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Emergency visits for childhood poisoning: a 2-year prospective multicenter survey in Spain.

Abstract：

OBJECTIVES:To describe the characteristics of childhood poisoning leading to consultation to 17 pediatric emergency departments in Spain. METHODS:During a 2-year period (January 2001 to December 2002), accompanying people of 2157 children with acute intoxication who visited consecutively at the emergency room were prospectively surveyed. RESULTS:Childhood poisoning accounted for 0.28% of all emergency visits during the study period. The median (interquartile range, 25th-75th percentile) age was 24 months (22-60 months); 67% of children were younger than 4 years. Drug ingestion was involved in 54.7% of cases (paracetamol was the most frequent drug), domestic products in 28.9%, alcohol in 5.9%, carbon monoxide in 4.5%, and illicit drugs in 1.5%. A total of 61.3% of patients were admitted within 1 hour after exposure to the toxic substance, and 10.3% had been already treated before arrival; 29.1% of patients were referred for clinical manifestations which were mostly neurological symptoms. Laboratory tests and other investigations were performed in 40.7% of cases. Gastrointestinal decontamination was used in 51.7% of patients, with activated charcoal in 32.3%. Treatment varied significantly according to the individual hospitals. A total of 83.3% of patients were treated as outpatients, 15.2% were hospitalized, and 1.5% were admitted to the intensive care unit. One 11-month-old boy with carbon monoxide intoxication died. Six patients had permanent sequelae (esophageal stenosis in 5 and partial blindness in 1). CONCLUSIONS:Young children who accidentally ingested drugs and, less frequently, domestic products accounted for most cases of intoxication who presented at the pediatric emergency department.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Mintegi S,Fernández A,Alustiza J,Canduela V,Mongil I,Caubet I,Clerigué N,Herranz M,Crespo E,Fanjul JL,Fernández P,Humayor J,Landa J,Muñoz JA,Lasarte JR,Núñez FJ,López J,Molina JC,Pérez A,Pou J,Sánchez CA,Vázquez

doi

10.1097/01.pec.0000215651.50008.1b

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

334-8

issue

eissn

0749-5161

issn

1535-1815

pii

00006565-200605000-00006

journal_volume

pub_type

杂志文章,多中心研究

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Emergency visits for childhood poisoning: a 2-year prospective multicenter survey in Spain.