Study of clinical profile and outcome of poisoning in children admitted to a tertiary care hospital

Mallanagouda K. P.; Sujata Sajjanar; Nandini G. L.

doi:10.18203/2349-3291.ijcp20233230

Authors

Mallanagouda K. P. Department of Paediatrics, Mysore Medical Collage and Research Institute, Mysore, Karnataka, India
Sujata Sajjanar Department of Paediatrics, Indira Gandhi Institute Child Health, Bangalore, Karnataka, India
Nandini G. L. Department of Paediatrics, Mysore Medical Collage and Research Institute, Mysore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20233230

Keywords:

Poisoning, Prevention, Kerosene

Abstract

Background: A poison is any substance that causes harm to a living being. Children are curious and explore their world with all their senses. Every year thousands of children are admitted to emergency department with poisoning. Poisoning pattern changes according to age group, the nature, dose of the poison, type of exposure. This study is aimed at understanding the incidence, aetiology, manner of poisoning and outcome among children less than 18 years of age admitted to Paediatric emergency department.

Methods: This is a Prospective observational study conducted in Paediatrics, MMC and RI, Mysore (Cheluvaba Hospital) between January 2019 to June 2019. After taking ethical committee clearance. 142 children with poisoning admitted to emergency department were included in this study. The age and sex of the patient, poisoning agent, manner of poisoning, duration of hospital stay and outcome of all the patients were recorded and analysed.

Results: Out of 142, 78 (54.9%) cases are males, 64 (45.1%) cases are females. 91 (64.1%) cases are <5 years of age, 17 (12%) cases are between 5-10 year, 34 (23.9%) cases are above 10 years. Among all, 38 (26%) cases of drugs consumption. 65 (45.8%) cases of kerosene consumption. 21 (14.8%) cases of insecticides and pesticides poison. Unknown compound 18 (12.7%) cases. 4 (2.8%) cases died- aluminium phosphide poisoning 3 (75%) and Organophosphorous poison 1 (25%). Duration of hospital stay varied from 1 day to more than 15 days.

Conclusions: Accidental poisoning is common in children below 5 years of age. Suicidal poisoning incidence is increasing among teenagers either due to exam stress or peer pressure. Accidental poisoning can be reduced by simple measures like parental education, replacing the poisoning agent with one of lower toxicity, legislation regarding the child resistant packaging of necessary poisons.

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References

Narayan RKS. The essential of Forensic Medicine and Toxicology. 27th ed. India: Medical Book Company; 2008:95;440-56.

Hyder AA, Wali S, Fishman S, Schenk E. The burden of unintentional injuries among the under-fi ve population in South Asia. Acta Paediatr. 2008;97:267-75.

Poison prevention and treatment tips national poison prevention week. Available at: https://poisonhelp.hrsa. gov/what-you-can-do/poison-prevention-week. Accessed on 20 February 2023.

Children and poisoning: world report on child injury prevention. Available at: https://www.who.int. Accessed on 20 February 2023.

Singh S, Singhi S, Sood NK, Kumar L, Walia BNS. Changing pattern of childhood poisoning (1970-1989): Experience of a large North Indian hospital. Indian Pediatr. 1995;32:331-6.

Murray CJ, Lopez AD, Jamison DT. The global burden of disease in 1990: summary results, sensitivity analysis and future directions. Bull World Health Organ. 1994;72(3):495-509.

Modi NJ. Toxicology. In: Modi NJ, eds. Textbook of medical jurisprudence and toxicology. 20th ed. Bombay; NM Tripathi Pvt Ltd: 1980:455-70.

Lam LT. Childhood and adolescence poisoning in NSW, Australia: an analysis of age, sex, geographic, and poison types. Inj Prev. 2003;9:338-42.

Reddy NKS. Toxicology. In: Narayan RKS eds. The synopsis of forensic medicine and toxicology. 14th ed. Hyderabad: Medical Book Company; 2000:221-93.

Gangan R, Haroon R. Poisoning. J Indian Acad Forensic Med. 2015;37(2):155-9.

Shoter AM. Kerosene poisoning in childhood: a 6-y prospective study at the Princess Rahmat Teaching Hospital. Neuro Endocrinal J. 2005;26:835-8.

Sitaraman S, Sharma U, Saxena S. Accidental Poisoning in children. Indian Paediatr. 1985;22:757-60.

Bhat NK, Dhar M, Ahmad S, Chandar V. Profile of poisoning in children and adolescents at a North Indian tertiary care centre. JIACM. 2011;13:37-42.

Sitaraman S, Sharma U, Saxena S. Accidental poisoning in children. Indian Paediatr. 1985;22:757-60.

Sharma J, Kaushal RK. Profile of poisoning in children. Pediatr Oncall. 2014;11:40-2.

Kohli U, Kuttait VS, Lodha R, Kabra SK. Profile of Childhood Poisoning at a Tertiary Care Centre in North India. Indian J Pediatr. 2008;75:791-4.

Akhtar S, Rani GR, Al-Anezi FA. Risk factors in acute poisoning in children-A retrospective study. Kuwait Med J. 2006;38(1):33-6.

Kohli U, Kuttait VS, Lodha R, Kabra SK. Profile of Childhood Poisoning at a Tertiary Care Centre in North India. Indian J Pediatr. 2008;75:791-4.

Akhtar S, Rani GR, Al-Anezi FA. Risk factors in acute poisoning in children-A retrospective study. Kuwait Med J. 2006;38(1):33-6.

Singh M, Hessam MY. Spectrum of poisoning among children in Afghanistan. Indian J Pediatr. 1984;51:313-6.

Aqeel M, Munir A, Khan A. Paern and frequency of acute poisoning in children. Pak J Med Sci. 2009; 25(3):479-83.

Ahmed A, Aljamal A, Ibrahim M. Poisoning emergency visits among children: A 3-year retrospective study in Qatar. BMC Pediatr. 2015;15:1-7.

Gangan R, Haroon R. Poisoning in childhood. J Indian Acad Forensic Med. 2015;37(2):155-9.

Shoter AM. Kerosene poisoning in childhood: a 6-y prospective study at the Princess Rahmat Teaching Hospital. Neuro Endocrinal J. 2005;26:835-8.

Sitaraman S, Sharma U, Saxena S. Accidental Poisoning in children. Indian Paediatr. 1985;22:757-60.

Sharma J, Kaushal RK. Profile of poisoning in children. Pediatr Oncall. 2014;11:40-2.

Kohli U, Kuttait VS, Lodha R, Kabra SK. Profile of Childhood Poisoning at a Tertiary Care Centre in North India. Indian J Pediatr. 2008;75:791-4.

Vasanthan M, James S, Shuba S, Abhinaya J. Clinical profile and outcome of poisoning in children admitted to a tertiary referral center in South India. Indian J Child Health. 2015;2(4):187-91.

Bacha T, Tilahun B. A cross-sectional study of children with acute poisoning: A three-year retrospective analysis. World J Emerg Med. 2015; 6(4):265.

Bacha T, Tilahun B. A cross-sectional study of children with acute poisoning: A three-year retrospective analysis. World J Emerg Med. 2015;6(4): 265.