• Logo
  • SBMUJournals

An Epidemiologic Study of Pediatric Poisoning; a Six-month Cross-sectional Study

Mohammad Manouchehrifar, Niloufar Derakhshandeh, Majid Shojaee, Anita Sabzghabaei, Fariba Farnaghi
184

Views


Abstract

Introduction: Intentional and unintentional poisoning are among the most common reasons for referrals to emergency department (ED). Therefore, the present study was designed to evaluate epidemiologic features and effective risk factors of intentional and unintentional poisoning in children. Methods: This prospective cross-sectional study was carried out in ED of Loghman Hakim Hospital, greatest referral poison center of Iran, Tehran during March to August 2014. Demographic data, medical history, history of psychiatric disease in child, the cause of poisoning, parents’ educational level, household monthly income, location of residence, history of addiction or divorce in family, and the poisoning intentionality were gathered. Data were analyzed using SPSS 18 and appropriate statistical tests based on the purpose of study. Results: 414 participants with the mean age of 4.2 ± 3.43 years were included (57.5% male). Children in the 0-4 year(s) age range had the most frequency with 281 (67.9%) cases. 29 (7%) cases were intentional (62% female, 76% in the 10-14 years old group). Methadone with 123 (29.7%) cases was the most frequent toxic agent in general and in unintentional cases. 10-14 years of age (p = 0.001), and the history of psychiatric disease in children (p <0.001), had a direct correlation with probability of intentional poisoning. While, history of addiction in the family showed an indirect correlation with this probability (p = 0.045). Conclusion: Based on the results of this study, most cases of poisoning in the children were unintentional methadone intoxication in boys in the 0-4 age range with a history of a psychiatric disease, and those who had a history of addiction in the family. In addition, the most powerful risk factor for the children’s intentional poisoning was their history of psychiatric disease. The history of addiction in the child’s family had indirect correlation with intentional intoxications.

Keywords

Poisoning; child, hospitalized; mental disorders; methadone; suicide

References

Lipnik-Štangelj M. Hospitalizations due to poisonings in Slovenia–epidemiological aspects. Wien Klin Wochenschr. 2010;122(2):54-8.

Krenzelok EP. The use of poison prevention and education strategies to enhance the awareness of the poison information center and to prevent accidental pediatric poisonings. Clin Toxicol. 1995;33(6):663-7.

Mohammadi N, Karbakhsh M, Pajoumand A. Epidemiologic aspects of deliberate self-poisoning in adolescents: a hospital-based study in Tehran. Tehran Uni Med J. 2007;65(4):59-64. [Persian].

Sawalha AF, Sweileh WM, Tufaha MT, Al‐Jabi DY. Analysis of the pattern of acute poisoning in patients admitted to a governmental hospital in Palestine. Basic Clin Pharmacol Toxicol. 2010;107(5):914-8.

Olfson M, Gameroff MJ, Marcus SC, Greenberg T, Shaffer D. National trends in hospitalization of youth with intentional self-inflicted injuries. Am J Psychiatry. 2005;162(7):1328-35.

Sarjami S, Pajoumand A. One year epidemiological study of acute adult and adolescent poisoning admitted to Loghman Hospital, Tehran, 2004-2005. Sci J Forensic Med. 2008;13(48):235-40.

Monuteaux MC, Lee L, Fleegler E. Children injured by violence in the United States: emergency department utilization, 2000–2008. Acad Emerg Med. 2012;19(5):535-40.

Ramisetty-Mikler S, Mains D, Rene A. Poisoning hospitalizations among Texas adolescents: age and gender differences in intentional and unintentional injury. Tex Med. 2005;101(5):64-71.

Herbert HK, van As AB, Bachani AM, et al. Patterns of pediatric injury in South Africa: an analysis of hospital data between 1997 and 2006. J Trauma Acute Care Surg. 2012;73(1):168-74.

Avdimiretz N, Phillips L, Bratu I. Focus on pediatric intentional trauma. J Trauma Acute Care Surg. 2012;72(4):1031-4.

Limbos MAP, Peek‐Asa C. Comparing unintentional and intentional injuries in a school setting. J Sch Health. 2003;73(3):101-6.

Marahatta S, Singh J, Shrestha R, Koju R. Poisoning cases attending Emergency department in Dhulikhel hospital-Kathmandu university teaching hospital. Kathmandu Uni Med J. 2009;7(2):152-6.

Paulozzi LJ, Ryan GW. Opioid analgesics and rates of fatal drug poisoning in the United States. Am J Prev Med. 2006;31(6):506-11.

Prosser JM, Perrone J, Pines JM. The epidemiology of intentional non-fatal self-harm poisoning in the United States: 2001–2004. J Med Toxicol. 2007;3(1):20-4.

Cox S, Kuo C, Jamieson DJ, et al. Poisoning hospitalisations among reproductive-aged women in the USA, 1998–2006. Inj Prev. 2011;17(5):332-7.

Mehdizadeh M, Zamani G, Kabiri M. Attempt to suicide in children in Loghman hospital. Iran J Pediatr. 2006;16(3):337-42.




DOI: https://doi.org/10.22037/emergency.v4i1.9037

Refbacks

  • There are currently no refbacks.