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Evaluation of poisoning cases admitted to the pediatric emergency clinic retrospectively

Year 2022, Volume: 39 Issue: 1, 199 - 203, 01.01.2022

Abstract

We aimed to analyze the demographic and epidemiologic features of the acute poisoning cases admitted to the pediatric emergency department. We evaluated 439 cases aged 18 and under applied to Ondokuz Mayıs University Medical Faculty Pediatric Emergency Department between 01/01/2019 and 01/01/2020 retrospectively. The mean age of patients was 7.5±6.39 years.242(55.1%) patients were female. Intoxications were most common in winter season (36.4%) and most seen with caustic corrosive substances. Of the poisoning agents, 35.5% (n:156) were nonpharmacologic and 57.4% (n:252) were pharmacologic agents. In poisonings with pharmacological agents, central nervous system drugs were the most common, while caustic-corrosive substances were most common in nonpharmacological poisonings. While caustic corrosive substances are in the first place in poisonings between the ages of 0-5 (47.4%), in the 5-11 age group; carbon monoxide (25%) and in the 11-18 age group; multiple drug poisonings (15%) were most common observed. Naphthalene intoxication was seen in 4.8% and alcohol was in 4.5%, higher than the literature. In our study, it was observed that alcohol use was high among young people in our region. Also, it is observed that naphthalene poisoning was in high rate. We believe that this study will guide the measures to be taken.

Project Number

yoktur

References

  • 1. Sarıkayalar F, 2001 Çocuklarda zehirlenmeler. Katkı Pediatri Dergisi. 22, 377-95.
  • 2. Sharif F, Khan RA, Keenan P. Poisoning in a paediatric hospital. Ir J Med Sci. 2003 Apr-Jun;172(2):78-80.
  • 3. Uzel N, 2002. Zehirlenmeler. In: Neyzi O, Ertuğrul T, ed. Çocuk Sağlığı ve Hastalıkları. İstanbul, Nobel Tıp Kitapevleri; 1529-55.
  • 4. Taft C, Paul H, Consunji R, Miller T. Childhood Unintentional Injury Worldwide: Meeting The Challenge. Washington, DC: Safe Kids Worldwide. 2002.
  • 5. Peden M, Oyegbite K, Ozanne-Smith J, Hyder AA, Branche C, Rahman AKMF, Rivara F, Bartolomeos K, editors. World Report on Child Injury Prevention. Geneva: World Health Organization; 2008.
  • 6. Özayar E, Değerli S, Güleç H, Şahin Ş, Dereli N. Retrospective analysis of intoxication cases in the ICU. J Medical Surg Intensive Care Med. 2011; 2, 59-62.
  • 7. Hoffman RJ, Osterhoudt KC. Evaluation and management of pediatric poisonings. Pediatr Case Rev. 2002 Jan;2(1):51-63.
  • 8. Soori H. Developmental risk factors for unintentional childhood poisoning. Saudi Med J. 2001 Mar;22(3):227-30.
  • 9. Şenel Güzel I, Esin Kibar A, Vidinlisan S. Evaluation of demographic characteristics in intoxication cases who admitted to emergency room in pediatric unit. Genel Tıp Derg. 2011; 21, 101-7.
  • 10. Dayasiri MBKC, Jayamanne SF, Jayasinghe CY. Patterns and outcome of acute poisoning among children in rural Sri Lanka. BMC Pediatr. 2018 Aug 18;18(1):274.
  • 11. Berta GN, Di Scipio F, Bosetti FM, Mognetti B, Romano F, Carere ME, Del Giudice AC, Castagno E, Bondone C, Urbino AF. Childhood acute poisoning in the Italian North-West area: a six-year retrospective study. Ital J Pediatr. 2020 Jun 11;46(1):83.
  • 12. Mintegi S, Fernández A, Alustiza J, Canduela V, Mongil I, Caubet I, Clerigué N, Herranz M, Crespo E, Fanjul JL, Fernández P, Humayor J, Landa J, Muñoz JA, Lasarte JR, Núñez FJ, López J, Molina JC, Pérez A, Pou J, Sánchez CA, Vázquez P. Emergency visits for childhood poisoning: a 2-year prospective multicenter survey in Spain. Pediatr Emerg Care. 2006 May;22(5):334-8.
  • 13. Koliou M, Ioannou C, Andreou K, Petridou A, Soteriades ES. The epidemiology of childhood poisonings in Cyprus. Eur J Pediatr. 2010 Jul;169(7):833-8.
  • 14. Biçer S, Sezer S, Çetindağ F, Kesikminare M, Tombulca N, Aydoğan G, Aldemir H. Evaluation of acute ıntoxications in Pediatric Emergency Clinic in 2005. Marmara Medical Journal. 2007; 20, 12-20.
  • 15. Kösecik M, Arslan SO, Çelik İL, Soran M, Tatlı MM, Koç A. Şanlıurfa’da Çocukluk Çağı Zehirlenmeleri. Çocuk Sağlığı ve Hastalıkları Dergisi 2001; 44, 235-239.
  • 16. Ulu K, Hasbal Akkuş C, Ulu Ş, Erkum İ, Oral Cebeci S. Çocukluk Çağı Zehirlenmelerinin Geriye Dönük Değerlendirilmesi ve Maliyet Analizi. Çocuk Dergisi. 2019; 19, 138-47.
  • 17. Yorulmaz A, Akbulut H, Yahya İ, Aktaş R, Emiroğlu HH, Peru H. Retrospective evaluation of patients admitted to the pediatric emergency department with intoxication. J Pediatr Emerg Intensive Care Med. 2017; 4, 96-103.
  • 18. Yazar A, Akın F, Türe E, Odabaş D. Evaluation of forensic cases admitting to Pediatric Emergency Clinic. Dicle Medical Journal. 2017; 44, 345-53.
  • 19. Çam H, Kıray E, Taştan Y, Özkan HÇ. İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı Acil servisinde izlenen zehirlenme olguları. Turkish Archives of Pediatrics. 2003; 38,233-9.
  • 20. Güngörer V, Kökten Yıldırım N. Yeni açılan ikinci düzey çocuk yoğun bakım birimimizde yatan zehirlenme olgularının değerlendirilmesi. Turk Pediatri Ars. 2016; 51, 35-9.
  • 21. Ekambaram S, Chandan Kumar KM, Mahalingam V. Acute kidney injury: A rare complication of mothball (Naphthalene) poisoning. Saudi J Kidney Dis Transpl. 2017 Nov-Dec;28(6):1412-5.
  • 22. Ağın H, Çalkavur Ş, Olukman Ö, Ural R, Bak M. Çocukluk çağında zehirlenmeler: son 2 yıldaki olguların değerlendirilmesi. T Klin Pediatri. 2002; 11, 186-93.
  • 23. Boran P, Tokuç G, Öktem S. Çocukluk çağı zehirlenmeleri. Çocuk Dergisi. 2004; 4, 236-240.
  • 24. Seydaoglu G, Satar S, Alparslan N. Frequency and mortality risk factors of acute adult poisoning in Adana, Turkey, 1997-2002. Mt Sinai J Med. 2005 Nov;72(6):393-401.
Year 2022, Volume: 39 Issue: 1, 199 - 203, 01.01.2022

