Nada Mabrouka Attia Ali, Elfeky Ahmed Kamal Eldin Elsayed, Darweesh Hamida Ahmed Mustafa, Mohamed Farida Khalil Ibrahim, Sharif Loujain Saud, Kandil Faten Shawky, Elsobky Fatma Ahmed, Amer Samah Abdallah Mohamed
Pediatric Nursing Department, Menoufia University Hospitals, Menoufia, Egypt.
Forensic Medicine and Clinical Toxicology Department, Menoufia University, Menoufia, Egypt.
BMC Pediatr. 2024 Dec 31;24(1):846. doi: 10.1186/s12887-024-05231-x.
Aluminum phosphide is an excellent insecticide available as a chalky white or brown tablet. Aluminum phosphide is traded in the Egyptian market as tablets under the brand name celphos. To date, no specific antidotes for aluminum phosphide poisoning have been identified. Management is primarily supportive, to control toxic symptoms and prevent the anticipated consequences. Therefore, educating parents about first aid management is of utmost importance. This study aimed to evaluate the knowledge, behavior, and practices of parents concerning aluminum phosphide poisoning and its first-aid measures.
This study used a quasi-experimental research design and was conducted in the inpatient clinical toxicology department ward of Menoufia University Hospital between June 2022 and May 2023. Children (n = 98) who met the inclusion criteria (aged between 0 and 18 years and who experienced accidental or suicidal aluminum phosphide poisoning) were recruited from the inpatient clinical toxicology department ward, intensive care unit in the emergency department, and critical care unit of Menoufia University Hospital. Four questionnaires were used to collect data for this study: (1) sociodemographics, poisoning data, physical examination, and laboratory investigations; (2) knowledge of parents; (3) practice of parents; and (4) behavior response scales.
This study analyzed 98 cases of acute ALP poisoning, predominantly affecting females (67.3%) aged 16-18 years, with most incidents occurring in summer (51.1%) and rural areas (80.6%). Suicidal ingestion accounted for 86.7% of cases, and delays in hospital arrival were noted in 65.3%. Clinical findings included vomiting (76.6%), dyspnea (77.5%), and cardiogenic shock (84.8%). ECG abnormalities were found in 82.7% of patients, and metabolic acidosis was present in 82.3% of patients. An educational program significantly improved the knowledge and first-aid practices of the participants regarding ALP poisoning, highlighting the need for enhanced awareness and intervention strategies.
Community awareness programs, such as first-aid education initiatives, can positively influence the knowledge, practices, and behaviors of mothers in terms of providing first aid for aluminum phosphide toxicity.
磷化铝是一种优质杀虫剂，呈灰白色或褐色片剂。在埃及市场上，磷化铝片剂以“谷硫磷”品牌出售。迄今为止，尚未确定针对磷化铝中毒的特效解毒剂。治疗主要是支持性的，以控制中毒症状并预防预期后果。因此，对家长进行急救处理教育至关重要。本研究旨在评估家长对磷化铝中毒及其急救措施的知识、行为和实践情况。
本研究采用准实验研究设计，于2022年6月至2023年5月在曼努菲亚大学医院住院临床毒理学科室病房进行。从曼努菲亚大学医院住院临床毒理学科室病房、急诊科重症监护室和重症监护病房招募符合纳入标准（年龄在0至18岁之间，经历意外或自杀性磷化铝中毒）的儿童（n = 98）。使用四份问卷收集本研究的数据：（1）社会人口统计学、中毒数据、体格检查和实验室检查；（2）家长的知识；（3）家长的实践；（4）行为反应量表。
本研究分析了98例急性磷化铝中毒病例，主要影响16 - 18岁的女性（67.3%），大多数事件发生在夏季（51.1%）和农村地区（80.6%）。自杀性摄入占病例的86.7%，65.3%的病例存在延迟就医情况。临床发现包括呕吐（76.6%）、呼吸困难（77.5%）和心源性休克（84.8%）。82.7%的患者出现心电图异常，82.3%的患者存在代谢性酸中毒。一项教育计划显著提高了参与者对磷化铝中毒的知识和急救实践，突出了提高认识和干预策略的必要性。
社区意识项目，如急救教育倡议，可以在为磷化铝中毒提供急救方面对母亲的知识、实践和行为产生积极影响。
