Krenzelok E P, McElwee N E
Pittsburgh Poison Center, Children's Hospital of Pittsburgh, PA 15213, USA.
Vet Hum Toxicol. 1995 Jun;37(3):246-8.
Hundreds of poison information centers are in operation throughout the world. Their common objective is to reduce the morbidity and mortality associated with accidental and intentional poisoning exposures. However, there is little information available which describes the impact of the centers on the outcome of poisonings or on poisoning trends. The objective of this project was to determine the data collection capabilities of poison information centers outside of the US with a goal of ascertaining whether a common database existed and if an international database of poisoning exposures could be developed. A survey was developed which requested information on the specific instrument used to document poisoning exposures, how that information was compiled, whether it was available in a computer database, the type of database, and whether it was available to external agencies and at what cost. The survey was sent to 75 poison information centers outside of the US. The data were compiled and analyzed using Paradox 3.5. Twenty-four of the 75 poison information centers completed and returned the surveys. Four of the 24 had no computer capabilities and only 9 centers indicated a willingness to share data. The majority of the databases were in a DOS format, but no consistent type of database software was used. If the sample that responded to the survey is representative of the international poison information center community, there is neither a common data collection instrument nor a common toxic exposure surveillance system which can be used to identify poisoning trends or to track the outcome of poisonings. A concerted effort to create a universal database on poisoning exposures should be considered.
全球各地有数百个毒物信息中心在运作。它们的共同目标是降低与意外和故意中毒暴露相关的发病率和死亡率。然而,几乎没有可用信息描述这些中心对中毒结果或中毒趋势的影响。本项目的目的是确定美国以外毒物信息中心的数据收集能力,目标是确定是否存在通用数据库以及是否可以建立一个国际中毒暴露数据库。开展了一项调查,询问有关记录中毒暴露所使用的具体工具、该信息如何汇编、是否可在计算机数据库中获取、数据库类型以及是否可供外部机构使用及费用多少等信息。该调查发送给了美国以外的75个毒物信息中心。使用Paradox 3.5对数据进行汇编和分析。75个毒物信息中心中有24个完成并返回了调查问卷。24个中心中有4个没有计算机能力,只有9个中心表示愿意共享数据。大多数数据库是DOS格式,但没有使用一致类型的数据库软件。如果回复调查的样本代表国际毒物信息中心群体,那么既没有通用的数据收集工具,也没有可用于识别中毒趋势或追踪中毒结果的通用毒物暴露监测系统。应考虑共同努力创建一个关于中毒暴露的通用数据库。