Urgent health concerns: Clinical issues associated with accidental ingestion of new metal-blade-containing sticks for heated tobacco products.

IF 1.9 Q3 SUBSTANCE ABUSE Tobacco Prevention & Cessation Pub Date : 2024-07-12 eCollection Date: 2024-01-01 DOI:10.18332/tpc/190634
Paola Angela Moro, Francesca Maida, Renata Solimini, Lorenzo Spizzichino, Charlotte G G M Pauwels, Elke Pieper, Anne Havermans
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Abstract

Introduction: Recently, a concerning pattern has emerged in clinical settings, drawing attention to the potential health risks associated with the accidental ingestion, mostly by children, of a new Heated Tobacco Product (HTP) stick, which contains a sharp metal blade inside.

Methods: Following a webinar of the Joint Action on Tobacco Control 2 project, where data on adverse health incidents related to novel tobacco and nicotine products from EU Member States were presented, the Milan Poison Control Center (PCC) conducted a case series study on the accidental ingestion of blade-containing HTP sticks in Italy, between July 2023 and February 2024. The data in the medical records were analyzed to identify the age distribution, clinical presentation symptoms, performed diagnostic procedures, and medical management.

Results: Overall, 40 cases of accidental ingestion of HTP sticks were identified and are described. A total of 33 (82.5%) children (infants and toddlers, mean age 12.3 ± 3.3 months) were hospitalized. Of these, 29 underwent abdominal X-rays, two children underwent esophagogastroduodenoscopy, and one child suffered from cut injuries to the tonsillar pillar and genian mucosa, requiring anesthesia for fibroscopy. The observed clinical cases associated with new HTP sticks containing a metal blade occurred over just eight months. This issue required the immediate implementation of corrective measures to mitigate health risks. The Ministry of Health issued an alert regarding the dangers related to the accidental ingestion of the stick and imposed more visible warnings on the package.

Conclusions: It is of the utmost importance to raise awareness among both the general public and medical practitioners to prevent further cases of accidental ingestion of HTP sticks by infants and toddlers, and ensure a prompt and informed response in emergency situations.

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紧迫的健康问题:与误食用于加热烟草制品的新型含金属刀片烟棒有关的临床问题。
导言:最近,在临床环境中出现了一种令人担忧的模式,引起了人们对误食新型加热烟草制品(HTP)棒(内含锋利的金属刀片)的潜在健康风险的关注,误食者多为儿童:在 "烟草控制联合行动 2 "项目的一次网络研讨会上,欧盟成员国提供了与新型烟草和尼古丁产品相关的不良健康事件的数据,随后米兰中毒控制中心(PCC)对 2023 年 7 月至 2024 年 2 月期间意大利发生的误食含有刀片的加热烟草制品(HTP)棒的案例进行了系列研究。研究人员对病历数据进行了分析,以确定年龄分布、临床表现症状、诊断程序和医疗处理:结果:共发现并描述了 40 例误食 HTP 棒的病例。共有 33 名(82.5%)儿童(婴幼儿,平均年龄为 12.3 ± 3.3 个月)住院治疗。其中,29 名儿童接受了腹部 X 光检查,2 名儿童接受了食管胃十二指肠镜检查,1 名儿童的扁桃体支柱和生殖器粘膜被割伤,需要麻醉后进行纤维镜检查。观察到的与含有金属刀片的新型 HTP 棒相关的临床病例发生在短短八个月内。这一问题要求立即实施纠正措施,以降低健康风险。卫生部发布了与误食药棒相关的危险警报,并在包装上标注了更醒目的警告:最重要的是要提高公众和医疗从业人员的认识,防止再发生婴幼儿误食 HTP 棒的事件,并确保在紧急情况下做出迅速、知情的反应。
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CiteScore
1.80
自引率
0.00%
发文量
155
审稿时长
4 weeks
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