The Outcomes of Accidental Ingestion of Hand Sanitizer
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 11 No. 3 (2021),
18 July 2021
,
Page 34168
https://doi.org/10.32598/ijmtfm.v11i3.34168
Abstract
Background: children are exposed to numerous chemicals, such as hand sanitizers and their associated poisoning. Awareness of such poisoning symptoms and their management is critical for healthcare providers, as it can induce dangerous conditions. This study evaluated the clinical and paraclinical parameters of children who ingested hand sanitizers.
Methods: In the first 6 months of 2020, the cases of children who accidentally ingested hand sanitizer and were referred to Akbar Hospital in Mashhad City, Iran (Referral pediatric poisoning center) were evaluated in this cross-sectional study. The relevant medical information and laboratory parameters were recorded.
Results: In total, 20 patients were evaluated; of whom, 80% were male. The Mean±SD age of the study subjects was 4.9±4.2 years (2-15y). The ingestion was accidental in the study participants. The amount of ingestion approximately equaled a sip (3-7cc). All clinical and laboratory parameters were normal according to their age. Only 1(5%) case presented metabolic acidosis. No study subject manifested hypoglycemia or the loss of consciousness. Thus, they only received supportive care and were observed for ≥12 hours.
Conclusion: Based on the present study results and absence of symptoms in the explored cases of hand sanitizer ingestion, the suitability of hand sanitizer solutions. Therefore, the formulation of these products should be carefully evaluated.
- Hand sanitizer
- Poisoning
- Children
How to Cite
References
Rosenman KD, Reilly MJ, Wang L. Calls to a state poison center concerning cleaners and disinfectants from the onset of the Covid-19 pandemic through April 2020. Public Health Rep. 2021; 136(1):27-31 [DOI:10.1177/0033354920962437] [PMID]
Babić Z, Turk R, Macan J. Toxicological aspects of increased use of surface and hand disinfectants in Croatia during the COVID-19 pandemic: A preliminary report. Arh Hig Rada Toksikol. 2020; 71(3):261-4. [DOI:10.2478/aiht-2020-71-3470] [PMID] [PMCID]
Yip L, Bixler D, Brooks DE, Clarke KR, Datta SD, Dudley Jr S, et al. Serious adverse health events, including death, associated with ingesting alcohol-based hand sanitizers containing Methanol-Arizona and New Mexico. Morb Mortal Wkly Rep. 2020; 69(32):1070-3. [DOI:10.15585/mmwr.mm6932e1] [PMID] [PMCID]
Kraut JA ,Madias NE. Treatment of acute metabolic acidosis: A pathophysiologic approach. Nat Rev Nephrol. 2012; 8(10):589-601. [DOI:10.1038/nrneph.2012.186] [PMID]
Gaw CE, Osterhoudt KC. Ethanol Intoxication of young children CME. 2019; 35(10):722-30. [DOI:10.1097/PEC.0000000000001946] [PMID]
Hon KL, Leung AKc, Cheung E, Lee B, Tsang MMC, Torres AR. Drugs context an overview of exposure to ethanol-containing substances and ethanol intoxication in children based on three illustrated cases. Drugs Context. 2018; 7:212512. [DOI:10.7573/dic.212512] [PMID] [PMCID]
Joseph MM, Zeretzke C, Reader S, Sollee DR. Acute ethanol poisoning in a 6-year-old girl following ingestion of alcohol-based hand sanitizer at school. World J Emerg Med. 2011; 2(3):232-3. [DOI:10.5847/wjem.j.1920-8642.2011.03.014] [PMID] [PMCID]
Loza R, Rodriguez D. Case of Methanol Poisoning in a Child. Case Rep Nephrol. 2014; 2014:652129 [DOI:10.1155/2014/652129] [PMID] [PMCID]
Jammalamadaka D , Raissi S. Ethylene glycol, methanol and isopropyl alcohol intoxication. Am J Med Sci. 2010; 339(3):276-81. [DOI:10.1097/MAJ.0b013e3181c94601] [PMID]
Indorato F, Raffino C, Tropea FM, Barbera N, Grieco A, Bartoloni G. Fatal accidental ingestion of 35 % hydrogen peroxide by a 2-year-old female: Case report and literature review. Forensic Sci Med Pathol. 2014; 10(3):443-7. [DOI:10.1007/s12024-014-9560-9] [PMID]
Külbay H, Cevik SE, Vural Z. A case of accidental benzalkonium chloride (10%) ingestion. Turkish J Fam Med Prim Care. 2014; 8(4):129-32. [DOI:10.5455/tjfmpc.165553]
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. [DOI:10.1016/j.scitotenv.2020.140561] [PMID] [PMCID]
- Abstract Viewed: 344 times
- pdf Downloaded: 339 times