Araştırma Makalesi
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Retrospective Analysis of Childhood Poisonings

Yıl 2022, Cilt: 32 Sayı: 1, 45 - 48, 28.02.2022
https://doi.org/10.54005/geneltip.1026585

Öz

Aim: The aim is to determine the extent of the types of poisoning and the factors influencing them.
Method: The study was carried out between January and July of 2019. Hospital records of 107 cases who had presented to the pediatric emergency department for poisoning were retrospectively reviewed. In the analysis, descriptive statistics and the chi-square tests from univariate analyses were used. The SPSS 20.0 package program was used to analyze the data.
Results: 49.5% of the cases were girls, and 5.6% were villagers. 51.4% of poisonings occurred in spring, 68.2% were oral, pharmacological factors caused 51.4%. Poisoning of the pharmacological type was observed 17.4% less frequently in the age group 6-12 years than in other age groups, 60.3% less frequently in those who lived in the city center than in those who lived in the district, and 75.3% less frequently in those who took the drug orally than by other means (p<0.05). Poisoning occurred in 33.6% between 12:00-17:59. When analyzed by age group, poisonings are most common in the age group 0-5 years with 62.6%. Symptoms developed after poisoning in 72.0% of cases. In cases of poisoning, supportive treatment was the most commonly applied method, with 79.4%. There was no mortality due to poisoning in any of the cases.
Results: Pharmacological poisoning was detected in the majority of the cases. The risk of pharmacological poisoning was lower in children living in rural areas and the age group 6-12 years.

Kaynakça

  • 1. Akgül F, Er A, Çelebi-Çelik F, et al. Retrospective analysis of childhood poisoning. J Pediatr Emerg Intensive Care Med 2016; 3(2): 91-6
  • 2. Güven-Baysal Ş, Yıldız, FM. Evaluation of epidemiological and demographic features of childhood poisoning cases. Aegean J Med Sci 2018; 1(2):37-42.
  • 3. Binay Ç, Şahin GT, Biçer S, et al. Evaluation of acute poisonings in pediatric emergency department in 2006. JAEM 2010; 9(1):31-40.
  • 4. Gülez P, Ağın H, Apa H, et al. Evaluation of drug poisoning in children. Journal of Dr Behcet Uz Children s Hospital 2011; 1(3):105-9
  • 5. Akıcı N, Bayoğlu D, Gürbüz T, et al. Investigation of poisoning in children aged six years and younger and children older than six years. Marmara Pharm J 2013; 17(1):35-41.
  • 6. Mowry JB, Spyker DA, Brooks DE, et al. 2014 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 32nd Annual Report. Clinical Toxicol (Phila). 2015; 53:962-1147. 7. Yılmaz HL, Derme T, Yıldızdaş D, et al. Evaluatıon of childhood poisonings in Çukurova region. Nobel Medicus 2009; 5(2):35-44.
  • 8. Yıldıztepe E, Aksay NH, Demir Ö, et al. Analysis of the year 2007 data of Dokuz Eylül University drug and poison ingformation center, Turkey. Turkiye Klinikleri J Med Sci 2010; 30(5):1622-30.
  • 9. Sahin S, Carman KB, Dinleyici EC. Acute poisoning in children; data of a pediatric emergency unit. Iran J Pediatr 2011; 2(4)1:479-84. 10. McKenzie LB, Ahir N, Stolz U, et al. Household cleaning product-related injuries treated in US emergency departments in 1990-2006. Pediatrics 2010; 126(3):509-16.
  • 11. Araz C, Toklucu MÖ, Güven Ş, et al. Retrospective analysis of chıldhood poisoning in Ümranı̇ye Haydarpasa Numune Med J 2016; 56(3).
  • 12. Özkaya B, Kansoy S, Akşit S, et al. Childhood poisonings. J SSK Tepecik Hosp Turkey 1996; 6(3):194-200.
  • 13. Sarvan S, Efe E, İşler A. Evaluation of acute intoxication in children seen in emergency services. JCP 2020; 18(3):470-83.
  • 14. Shannon M. Ingestion of toxic substances by children. N Engl J Med, 2000; 342:186-91.
  • 15. Öztoprak Ü, Energin MV. Evaluation of patients admitted to the pediatric emergency department with intoxication. J Contemp Med 2020; 10(4):585-90.
  • 16. Sümer V, Güler E, Karanfil R, et al. Evaluation of the poisoning cases who applied to the pediatrics emergency unit. Turk Arch Ped 2011; 46(3): 234-40.
  • 17. Mintegi S, Fernandez A, Alustiza J, et al. Emergency visits for childhood poisoning: a 2-year prospective multicenter survey in Spain. Pediatr Emerg Care 2006; 22:334-8.
  • 18. Kendirci HNP, Çolakoğlu YE, Hızlı Ş, et al. Evaluation of intoxication cases who referred to pediatric emergency room in our hospital. Turkish J. Pediatr. Dis 2011; 5(1):29-35. 19. Polat S, Özyazıcıoğlu N, Tüfekçi FG, et al. The investigation of 0-18 year age group cases applying to the pediatric emergency department. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2005; 8(2):55-62.
  • 20. Ozdemir R, Bayrakci B, Tekşam O, et al. Thirty-three-year experience on childhood poisoning. Turk J Pediatr 2012; 54:251-9.
  • 21. Çıtak A, Yılmaz HL (Ed). Pediatrik zehirlenmeler. İstanbul Tıp Kitabevi, İstanbul 2011; 19-34.
  • 22. Biçer S, Sezer S, Çetindağ F, et al. Ç Evaluation of acute intoxications in pediatric emergency clinic in 2005. Marmara Med J 2007; 20(1); 12-20.
  • 23. Güzel IŞ, Kibar AE, Vidinlisan S. Evaluation of demographic characteristics in intoxication cases who admitted to emergency room in pediatric unit. Journal of General Medicine 2011; 21(3):101-7.
  • 24. Güzel IŞ. Ankara Dışkapı Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi Çocuk acil servisine ekim 2006 ekim 2007 tarihleri arasında başvuran zehirlenme vakalarının demografik özelliklerinin incelenmesi – Uzmanlık Tezi - İstanbul 2007.
  • 25. Özdemir R. Zehirlenmeler ve Hacettepe deneyimi. Katkı Pediatri Dergisi 2009; 31(1):47-68.
  • 26. Bükülmez A, Tahta EG, Şen AT, et al. Evaluation of patients with intoxication admitted to the pediatric emergency service. Kocatepe Medical Journal 2013; 14(1):11-6.
  • 27. Kelebek F, Satar S, Kozacı N, et al. Emergency medicine admissions of pediatric intoxicated cases. The Journal of Academic Emergency Medicine 2013; 13(2).
  • 28. Aygin D, Açıl H. The study of the intoxiation cases of the patients (0-18 years) admitting to pediatric emergency unit. Med Bull Sisli Etfal Hosp, 2014; 48(1).

