Pediatric Department, E. Wolfson Medical Center, Holon, Israel.
Pediatric Emergency Department, E. Wolfson Medical Center, Holon, Israel.
Clin Pediatr (Phila). 2022 Oct;61(9):615-621. doi: 10.1177/00099228221094127. Epub 2022 Jun 7.
Pediatric morbidity due to unintentional poison exposure is a significant burden on public health. We prospectively characterize patterns of unintentional poison exposure in a single pediatric emergency department, using a detailed computerized questionnaire for all unintentional injuries admitted during 2009 to 2017. Out of 71,765 visits due to unintentional injuries, 252 children were admitted due to unintentional poison exposure. Most (198/252, 79%) were between 1 and 3 years of age. The majority of events (209/252, 82.9%) occurred at the patient's home and 81% (205/255) were classified as exploratory ingestion. In 41/252 (14%) cases, exposure to more than one substance was reported. Most events 231/293 (79%) involved medications and 21% were due to domestic products. Four medications account for 45% of the events (Paracetamol, Salbutamol, Antihypertensive, and Antidepressants). Opioids were responsible for only 1.7%. By, collaboration between government, public health, educational institutions and commercial companies, can the burden of pediatric unintentional poison exposure be reduced.
儿童因意外中毒而患病是公共卫生的重大负担。我们前瞻性地描述了 2009 年至 2017 年期间，在一家儿科急诊部所有意外损伤住院患者中，意外中毒的模式。在因意外损伤就诊的 71765 例患者中，有 252 例因意外中毒而住院。大多数（198/252，79%）年龄在 1 至 3 岁之间。大多数事件（209/252，82.9%）发生在患者家中，81%（205/255）被归类为探索性摄入。在 41/252（14%）例中，报告了接触多种物质。大多数事件（231/293，79%）涉及药物，21%是由于家用产品。有 4 种药物占事件的 45%（扑热息痛、沙丁胺醇、抗高血压药和抗抑郁药）。阿片类药物仅占 1.7%。通过政府、公共卫生、教育机构和商业公司的合作，可以减轻儿童意外中毒的负担。
