The frequency and distribution of acute intoxications and poisoning from non-pharmacological substances in children were evaluated in this observational-descriptive study, performed analyzing all admissions in the Emergency Room Department of our University in Rome in the period 1st January 2001-31st December 2012. We selected 249 patients aged 0-14 years, 147 males and 102 females. The highest incidence occurred in the first 4 years of life: 44.2% in the age-group of 1-2 years. Cases were mostly related to solvents (44.6%), natural products (17.7%), products for agriculture (12.9%), corrosive acids and alkaline caustics (14.8%). Most admissions occurred in the time slot 18:00 to 21:00 (23.7%). No clinical symptoms were observed in 116 children (46.6% of the total), and their physical examination was unrevealing. The remaining 133 displayed above all nausea/vomiting (22%) and pharyngeal hyperemia (18.8%). Laboratory tests and imaging studies were only performed in selected cases. In terms of consulting requests, the Poison Center was contacted 156 times (62.6% of cases), the Pediatric Intensive Care Unit 38 times (15.2%), and the surgeon-endoscopist 18 times (7.2%). A short period of observation and monitoring in the Emergency Room was warranted in 106 children (42.5%). Gastroprotective drugs were used in 75 cases (30.1%) and activated charcoal in 18 (7.2%). Children hospitalized in a pediatric department were 95 (38.2%), but no complications occurred. Targeted information programs in schools and during pediatric check-up visits should decrease the risk of ingestion of non-pharmacological substances in children and costs of its management.

Napodano, S., Rigante, D., Pulitano', S. M. M., Covino, M., Mancino, A., Barelli, A., Soave, P. M., Tortorolo, L., Acute intoxication and poisoning in children: the experience of a tertiary-care hospital in the period 2001-2012, <<SIGNA VITAE>>, 2015; 2015 (10(2)): 3-3 [http://hdl.handle.net/10807/90083]

Acute intoxication and poisoning in children: the experience of a tertiary-care hospital in the period 2001-2012

S.; Rigante
Secondo
;
Donato; Pulitano';Silvia Maria Modesta; Covino;Marcello; Mancino;Aldo; Barelli;Alessandro; Soave
Penultimo
;
Paolo Maurizio; Tortorolo
Ultimo
2015

Abstract

The frequency and distribution of acute intoxications and poisoning from non-pharmacological substances in children were evaluated in this observational-descriptive study, performed analyzing all admissions in the Emergency Room Department of our University in Rome in the period 1st January 2001-31st December 2012. We selected 249 patients aged 0-14 years, 147 males and 102 females. The highest incidence occurred in the first 4 years of life: 44.2% in the age-group of 1-2 years. Cases were mostly related to solvents (44.6%), natural products (17.7%), products for agriculture (12.9%), corrosive acids and alkaline caustics (14.8%). Most admissions occurred in the time slot 18:00 to 21:00 (23.7%). No clinical symptoms were observed in 116 children (46.6% of the total), and their physical examination was unrevealing. The remaining 133 displayed above all nausea/vomiting (22%) and pharyngeal hyperemia (18.8%). Laboratory tests and imaging studies were only performed in selected cases. In terms of consulting requests, the Poison Center was contacted 156 times (62.6% of cases), the Pediatric Intensive Care Unit 38 times (15.2%), and the surgeon-endoscopist 18 times (7.2%). A short period of observation and monitoring in the Emergency Room was warranted in 106 children (42.5%). Gastroprotective drugs were used in 75 cases (30.1%) and activated charcoal in 18 (7.2%). Children hospitalized in a pediatric department were 95 (38.2%), but no complications occurred. Targeted information programs in schools and during pediatric check-up visits should decrease the risk of ingestion of non-pharmacological substances in children and costs of its management.
Inglese
Napodano, S., Rigante, D., Pulitano', S. M. M., Covino, M., Mancino, A., Barelli, A., Soave, P. M., Tortorolo, L., Acute intoxication and poisoning in children: the experience of a tertiary-care hospital in the period 2001-2012, <<SIGNA VITAE>>, 2015; 2015 (10(2)): 3-3 [http://hdl.handle.net/10807/90083]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/90083
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