Moro Paola Angela, Maida Francesca, Solimini Renata, Spizzichino Lorenzo, Pauwels Charlotte G G M, Pieper Elke, Havermans Anne
Poison Control Center of Niguarda Hospital, Milan, Italy.
Istituto Superiore di Sanità, National Centre on Addiction and Doping, Rome, Italy.
Tob Prev Cessat. 2024 Jul 12;10. doi: 10.18332/tpc/190634. eCollection 2024.
Recently, a concerning pattern has emerged in clinical settings, drawing attention to the potential health risks associated with the accidental ingestion, mostly by children, of a new Heated Tobacco Product (HTP) stick, which contains a sharp metal blade inside.
Following a webinar of the Joint Action on Tobacco Control 2 project, where data on adverse health incidents related to novel tobacco and nicotine products from EU Member States were presented, the Milan Poison Control Center (PCC) conducted a case series study on the accidental ingestion of blade-containing HTP sticks in Italy, between July 2023 and February 2024. The data in the medical records were analyzed to identify the age distribution, clinical presentation symptoms, performed diagnostic procedures, and medical management.
Overall, 40 cases of accidental ingestion of HTP sticks were identified and are described. A total of 33 (82.5%) children (infants and toddlers, mean age 12.3 ± 3.3 months) were hospitalized. Of these, 29 underwent abdominal X-rays, two children underwent esophagogastroduodenoscopy, and one child suffered from cut injuries to the tonsillar pillar and genian mucosa, requiring anesthesia for fibroscopy. The observed clinical cases associated with new HTP sticks containing a metal blade occurred over just eight months. This issue required the immediate implementation of corrective measures to mitigate health risks. The Ministry of Health issued an alert regarding the dangers related to the accidental ingestion of the stick and imposed more visible warnings on the package.
It is of the utmost importance to raise awareness among both the general public and medical practitioners to prevent further cases of accidental ingestion of HTP sticks by infants and toddlers, and ensure a prompt and informed response in emergency situations.
最近，临床环境中出现了一种令人担忧的情况，引发了人们对意外摄入新型加热烟草制品（HTP）棒所带来潜在健康风险的关注，这种意外摄入大多发生在儿童身上，而该HTP棒内部含有锋利的金属刀片。
在烟草控制联合行动2项目的一次网络研讨会上，展示了来自欧盟成员国的与新型烟草和尼古丁产品相关的不良健康事件数据后，米兰中毒控制中心（PCC）于2023年7月至2024年2月期间，对意大利意外摄入含刀片HTP棒的情况进行了一项病例系列研究。分析了医疗记录中的数据，以确定年龄分布、临床表现症状、所进行的诊断程序以及医疗处理情况。
总体而言，共识别并描述了40例意外摄入HTP棒的病例。共有33名（82.5%）儿童（婴儿和学步儿童，平均年龄12.3±3.3个月）住院。其中，29名儿童接受了腹部X光检查，两名儿童接受了食管胃十二指肠镜检查，一名儿童扁桃体柱和颊黏膜有割伤，需要进行纤维镜检查麻醉。观察到的与含有金属刀片的新型HTP棒相关的临床病例仅在八个月内就发生了。这个问题需要立即采取纠正措施以降低健康风险。卫生部发布了关于意外摄入该棒的危险警报，并在包装上施加了更醒目的警告。
提高公众和医疗从业者的意识至关重要，以防止婴幼儿进一步发生意外摄入HTP棒的情况，并确保在紧急情况下能迅速做出明智的反应。
