Abstract
Amaç: Çocuklarda karbonmonoksit (CO) zehirlenmesinin sıklığı konusunda yapılan çalışmalar sınırlı sayıdadır. Bu çalışmada, Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Araştırma Hastanesi’ne başvuran CO zehirlenmesinin görülme sıklığının belirlenmesi amaçlandı.Gereç ve Yöntemler: Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Araştırma Hastanesi’ne 03.01.2006 - 21.01.2014 tarihleri arasında başvuran ve CO zehirlenmesi tanısı alan hastalar değerlendirildi. Olguların yaşları, cinsiyetleri, hastane yatışları, tedavi aldıkları bölümler ile zehirlenmelerin mevsim ve aylara göre dağılımı incelendi.Bulgular: Belirtilen tarihler arasında çocuk acil polikliniğine toplam 394.387 hastanın başvurduğu ve bu hastalar içinde 1756 (%0,4) çocuğun CO zehirlenmesi tanısı aldığı saptandı. Olguların %51.5’u kız (n=905) ve yaş ortalaması 8.14 ± 4.86 yıl idi. Olguların %74.4’ü (n=1307) ayaktan, %25.6’sı (n=449) ise hastanede yatırılarak izlenmişti. Hastaların %0.4’ü (n=7) yoğun bakım tedavisi gerektirmişti. Karbon monoksit zehirlenmelerinin en sık kış mevsiminde (%59.5) ve Ocak ayında (% 22.9) görüldüğü saptandı.Sonuç: Karbonmonoksit zehirlenmesi ülkemizde çocuklarda özellikle kış aylarında sık görülen zehirlenme türüdür. Bu sorunun önlenmesine yönelik çalışmalar oldukça önemlidir.
Keywords
References
- Piantadosi CA. Carbon monoxide poisoning. Undersea Hyperb Med 2004;31:167-77.
- Raub JA, Mathieu-Nolf M, Hampson NB, Thom SR. Carbon monoxide poisoning--a public health perspective. Toxicology 2000;145:1-14.
- Weaver LK. Clinical practice. Carbon monoxide poisoning. N Engl J Med 2009;360:1217-25.
- Guzman JA. Carbon monoxide poisoning. Crit Care Clin 2012;28:537-48.
- Hampson NB, Weaver LK. Carbon monoxide poisoning: A new incidence for an old disease. Undersea Hyperb Med 2007;34: 163-8.
- Centers for disease control and prevention (CDC).Unintentional poisoning deaths--United States, 1999-2004. MMWR Morb Mortal Wkly Rep 2007;56: 93-6.
- Centers for disease control and prevention (CDC). Unintentional non-fire-related carbon monoxide exposures--United States, 2001-2003. MMWR Morb Mortal Wkly Rep 2005;54: 36-9.
- Centers for disease control and prevention (CDC). Nonfatal, unintentional, non--fire-related carbon monoxide exposures- -United States, 2004-2006. MMWR Morb Mortal Wkly Rep 2008;57:896-9.
- Kandiş H, Katırcı Y, Çakır Z, Aslan Ş, Uzkeser M, Bilir Ö. Acil servise karbonmonoksit entoksikasyonu ile başvuran olguların geriye dönük analizi. Akademik Acil Tıp Dergisi 2007;3:21-5.
The Evaluation of Carbon Monoxide Poisoning in a Tertiary Children’s Hospital During an 8-Year Period
Abstract
Objective: Studies on the frequency of carbonmonoxide (CO) poisoning in children are rare. The aim of this study was to determine the frequency of the CO poisoning cases arriving at Ankara Children’s Hematology Oncology Training and Research Hospital.Material and Methods: Patients with a diagnosis of CO poisoning who had presented at Ankara Children’s Hematology Oncology Training and Research Hospital between the dates of 03.01.2006 and 21.01.2014 were searched retrospectively. The age, sex and hospitalization rate of the patients, departments where the patients were treated, and seasonal and monthly distributions were evaluated.Results: A total of 394.387 patients presented at the emergency clinic during the study period and 1756 cases (0.4%, age range 0-18 years) were diagnosed as CO poisoning. The percentage of female patients was 51.5% (n=905) and the mean age was 8.14 ± 4.86 years. The hospitalization rate was 25.6% (n=449) with 74.4% (n=1307) treated in the outpatient emergency clinic and 0.4% (n=7) requiring intensive care therapy. Poisoning cases occurred mostly in the winter (59.5%) and especially in January (22.9%).. Conclusion: Carbonmonoxide poisoning is a common type of poisoning in children especially during the winter months in our country. The measures taken to prevent this problem are extremely important
References
- Piantadosi CA. Carbon monoxide poisoning. Undersea Hyperb Med 2004;31:167-77.
- Raub JA, Mathieu-Nolf M, Hampson NB, Thom SR. Carbon monoxide poisoning--a public health perspective. Toxicology 2000;145:1-14.
- Weaver LK. Clinical practice. Carbon monoxide poisoning. N Engl J Med 2009;360:1217-25.
- Guzman JA. Carbon monoxide poisoning. Crit Care Clin 2012;28:537-48.
- Hampson NB, Weaver LK. Carbon monoxide poisoning: A new incidence for an old disease. Undersea Hyperb Med 2007;34: 163-8.
- Centers for disease control and prevention (CDC).Unintentional poisoning deaths--United States, 1999-2004. MMWR Morb Mortal Wkly Rep 2007;56: 93-6.
- Centers for disease control and prevention (CDC). Unintentional non-fire-related carbon monoxide exposures--United States, 2001-2003. MMWR Morb Mortal Wkly Rep 2005;54: 36-9.
- Centers for disease control and prevention (CDC). Nonfatal, unintentional, non--fire-related carbon monoxide exposures- -United States, 2004-2006. MMWR Morb Mortal Wkly Rep 2008;57:896-9.
- Kandiş H, Katırcı Y, Çakır Z, Aslan Ş, Uzkeser M, Bilir Ö. Acil servise karbonmonoksit entoksikasyonu ile başvuran olguların geriye dönük analizi. Akademik Acil Tıp Dergisi 2007;3:21-5.
Details
| Other ID | JA84UV93GP |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | August 1, 2014 |
| Submission Date | August 1, 2014 |
| Published in Issue | Year 2014 Volume: 8 Issue: 2 |
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