Effects on a Poison Center's (PC) triage and follow-up after implementing the no Ipecac use policy.

Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology
Robert M LapusWilliam D King

Abstract

For years, The American Academy of Pediatrics (AAP) had supported home use of syrup of Ipecac. However, due to mounting evidence that Ipecac use did not improve outcome nor reduce Emergency Department (ED) referrals, the AAP in November of 2003 issued a statement that Ipecac not be used for the home management of poison ingestion. To determine if the cessation of the use of Ipecac for home ingestions is associated with an increased number of follow-up calls, an increased time of observation at home and an increase in the number of ED referrals for care by poison center staff were administered. Fifty randomly selected pediatric (<6 years) cases that received Ipecac ("Ipecac" group) from January 1, 2003 to October 31, 2003 were selected for study. Up to two controls ("no Ipecac" group) were matched by age, amount ingested, and by toxin. Controls were selected from the 2004-2006 time period (Ipecac no longer in use). Fifty "Ipecac" cases and 84 "no Ipecac" controls were analyzed. The groups had no significant differences with respect to percent symptomatic, median time post-ingestion, mean age, and distribution of toxin categories (e.g., antidepressants, beta blockers, etc.). The "no Ipecac" group had nearly ten times the odds of ...Continue Reading

References

Nov 22, 1986·British Medical Journal·J A ValeA T Proudfoot
Jul 1, 1966·The Journal of Pediatrics·H G Shirkey
Nov 5, 2003·Pediatrics·Michael Shannon
Oct 19, 2004·The American Journal of Emergency Medicine·William A WatsonDouglas Borys
Sep 6, 2005·The American Journal of Emergency Medicine·William A WatsonKathleen M Wruk

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