Frequency, Etiology and Several Socio-demographic Characteristics of Acute Poisoning in Children Treated in the Intensive Care Unit
Mehmedali Azemi, Majlinda Berisha, Selim Kolgeci, Ramush Bejiqi
Mat Soc Med. 2012; 24(2): 76-80
Aim: The aim of this work has been to present the frequency, etiology and several other socio-demographic characteristics of acute poisoning in children. The treated patients and methods of work: The treated patients were children of all age groups hospitalized in the Pediatric Clinic of Prishtina during year 2009. The study was done retrospectively. The diagnosis was done on the basis of heteroanamnesis and in several cases on the basis of the anamnesis data of a child, routine laboratory tests and toxicologic analysis. Results: 66 (9.4%) poisoned children were treated in the Intensive Care Unit. The biggest number of patients, 37 (56.06%) of them, were male, and out of that number 36 (54.55%) cases were coming from rural areas. The biggest number of them 49 (74.98%) were over 2-6 years old. The poisoning was mostly caused through the digestive tract (ingestion), it happened with 55 cases (83.33%), 56 cases (84,80%) suffered from severe poisoning, whereas 59 cases (89,50%) suffered from accidental poisoning. Regarding the type of the substances that caused poisoning, the most frequent were drugs in 34 (51.50%) cases and pesticides in 20 (30.30%) cases. Among drugs, the most dominant were those belonging to a group of benzodiazepines (10 cases) and metoclopramide (4 cases). Among pesticides the most dominant one that caused poisoning was malation (5 cases), then paration and cipermetrina appeared in 3 cases each. The biggest number of cases, 64 (96.96%) of them, were treated, whereas 2 cases (3.40%) passed away. Conclusion: The practice proved that that our people are not well informed about the poisoning in general, therefore it is necessary that they be educated by the use of all media, written and electronic, as well as other methods of medical education.
1. Nabeel Manzar, Syed Muhammed Ali Suad and Sueda Shazeen Fatima. The study of etiological and demographic characteristics of acute household accidental poisoninig in children – a consecutive case series. Study from Pakistan. BMC Pediatrics. 2010; 20: 28.
2. Yates Kim M. Accidental poisoning in New Zealand. Emergency Medicine, 2003; 15(3), 244-249.
3. Babar MI, Bhait Ro, Cheema ME. Kerosine poisoning in children. JCPSP. 2002; 12(8), 472-476.
4. Alsam M, Baluch GR, Hussain W, Malik A, Haider A. Accidental poisoning in children, PPJ. 2002, 26(2): 67-70.
5. Shakya KN, Billo AG. Patterns of accidental poisoning in Karachi children. JPMA. 1982; 32(4): 212-215.
6. Andrian N, Sari Kayalar F. Patern of accidental poisoning in childhood in Ankara. The Turkish Journal of Paediatics, 2004; 46(2); 1-6.
7. Beatrais Al, Fergusson DM, Shannon FT. Accidental poisoning in the first three years of life. Journal of Paediatrics and child Health. 2008; 17(2): 104-109.
8. Rfidah El, Casey PB, Tracey et al. Cjildhood poisoning in Dublin. Jr Med J. 1991; 84: 87-89.
9. Tahirović H, Malbašić Lj, B Bošković. Akutna trovanja pesticidima. Zbornik radova. XIII Kongres Pediajatara Jugoslavije, 1987, Priština; 371.
10. Sibert JR, Routledge PA. Accidental poisoning in children: can we admit fewer children with safety? Arch Dis Child. 1991; 66: 263-266.
11. Robert Sl. Cause secific social class mortality differentials for child injury and poisoning in England and Wales. J Epidemiol Community Health. 1997; 51: 334-335.
12. Groždanovski Gj, Nikolovski Lj, Starova V. Akutna trovanja u dece. Zbornik radova. XII Kogres Pedijatara Jugoslavije, Priština, 1987; 371.
13. Geogre C, Rodger Jr et al. Poisonings in Nelson Textbook of Pediatrics, 18th edition, 2007; 338-357.
14. Azemi M, Mujë Shala me bashkpunëtorë. Univeristeti i Prishtinës, Pediatria, 2010; 995-1037.
15. Kiely T, Donaldson D, Grube A. Peticide industry sales and usage 2000 and 2001 market estimates. Washington: US EPA, 2004.
16. O’Connor P. Accidental poisoning of preschool children from nonmedical substances. Australia in injury research and statistics series Adelaide, AIWH, 2000.
17. O’Connor P. Accidental poisoning of preschool children from nonmedical substances. Australia in injury research and statistics series Adelaide, AIWH, 2001.
18. Calvert GM, Plate DK et al. Acute occupational pesticide- related illnes in the US 1998-1999; Surveillance findings from the SENSOR- pesiticides program. AMJ and Ind Med. 2004, 45: 14-23.
19. Groon L, Kendrich D, Coupland C. et al. Inequalities in hosptal admission rates for unintentional poisoning inyoung children. Injury Prevention. 2006; 12: 166-178.
20. Geoferey M. Calvert, Ann M, Petersson et al. Acute pestidice Poisoning in the US. Retail Industry, 1998-2004. Public Health Reports, Volume 122; 233-244.
21. Mandić Z. Akutne intoksikacije medikamentima na Pedijatrijskoj Intenzivnoj u Osijeku. Zbornik radova XIII Kongresa Pedijatara Jugoslavije. Priština, 1987: 373.
22. Matana M, Matana Knezović D. Udio akutnih otrovanja na morbiditet u regiji Splita. Zbronik radova XIII Kongresa Pedijatara Jugoslavije, Prišina, 1987; 381.
23. Maksimović D, Lah N. et al. Mogućnost lečenja akutnih trovanja u dece. Zbronik radova XIII Kongresa Pedijatara Jugoslavije, Priština, 1987; 373.
24. Wiseman H. Prevention of poisoning in children. In: Bates N et al: Paediatric Toxicology, London, 1997: 40-51.
25. Bertino JS, Bred MD. Barbiturate and nonbarbiturate sedative hypnotic intoxication in chidren. The Pediatrics of Notrth America, 1986; 33: 703-722.
26. Perry HE, Shannon MW. Diagnosis and management of opoid and benzodiazepine. Curr Opin Pediatr. 1996; 8: 243-247.
27. Rossi R et al. Severe digoxin intoxication in a child treated by a infusion of digoxin-specific Fab-antibody-fragments. Eur J Pediatr. 1984 Jun; 142: 138-140.
28. Hom FK, Wax MP. Tryciclic Antidepressants. Viccellio P. ed. Emergency Toxicology. New York, 1998: 817-828.