ÇOCUKLUK ÇAĞI ZEHİRLENMELERİNİN GERİYE DÖNÜK OLARAK İNCELENMESİ

Yıl 2022, Cilt: 32 Sayı: 1, 45 - 48, 28.02.2022
https://doi.org/10.54005/geneltip.1026585

Öz

Amaç: Zehirlenme tiplerinin düzeyini ve etkileyen faktörleri belirlemek amaçlanmıştır.
Yöntem: Araştırma Ocak-Temmuz 2019 ayları arasında yapılmıştır. Çocuk acil servise zehirlenme nedeniyle başvuran 107 olgunun hastane kayıtları geriye dönük olarak incelenmiştir. Analizde tanımlayıcı istatistikler ve tek değişkenli analizlerden Ki-Kare testi kullanılmıştır. Veriler SPSS 20.0 paket programı kullanılarak analiz edilmiştir.
Bulgular: Olguların %49.5’i kız cinsiyet, %5.6’sı köy ikametlidir. Zehirlenmelerin %51.4’ü ilkbaharda, 68.2’si oral yolla, %51.4’ü farmakolojik etkenle gerçekleşmiştir. Farmakolojik tipte zehirlenme 6-12 yaş grubunda %17.4 ile diğer yaş gruplarından daha az; merkezde yaşayanlarda %60.3 ile ilçede ikamet edenlerden, etkeni oral yolla alanlarda %75.3 ile diğer yollarla alanlardan daha fazla görülmüştür (p<0.05). Zehirlenmeler %33.6 ile en fazla 12.00-17.59 saatleri arasında gerçekleşmiştir. Yaş gruplarına göre incelendiğinde %62.6 ile en fazla 0-5 yaş grubu zehirlenmelerle karşılaşılmaktadır. Olguların %72.0’ında zehirlenme sonrası semptom gelişmiştir. Zehirlenmelerde %79.4 ile en fazla destekleyici tedaviye başvurulmuştur. Zehirlenme sonucu hiçbir olguda ölüm yaşanmamıştır.
Sonuçlar: Olguların çoğunluğunda farmakolojik tipte zehirlenme görülmüştür. Kırsalda yaşayan ve 6-12 yaş grubunda olan çocuklarda farmakolojik zehirlenme riskinin daha düşük olduğu belirlenmiştir.

Anahtar Kelimeler: Çocukluk çağı, epidemiyoloji, önlem, zehirlenme.

