Clinical spectrum of acute poisoning cases admitted to the pediatric emergency department

M. S. Sinanoglu
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Abstract

Introduction: Pediatric poisoning is a common emergency worldwide. Routine surveillance is necessary for public health officials and physicians to update strategies for pediatric poisoning prevention and management. In this study, we aimed to investigate the epidemiology of poisoning among children admitted to the emergency department. Methods: In this study, the epidemiological features of 110 cases of poisoning brought to Malatya Training and Research Hospital Pediatric Emergency Service between March 2020 and December 2021 were retrospectively reviewed and examined. Results: Hospital admissions are most frequently seen in the age groups of 1–3 (52.7%) and 12–18 (23.6%) years. Of 110 poisoning cases, 56.4% were drug poisoning and 54.5% of them were girls. While there are no symptoms in 74.5% of the cases, the most common symptom is abdominal pain with 40.7%. 92.7% of the patients needed intensive care. Only 45.5% of the cases were followed up and gastric lavage was performed with activated charcoal in 23.6% of them. Discussion and Conclusion: Childhood poisoning has an important place among the reasons for admission to the hospital. Early detection of poisonings and appropriate approach are lifesaving. Parenting advice and protective safety measures are important.
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儿科急诊科收治急性中毒病例的临床谱
儿童中毒是世界范围内常见的紧急情况。常规监测对于公共卫生官员和医生更新儿童中毒预防和管理策略是必要的。在本研究中,我们旨在调查急诊科入院儿童中毒的流行病学。方法:回顾性分析2020年3月至2021年12月马拉提亚培训研究医院儿科急诊科收治的110例中毒病例的流行病学特征。结果:1-3岁(52.7%)和12-18岁(23.6%)是住院率最高的年龄组。110例中毒中,药物中毒占56.4%,女孩中毒占54.5%。无症状者占74.5%,最常见症状为腹痛,占40.7%。92.7%的患者需要重症监护。仅45.5%的患者接受了随访,其中23.6%的患者采用活性炭洗胃。讨论与结论:儿童中毒在住院原因中占有重要地位。中毒的早期发现和适当的处理可以挽救生命。育儿建议和保护性安全措施很重要。
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