Mantegazza Cecilia, Destro Francesca, Ferraro Simona, Biganzoli Davide, Marano Giuseppe, Quitadamo Paolo, Nardo Giovanni Di, Malamisura Monica, Chiarazzo Giulia, Renzo Sara, Scarallo Luca, Fava Giorgio, Ichino Martina, Panceri Roberto, Sala Debora, Pellegrino Maristella, Macchini Francesco, Gandullia Paolo, Tantari Giacomo, Bramuzzo Matteo, Saccomani Marco Deganello, Illiceto Maria Teresa, Orizio Paolo, Gatti Simona, Pizzol Antonio, Felici Enrico, Romano Claudio, Iuliano Silvia, Marinari Alessandra, Marseglia Antonio, Oliva Salvatore
Department of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, Milan, Italy.
Department of Pediatric Surgery, Vittore Buzzi Children's Hospital, University of Milan, Milan, Italy.
Dig Liver Dis. 2025 Feb;57(2):595-602. doi: 10.1016/j.dld.2024.10.002. Epub 2024 Oct 29.
Foreign body ingestion (FBI) in children is a critical health concern. This study aimed to describe the epidemiology of FBI in children in Italy.
We retrospectively enrolled children <18 years admitted for FBI from January 2015 to December 2020. Data were collected across 21 hospitals with dedicated pediatric endoscopy services and normalized by the population of the corresponding municipalities.
A total of 5,771 FBI cases were analyzed. FBI incidents showed consistent time trends across age groups, with most events occurring at home and being witnessed (94.7 %). Children <6 years accounted for 74.3 % of cases. Comorbidities were present in 5.3 % of cases, primarily neurologic/psychiatric disorders in older children (6-17 years). Blunt objects accounted for 65.5 % of ingestions. Young males commonly ingested button batteries, while females showed higher rates of ingesting hair products and jewelry. Most children were discharged (60 %) or observed briefly (75 % of total admissions), with endoscopic removal performed in 24 % of cases.
Rates of FBI have remained stable over the years, including during the COVID-19 pandemic. FBI predominantly occurs in domestic settings among healthy young children, particularly those ≤5 years old. These findings emphasize the need for preventive measures to reduce the impact of FBI among children.
儿童异物摄入是一个关键的健康问题。本研究旨在描述意大利儿童异物摄入的流行病学特征。
我们回顾性纳入了2015年1月至2020年12月因异物摄入入院的18岁以下儿童。数据收集自21家设有专门儿科内镜服务的医院，并根据相应城市的人口进行了标准化处理。
共分析了5771例异物摄入病例。异物摄入事件在各年龄组呈现一致的时间趋势，大多数事件发生在家中且有目击（94.7%）。6岁以下儿童占病例的74.3%。5.3%的病例存在合并症，主要是大龄儿童（6 - 17岁）的神经/精神疾病。钝性物体占摄入物的65.5%。年幼男性常摄入纽扣电池，而女性摄入毛发制品和首饰的比例较高。大多数儿童出院（60%）或接受短期观察（占总入院人数的75%），24%的病例进行了内镜取出。
多年来异物摄入率一直保持稳定，包括在新冠疫情期间。异物摄入主要发生在健康幼儿的家庭环境中，尤其是5岁及以下儿童。这些发现强调了采取预防措施以减少异物摄入对儿童影响的必要性。
