Case series of accidental sanitizer consumption in children during COVID lockdown
Keywords:COVID lockdown, Unknown consumption in children, Accidental poisoning, Child safety
Accidental consumption of unknown substances is common in pediatric age group due to the playful and curious nature of children. Children aged between 1-5 years are most vulnerable for such accidental consumption and thus parents are instructed to keep harmful substances out of reach of children, more so in this age group. With the advent of the COVID19 pandemic in 2020, sanitizers became a common name in most households, making children vulnerable for accidental consumption of them. This case series describes a series of Accidental Sanitizer Consumption in Children during the COVID Lockdown. 8 children presented with accidental consumption of sanitizer in June 2020. The mean age of the children who presented to the hospital was 3.37±1.06 years. Among the 8 children who presented to the hospital, 5 were female and 3 were male. The lethal dose of 1-Propanol and 2-propanol components are 2.8 g/kg and 2.1 g/kg respectively. None of the children had consumed the lethal dose. None of the children from our case series had complaints of confusion, drowsiness, shallow breathing, mucosal irritation, dizziness, headache and bradycardia as the quantity of handrub sanitizer below the toxic dose. Thus, we would like to reinforce responsibilities of parents towards preventing accidental consumption in children as it affects the community at large.
Stremski ES. Accidental pediatric ingestion, hospital charges and failure to utilize a poison control center. WMJ. 1999;98(7):29-33.
Polivka BJ, Casavant M, Baker SD. Factors associated with healthcare visits by young children for nontoxic poisoning exposures. J Community Health. 2010;35(6):572-8.
Sahin S, Carman KB, Dinleyici EC. Acute poisoning in children; data of a pediatric emergency unit. Iran J Pediatr. 2011;21(4):479-84.
Mahmood A, Eqan M, Pervez S, Alghamdi HA, Tabinda AB, Yasar A et al. COVID-19 and frequent use of hand sanitizers; human health and environmental hazards by exposure pathways. Sci Total Environ. 2020;742:140561.
Prahlad K. COVID-19: an Indian perspective. International Journal Of Community Medicine And Public Health. 2020;7.
Kampf G, Kapella M. Suitability of Sterillium Gel for surgical hand disinfection. J Hosp Infect. 2003;54(3):222-5.
Ashurst JV, Nappe TM. Isopropanol Toxicity. In: StatPearls Treasure Island (FL): StatPearls Publishing; 2021. Available at: https://www.ncbi.nlm.nih.gov/books/NBK493181/. Accessed on 26 November 2021.
Robina K, Momin I, Irfan L, Merchant S, Sewani A, Batool H et al. Aspiration pneumonia in pediatric age group: etiology, predisposing factors and clinical outcome. JPMA. The Journal of the Pakistan Medical Association. 1999;49:105-8.
Lucie C, Jamie L, Lorraine S, Inge W, Etienne K, Sabine R et al. Parenting in a time of COVID-19. The Lancet. 2020;395.
Weaver, Lauren J, Jacqueline S. Parents’ Lived Experiences With the COVID-19 Pandemic. The Family Journal. 2020;29:106648072096919.
Danielli L, Renato B, Francisco S, Geraldo S. Impact of lockdown on bed occupancy rate in a referral hospital during the COVID-19 pandemic in northeast Brazil. The Brazilian Journal of Infectious Diseases. 2020;24.
Laxmi D, Balram R, Anandi S, Radhika S, Dey TR et al. Assessing the Impact of Complete Lockdown on COVID-19 Infections in India and its Burden on Public Health Facilities. Demography India. 2020;49:37-50.