Kaynakça

  • 1. Akgül F, Er A, Çelebi-Çelik F, et al. Retrospective analysis of childhood poisoning. J Pediatr Emerg Intensive Care Med 2016; 3(2): 91-6
  • 2. Güven-Baysal Ş, Yıldız, FM. Evaluation of epidemiological and demographic features of childhood poisoning cases. Aegean J Med Sci 2018; 1(2):37-42.
  • 3. Binay Ç, Şahin GT, Biçer S, et al. Evaluation of acute poisonings in pediatric emergency department in 2006. JAEM 2010; 9(1):31-40.
  • 4. Gülez P, Ağın H, Apa H, et al. Evaluation of drug poisoning in children. Journal of Dr Behcet Uz Children s Hospital 2011; 1(3):105-9
  • 5. Akıcı N, Bayoğlu D, Gürbüz T, et al. Investigation of poisoning in children aged six years and younger and children older than six years. Marmara Pharm J 2013; 17(1):35-41.
  • 6. Mowry JB, Spyker DA, Brooks DE, et al. 2014 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 32nd Annual Report. Clinical Toxicol (Phila). 2015; 53:962-1147. 7. Yılmaz HL, Derme T, Yıldızdaş D, et al. Evaluatıon of childhood poisonings in Çukurova region. Nobel Medicus 2009; 5(2):35-44.
  • 8. Yıldıztepe E, Aksay NH, Demir Ö, et al. Analysis of the year 2007 data of Dokuz Eylül University drug and poison ingformation center, Turkey. Turkiye Klinikleri J Med Sci 2010; 30(5):1622-30.
  • 9. Sahin S, Carman KB, Dinleyici EC. Acute poisoning in children; data of a pediatric emergency unit. Iran J Pediatr 2011; 2(4)1:479-84. 10. McKenzie LB, Ahir N, Stolz U, et al. Household cleaning product-related injuries treated in US emergency departments in 1990-2006. Pediatrics 2010; 126(3):509-16.
  • 11. Araz C, Toklucu MÖ, Güven Ş, et al. Retrospective analysis of chıldhood poisoning in Ümranı̇ye Haydarpasa Numune Med J 2016; 56(3).
  • 12. Özkaya B, Kansoy S, Akşit S, et al. Childhood poisonings. J SSK Tepecik Hosp Turkey 1996; 6(3):194-200.
  • 13. Sarvan S, Efe E, İşler A. Evaluation of acute intoxication in children seen in emergency services. JCP 2020; 18(3):470-83.
  • 14. Shannon M. Ingestion of toxic substances by children. N Engl J Med, 2000; 342:186-91.
  • 15. Öztoprak Ü, Energin MV. Evaluation of patients admitted to the pediatric emergency department with intoxication. J Contemp Med 2020; 10(4):585-90.
  • 16. Sümer V, Güler E, Karanfil R, et al. Evaluation of the poisoning cases who applied to the pediatrics emergency unit. Turk Arch Ped 2011; 46(3): 234-40.
  • 17. Mintegi S, Fernandez A, Alustiza J, et al. Emergency visits for childhood poisoning: a 2-year prospective multicenter survey in Spain. Pediatr Emerg Care 2006; 22:334-8.
  • 18. Kendirci HNP, Çolakoğlu YE, Hızlı Ş, et al. Evaluation of intoxication cases who referred to pediatric emergency room in our hospital. Turkish J. Pediatr. Dis 2011; 5(1):29-35. 19. Polat S, Özyazıcıoğlu N, Tüfekçi FG, et al. The investigation of 0-18 year age group cases applying to the pediatric emergency department. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2005; 8(2):55-62.
  • 20. Ozdemir R, Bayrakci B, Tekşam O, et al. Thirty-three-year experience on childhood poisoning. Turk J Pediatr 2012; 54:251-9.
  • 21. Çıtak A, Yılmaz HL (Ed). Pediatrik zehirlenmeler. İstanbul Tıp Kitabevi, İstanbul 2011; 19-34.
  • 22. Biçer S, Sezer S, Çetindağ F, et al. Ç Evaluation of acute intoxications in pediatric emergency clinic in 2005. Marmara Med J 2007; 20(1); 12-20.
  • 23. Güzel IŞ, Kibar AE, Vidinlisan S. Evaluation of demographic characteristics in intoxication cases who admitted to emergency room in pediatric unit. Journal of General Medicine 2011; 21(3):101-7.
  • 24. Güzel IŞ. Ankara Dışkapı Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi Çocuk acil servisine ekim 2006 ekim 2007 tarihleri arasında başvuran zehirlenme vakalarının demografik özelliklerinin incelenmesi – Uzmanlık Tezi - İstanbul 2007.
  • 25. Özdemir R. Zehirlenmeler ve Hacettepe deneyimi. Katkı Pediatri Dergisi 2009; 31(1):47-68.
  • 26. Bükülmez A, Tahta EG, Şen AT, et al. Evaluation of patients with intoxication admitted to the pediatric emergency service. Kocatepe Medical Journal 2013; 14(1):11-6.
  • 27. Kelebek F, Satar S, Kozacı N, et al. Emergency medicine admissions of pediatric intoxicated cases. The Journal of Academic Emergency Medicine 2013; 13(2).
  • 28. Aygin D, Açıl H. The study of the intoxiation cases of the patients (0-18 years) admitting to pediatric emergency unit. Med Bull Sisli Etfal Hosp, 2014; 48(1).
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Original Article
Yazarlar

Sonay Gökçeoğlu 0000-0003-3219-7496

Emine Beyaz 0000-0002-1122-2317

Yayımlanma Tarihi 28 Şubat 2022
Gönderilme Tarihi 21 Kasım 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 32 Sayı: 1

Kaynak Göster

Vancouver Gökçeoğlu S, Beyaz E. Retrospective Analysis of Childhood Poisonings. Genel Tıp Derg. 2022;32(1):45-8.