The pattern of acute poisoning in hospitalized children under 18 years old of Yazd, Iran

Zahra Nafei, Nasrin Sabouhi, F. Ferdosian, F. Shamsi
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引用次数: 2

Abstract

Acute poisoning is a common cause of emergency department visits in childhood and can increase children’s morbidity and mortality. Since the causes of child poisoning in different parts of Iran may differ due to cultural differences, this study was conducted to evaluate the most common causes of poisoning in Yazd. This retrospective cross-sectional study is based on the medical records of children less than 18 years of age admitted to the pediatric emergency department at Shahid Sadoughi Hospital in Yazd during 2018. The collected data included demographic information, the cause, and the outcome of acute poisoning. Out of 105 cases, 61.9% were boys. The highest poisoning rates were in the age group of 1 to 4 years (55.2%). In 50% of the participants, the family size was five or more, and 91% had Iranian nationality. Drugs were identified as the most common causes of poisoning (51.4%), and opioid analgesics were the most frequent drugs. The most common complaint at the time of referral in patients was the loss of consciousness (33%). The mean hospital stay was 56 hours, and no death was reported. According to the findings of this study in Yazd, the probability of accidental poisoning in boys under four years and due to different types of drugs, especially opioids, was higher than others. It seems that increasing parents’ awareness about keeping drugs used by family members in a safe place and out of children’s reach is essential in preventing poisoning.
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伊朗亚兹德18岁以下住院儿童急性中毒的模式
急性中毒是儿童急诊就诊的常见原因,会增加儿童的发病率和死亡率。由于文化差异,伊朗不同地区儿童中毒的原因可能不同,因此本研究旨在评估亚兹德最常见的中毒原因。这项回顾性横断面研究基于2018年亚兹德Shahid Sadoughi医院儿科急诊科收治的18岁以下儿童的医疗记录。收集的数据包括人口统计信息、急性中毒的原因和结果。在105例病例中,男孩占61.9%。中毒率最高的是1至4岁年龄组(55.2%)。50%的参与者的家庭规模为5人或5人以上,91%的参与者具有伊朗国籍。药物被确定为最常见的中毒原因(51.4%),阿片类止痛药是最常见的药物。患者在转诊时最常见的主诉是意识丧失(33%)。平均住院时间为56小时,没有死亡报告。根据Yazd的这项研究结果,四岁以下男孩因不同类型的药物,特别是阿片类药物而意外中毒的概率高于其他人。看来,提高父母的意识,将家庭成员使用的药物放在安全的地方,放在孩子够不到的地方,对于预防中毒至关重要。
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期刊介绍: Asia Pacific Journal of Medical Toxicology (APJMT) aims to expand the knowledge of medical toxicology and tries to provide reliable information in this field for medical and healthcare professionals. APJMT mainly focuses on research related to medical toxicology issues in the Asia Pacific region and publishes articles on clinical and epidemiological aspects of toxicology, poisonings emergency care, addiction, drug interactions and adverse effects. The journal accepts and welcomes high quality papers in the form of original articles and rarely review articles, case reports and scientific letters relevant to medical practice in toxicology.
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