Accidental poison exposure among children in a regional hospital in northern KwaZulu-Natal before and during the COVID-19 pandemic

Abstract

Background. Poisoning has been reported as the fifth most common cause of injury-related deaths in children younger than five years worldwide. Little is known about accidental poison exposure among children at regional hospital level. Regional hospitals generally provide more specialised support to primary care facilities over a larger area. During the COVID-19 pandemic, lockdown measures may have increased home-based unintentional poisoning. Objectives. To determine the frequency, outcome and type of accidental poison exposure in children admitted to a regional hospital and compare cases before and during the COVID-19 pandemic. Methods. A review of admissions to Queen Nandi Regional Hospital in Empangeni was performed to document cases of accidental poison exposure over two years. Equal periods during 2019 and 2020 (April to December) were then compared. Children <13 years of age were included. Age, sex, date of admission, death or survival and type of poisoning were collected. Results. Cases of accidental poison exposure made up a small proportion of the total admissions over two years (n=252/5 071, 4.97%) with a low case fatality rate (0.40%). Boys made up the majority (n=132/252, 52.38%). Most were

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在COVID-19大流行之前和期间，夸祖鲁-纳塔尔省北部一家地区医院的儿童意外中毒

背景。据报道，中毒是全世界5岁以下儿童受伤相关死亡的第五大常见原因。对于地区医院一级的儿童意外中毒情况了解甚少。区域医院一般为更大范围内的初级保健设施提供更专业的支持。在2019冠状病毒病大流行期间，封锁措施可能增加了家庭意外中毒。目标。确定某地区医院收治儿童意外中毒的频率、结果和类型，并比较2019冠状病毒病大流行之前和期间的病例。方法。对恩潘杰尼南迪皇后地区医院的入院情况进行了审查，以记录两年来意外中毒的病例。然后比较2019年和2020年(4月至12月)的相同时期。包括13岁以下的儿童。收集年龄、性别、入院日期、死亡或生存以及中毒类型。结果。两年内意外中毒病例占入院总人数的比例较小(n=252/5 071, 4.97%)，病死率较低(0.40%)。男生占多数(n=132/252, 52.38%)。多数为5岁(n=220/252, 87.30%)。药物(n=114/252, 45.24%)、烃类(n=59/252, 23.41%)和农药(n=26/252, 10.32%)是主要的中毒类型。大流行期间，与家用清洁剂、消毒剂和消毒剂相关的住院人数显著增加(p=0.020)。结论。意外中毒通常发生在年幼的儿童身上。药品、碳氢化合物和杀虫剂占大多数。大流行期间，家用清洁剂、洗手液和消毒剂的摄入量增加。未来的研究应涉及初级保健设施，并应调查风险因素和临床严重程度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。