Abstract
Data about acute poisoning in Italian pediatric patients are obsolete or absent. This study would partially fill this exiting gap and compare the scene with others around the world. A retrospective evaluation was performed on a 2012-2017 data registry of the Children's Emergency Department at the Regina Margherita Hospital of Turin, where 1030 children under age 14 were accepted with a diagnosis of acute intoxication. The median age of the patients was 2.2 years (IQR 2.3) and 55% were male. Events occurred mostly in children aged 1-4 years (n = 751, 72.9%). Six hundred and eight patients (59%) were exposed to Nonpharmaceutical agents, the household cleaning products being the more frequent (n = 298, 49%). Exposure to Pharmaceuticals were 422 (41%); the most common Pharmaceuticals were analgesics (n = 88, 20.8%), psychotropics (n = 77, 18.2%) and cardiovascular (n = 53, 12.6%) drugs. The 85% of the intoxications occurred accidentally, the 10.6% as therapeutic error, the 2.3% as suicide attempts and the 1.5% for recreational purposes. No patient died. Despite acute poisoning being a relevant problem in pediatric emergency, our results would seem to paint a less worrying picture if compared to other countries, mainly when consider...Continue Reading
References
Sep 22, 1998·Journal of Clinical Epidemiology·A G MarchiF Barbone
Feb 9, 2008·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Jakob KristinssonCurtis P Snook
Dec 17, 2008·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·M Peden
Mar 3, 2011·Central European Journal of Public Health·Aggelos TsalkidisAthanassios Chatzimicael
Jan 31, 2012·European Child & Adolescent Psychiatry·Maurizio PompiliPaolo Girardi
Nov 10, 2012·Scottish Medical Journal·Z E Neilson, W Morrison
Apr 18, 2014·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·K M EvenS T Bateman
Oct 22, 2014·Pediatrics·Maxwell D SmithHuiyun Xiang
Dec 15, 2015·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Sonya M S AzabWendy Klein-Schwartz
Jan 26, 2017·Pediatric Emergency Care·Santiago MintegiUNKNOWN Pediatric Emergency Research Networks (PERN) Poisoning Working Group
May 10, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Meral M PatelJocelyn R Grunwell
Sep 9, 2017·Jornal de pediatria·Thiago Gatti PiancaLisia von Diemen
Apr 24, 2018·Journal of Forensic and Legal Medicine·Anthea B Mahesan PaulEric Charles Belanger
May 8, 2018·The Lancet Child & Adolescent Health·Hmwe H KyuMohsen Naghavi
May 12, 2018·Pediatrics and Neonatology·Jung LeeHan-Ping Wu
Aug 20, 2018·BMC Pediatrics·M B K C DayasiriC Y Jayasinghe
Dec 24, 2018·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·David D GumminWilliam Banner