Calnan M W, Dale J W, de Fonseka C P
Arch Dis Child. 1976 Mar;51(3):180-5. doi: 10.1136/adc.51.3.180.
The distinction between true and suspected poisoning in children has not been made clear in previous work on childhood poisoning. A study of suspected poisoning in children under 15 years of age in a defined population of North East Bristol from November 1970 to July 1973 carried out by the Health Education Council Medical Research Division included 53,000 child-years at risk. The number of suspected poisonings was 3-4/1000 population aged under 15 years per year, with a higher incidence in younger age groups. Detailed investigation of the circumstances of the accidents carried out by a multidisciplinary team showed that at least 65%, and possibly as many as 78% were poisoning scares and not true poisoning. The evidence used by the casualty doctor and by the parents to diagnose poisoning was explored, and in many cases was circumstantial. Children with fathers in nonmanual occupations were over-represented. This may reflect differences in patterns of utilization behaviour rather than true differences in incidence.
在以往关于儿童中毒的研究中，儿童真正中毒与疑似中毒之间的区别并未明确。健康教育委员会医学研究部对1970年11月至1973年7月布里斯托尔东北部特定人群中15岁以下儿童的疑似中毒情况进行了一项研究，涉及53000个儿童年的风险。每年15岁以下人群中疑似中毒的人数为每1000人中有3 - 4例，且年龄较小的群体发病率较高。一个多学科团队对事故情况进行的详细调查显示，至少65%，甚至可能多达78%的情况是中毒恐慌而非真正的中毒。研究探讨了急诊医生和家长用于诊断中毒的证据，在许多情况下这些证据都是间接的。从事非体力职业的父亲的孩子在疑似中毒案例中占比过高。这可能反映的是使用行为模式的差异，而非发病率的真正差异。
