制中心（MPCC）和医生之间的开放沟通，以提高父母对与无意中毒相关风险的警惕性，从而可以预防无意中毒，进而降低儿童中毒的患病率和成本。
