2017年医学毒理学咨询年度报告/中毒控制中心总局-卫生部-沙特阿拉伯

Fawaz A Al Mousa, Raed A Al khayyal, Ali M. Gado, H. G. Tammam, A. Ragab
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引用次数: 4

摘要

导致严重发病率和死亡率的最重要的医疗紧急情况之一是急性中毒,特别是在发展中国家。全世界意外中毒病例中,儿童占大多数。沙特卫生部毒物控制中心(电话“937”)在一年内(2017年1月1日至12月31日)从公众和登记中毒患者的医院接到的中毒电话进行回顾性分析,结果显示共有12566个电话。6岁以下儿童占绝大多数(84.2%)。大部分电话是公众来电(87.3%)。男性占57.9%,利雅得是接到电话最多的城市,占所有电话的37.5%。此外,98.5%的中毒发生在家中,而97.2%的暴露是意外的。我们还发现,64.7%的公众来电者被建议在家观察患者,不需要去医院。口腔暴露途径占所有暴露途径的95%。药物是中毒咨询最常见的原因(59%),其次是家用化学品(25%)。在所有接到的电话中,无毒摄入占16%。总之,这项研究强调了提高公众对家用化学品风险因素和危害的认识的重要性,即6岁以下儿童接触中毒的风险更高。此外,沙特毒物控制中心在为中毒病例的管理提供及时的管理准则方面发挥着至关重要的作用,从而帮助挽救宝贵的生命。
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2017 Annual Report of Medical Toxicology Consultations/General Directorate of Poison Control Centres-Ministry of Health-Saudi Arabia
One of the most important medical emergency that results in sever morbidity and mortality is acute poisoning especially in developing countries. Young children contribute the majority of accidental poisoning cases all over the world. A retrospective analysis of poisoning calls received by the ministry of health Saudi Poisons Control Centers (Phone “937”) from the public as well as, from hospitals who registered poisoned patients during the one-year period (1st January to 31st December 2017) showed a total of 12566 calls. Children below 6 years of age constituted the vast majority of cases (84.2%).The majority of calls received were from public callers (87.3%). Males represented 57.9% of cases and Riyadh was the city with the largest number of calls received representing 37.5% of all calls. Furthermore, 98.5% of poisoning occurred at home, while 97.2% of exposures were accidental. We also found that 64.7% of public callers were advised to observe the patient at home and would not need to go to a hospital. Oral route of exposure constituted 95% of all routes of exposure. Drugs were the most common cause for poisoning consultations (59%) followed by household chemicals (25%). Non-toxic ingestions constituted 16% of all calls received. In conclusion, this study highlights the significance of raising public awareness of the risk factors and hazards present for household chemicals that children below 6 years of age are at higher risk of exposure to poisoning. In addition, Saudi Poisons Control Centers play a vital role in providing timely management guidelines for the management of poisoning cases thereby helping to save precious lives.
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