Abstract

Supporting Institution

yoktur

Project Number

yoktur

References

  • 1. Sarıkayalar F, 2001 Çocuklarda zehirlenmeler. Katkı Pediatri Dergisi. 22, 377-95.
  • 2. Sharif F, Khan RA, Keenan P. Poisoning in a paediatric hospital. Ir J Med Sci. 2003 Apr-Jun;172(2):78-80.
  • 3. Uzel N, 2002. Zehirlenmeler. In: Neyzi O, Ertuğrul T, ed. Çocuk Sağlığı ve Hastalıkları. İstanbul, Nobel Tıp Kitapevleri; 1529-55.
  • 4. Taft C, Paul H, Consunji R, Miller T. Childhood Unintentional Injury Worldwide: Meeting The Challenge. Washington, DC: Safe Kids Worldwide. 2002.
  • 5. Peden M, Oyegbite K, Ozanne-Smith J, Hyder AA, Branche C, Rahman AKMF, Rivara F, Bartolomeos K, editors. World Report on Child Injury Prevention. Geneva: World Health Organization; 2008.
  • 6. Özayar E, Değerli S, Güleç H, Şahin Ş, Dereli N. Retrospective analysis of intoxication cases in the ICU. J Medical Surg Intensive Care Med. 2011; 2, 59-62.
  • 7. Hoffman RJ, Osterhoudt KC. Evaluation and management of pediatric poisonings. Pediatr Case Rev. 2002 Jan;2(1):51-63.
  • 8. Soori H. Developmental risk factors for unintentional childhood poisoning. Saudi Med J. 2001 Mar;22(3):227-30.
  • 9. Şenel Güzel I, Esin Kibar A, Vidinlisan S. Evaluation of demographic characteristics in intoxication cases who admitted to emergency room in pediatric unit. Genel Tıp Derg. 2011; 21, 101-7.
  • 10. Dayasiri MBKC, Jayamanne SF, Jayasinghe CY. Patterns and outcome of acute poisoning among children in rural Sri Lanka. BMC Pediatr. 2018 Aug 18;18(1):274.
  • 11. Berta GN, Di Scipio F, Bosetti FM, Mognetti B, Romano F, Carere ME, Del Giudice AC, Castagno E, Bondone C, Urbino AF. Childhood acute poisoning in the Italian North-West area: a six-year retrospective study. Ital J Pediatr. 2020 Jun 11;46(1):83.
  • 12. Mintegi S, Fernández A, Alustiza J, Canduela V, Mongil I, Caubet I, Clerigué N, Herranz M, Crespo E, Fanjul JL, Fernández P, Humayor J, Landa J, Muñoz JA, Lasarte JR, Núñez FJ, López J, Molina JC, Pérez A, Pou J, Sánchez CA, Vázquez P. Emergency visits for childhood poisoning: a 2-year prospective multicenter survey in Spain. Pediatr Emerg Care. 2006 May;22(5):334-8.
  • 13. Koliou M, Ioannou C, Andreou K, Petridou A, Soteriades ES. The epidemiology of childhood poisonings in Cyprus. Eur J Pediatr. 2010 Jul;169(7):833-8.
  • 14. Biçer S, Sezer S, Çetindağ F, Kesikminare M, Tombulca N, Aydoğan G, Aldemir H. Evaluation of acute ıntoxications in Pediatric Emergency Clinic in 2005. Marmara Medical Journal. 2007; 20, 12-20.
  • 15. Kösecik M, Arslan SO, Çelik İL, Soran M, Tatlı MM, Koç A. Şanlıurfa’da Çocukluk Çağı Zehirlenmeleri. Çocuk Sağlığı ve Hastalıkları Dergisi 2001; 44, 235-239.
  • 16. Ulu K, Hasbal Akkuş C, Ulu Ş, Erkum İ, Oral Cebeci S. Çocukluk Çağı Zehirlenmelerinin Geriye Dönük Değerlendirilmesi ve Maliyet Analizi. Çocuk Dergisi. 2019; 19, 138-47.
  • 17. Yorulmaz A, Akbulut H, Yahya İ, Aktaş R, Emiroğlu HH, Peru H. Retrospective evaluation of patients admitted to the pediatric emergency department with intoxication. J Pediatr Emerg Intensive Care Med. 2017; 4, 96-103.
