Clinical profile and outcome of poisoning in pediatric age group at a tertiary care teaching hospital, Mandya, Karnataka, India
DOI:
https://doi.org/10.18203/2349-3291.ijcp20161029Keywords:
Poisoning, Pediatric age, Kerosene, OutcomeAbstract
Background: Poisoning causes considerable morbidity and mortality worldwide. Most of the poisoning in children is accidental and most cases are preventable. The profile and outcome of poisoned patients vary from place to place. Objective was to study the profile and outcome of poisoning in Pediatric age group.
Methods: A 2 year retrospective study of Pediatric poisoning cases at Mandya Institute of Medical Sciences, Mandya from August 2013 to July 2015 was conducted; data was collected in predesigned proforma and analyzed.
Results: Poisoning patients constituted 5.667% of all Pediatric admission, Male: Female ratio was 1.24: 1, 157 (62.06%) were from rural area, 139 (54.94%) of children were of the age 1- 4 years. Most of poisoning happened in home environment (n= 216, 85.38%), majority were accidental poisoning (n= 217, 85.77%), kerosene (n= 89, 35.18%) was the most common compound responsible for poisoning, followed by drugs (n= 38, 15.02%). 142 (56.13%) children were discharged within 24 hours of admission, overall survival rate noted in the study is 98.81% (n= 250).
Conclusions: Incidence of poisoning in Pediatric age has remained same. Kerosene, drugs and pesticides continue to be leading causes of poisoning. Child under the age of <5 years are most vulnerable. Following measures may help in reduction of Pediatric poisoning: educating the parents, storage of poisonous substances at a safe place and their proper disposal, providing basic health education to children.
References
Chandha IA. Poisoning. Indian Journal of Anaesthesia. 2003;47(5):402-11.
WHO. The injury chart book: A graphical overview of the global burden of injuries. Geneva: Department of injuries and violence prevention non- communicable diseases and mental health cluster, World Health Organization. 2002.
Wilkerson R, Northingson LD, Fisher W. Ingestion of toxic substances by infants and children. What we don’t know can hurt. Crit Care Nurse. 2005;25:35-44.
Kohli U, Kuttiat VS, Lodha R, Kabra SK. Profile of childhood poisoning at a tertiary care centre in North India. Indian J Pediatr. 2008;75(8):791-4.
Hoy J, Day L, Tibballa J, Ozanne-Smith J. Unintentional poisoning hospitalizations among young children in Victoria. Injury Prevention. 1999;5(1):31-5.
Cheng TL, Wright JL, Pearson-Fields AS, Brenner RA. The spectrum of intoxication and Poisoning among Adolescents: Surveillance in a Urban population. Injury Prevention. 2006;12:129-32.
WHO: World report on child injury prevention 2008. http://www.who.int/violence_injury_prevention/child/injury/world _report/en/. Last accessed on 2015 July 14.
Paudyal BP. Poisoning: Pattern and profile of admitted cases in a hospital in central Nepal. JNMA J Nepal Med Assoc. 2005;44(159):92-6.
Manzar N, Saad SM, Manzar B, Fatima SS. The study of etiological and demographic characteristics of acute household accidental poisoning in children – A consecutive case series study from Pakistan. BMC Pediatr. 2010;10:28.
Lamireau T, Llanas B, Kennedy A, Fayon M, Penouil F, Favarell-Garrigues JC. Epidemiology of poisoning in children: A 7- year survey in a Pediatric emergency care unit. Eur J Emerg Med. 2002;9:9-14.
Lawson GR, Craft AW, Jackson RH. Changing pattern of poisoning in children in Newcastle, 1974-81. BMJ. 1983;287:15-7.
Jayashree M, Singhi S. Changing trends and predictors of outcome in patients with acute poisoning admitted to the intensive care. J Trop Pediatr. 2011;57(5):340-6.
Brata Ghosh V, Jhamb U, Singhal R, Krishnan R. Common childhood poisonings and their outcome in a tertiary care center in Delhi. Indian J Pediatr. 2013;80(6):51618.
Kariyappa M, Benakappa A, Kejjaiah AK. Spectrum of Poisoning in Children: Study from Tertiary Care Hospital in South India. Journal of Evidence based Medicine and Healthcare. 2015;2(33):4989-99.
Shashidhar V, Yogesh G. Profile of Pediatric Poisoning at District Hospital Gulbarga. Int J Med Res Rev. 2013;1(5):245-9.
Budhathoki S, Poudel P, Shah D, Bhatta NK, Dutta AK, Shah GS. Clinical profile and outcome of children presenting with poisoning or intoxication: a hospital based study. Nepal Med Coll J. 2009;11(3):170-5.