  • 18. Yazar A, Akın F, Türe E, Odabaş D. Evaluation of forensic cases admitting to Pediatric Emergency Clinic. Dicle Medical Journal. 2017; 44, 345-53.
  • 19. Çam H, Kıray E, Taştan Y, Özkan HÇ. İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı Acil servisinde izlenen zehirlenme olguları. Turkish Archives of Pediatrics. 2003; 38,233-9.
  • 20. Güngörer V, Kökten Yıldırım N. Yeni açılan ikinci düzey çocuk yoğun bakım birimimizde yatan zehirlenme olgularının değerlendirilmesi. Turk Pediatri Ars. 2016; 51, 35-9.
  • 21. Ekambaram S, Chandan Kumar KM, Mahalingam V. Acute kidney injury: A rare complication of mothball (Naphthalene) poisoning. Saudi J Kidney Dis Transpl. 2017 Nov-Dec;28(6):1412-5.
  • 22. Ağın H, Çalkavur Ş, Olukman Ö, Ural R, Bak M. Çocukluk çağında zehirlenmeler: son 2 yıldaki olguların değerlendirilmesi. T Klin Pediatri. 2002; 11, 186-93.
  • 23. Boran P, Tokuç G, Öktem S. Çocukluk çağı zehirlenmeleri. Çocuk Dergisi. 2004; 4, 236-240.
  • 24. Seydaoglu G, Satar S, Alparslan N. Frequency and mortality risk factors of acute adult poisoning in Adana, Turkey, 1997-2002. Mt Sinai J Med. 2005 Nov;72(6):393-401.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Esra Akyüz Özkan 0000-0001-9412-8010

Project Number yoktur
Early Pub Date January 3, 2022
Publication Date January 1, 2022
Submission Date August 26, 2021
Acceptance Date September 26, 2021
Published in Issue Year 2022 Volume: 39 Issue: 1

Cite

APA Akyüz Özkan, E. (2022). Evaluation of poisoning cases admitted to the pediatric emergency clinic retrospectively. Journal of Experimental and Clinical Medicine, 39(1), 199-203.
AMA Akyüz Özkan E. Evaluation of poisoning cases admitted to the pediatric emergency clinic retrospectively. J. Exp. Clin. Med. January 2022;39(1):199-203.
Chicago Akyüz Özkan, Esra. “Evaluation of Poisoning Cases Admitted to the Pediatric Emergency Clinic Retrospectively”. Journal of Experimental and Clinical Medicine 39, no. 1 (January 2022): 199-203.
EndNote Akyüz Özkan E (January 1, 2022) Evaluation of poisoning cases admitted to the pediatric emergency clinic retrospectively. Journal of Experimental and Clinical Medicine 39 1 199–203.
IEEE E. Akyüz Özkan, “Evaluation of poisoning cases admitted to the pediatric emergency clinic retrospectively”, J. Exp. Clin. Med., vol. 39, no. 1, pp. 199–203, 2022.
ISNAD Akyüz Özkan, Esra. “Evaluation of Poisoning Cases Admitted to the Pediatric Emergency Clinic Retrospectively”. Journal of Experimental and Clinical Medicine 39/1 (January 2022), 199-203.
JAMA Akyüz Özkan E. Evaluation of poisoning cases admitted to the pediatric emergency clinic retrospectively. J. Exp. Clin. Med. 2022;39:199–203.
MLA Akyüz Özkan, Esra. “Evaluation of Poisoning Cases Admitted to the Pediatric Emergency Clinic Retrospectively”. Journal of Experimental and Clinical Medicine, vol. 39, no. 1, 2022, pp. 199-03.
Vancouver Akyüz Özkan E. Evaluation of poisoning cases admitted to the pediatric emergency clinic retrospectively. J. Exp. Clin. Med. 2022;39(1):199-203.