Evaluation of drug poisoning cases in pediatric emergencydepartment

Evaluation of drug poisoning cases in pediatric emergencydepartment

Aim: This study aims to examine the demographic and clinical characteristics of childhood drug poisoning, review changes indiagnostic methods and treatments and identify factors affecting mortality to ultimately determine the present clinical picture. Indoing so, more insight can be provided on the diagnosis, treatment, and prevention of poisonings. Materials and Methods: The retrospective evaluation of 655 patients between ages 1 month-18 years who were admitted to thePediatric Emergency Department of Turgut Ozal Medical Center between January 2009 and June 2016 with cases of drug poisoning(mean 44±18 months). Results: Four hundred and nine female (62.4%) and 246 male patients (37.6%) were evaluated for a total of 655 cases. Drug poisoningcases were found to account for 1.08% of all visits to the emergency department. It was discovered that 62.1% of the poisonings wereaccidental, whereas 33% were suicide attempts and 4.9% therapeutic mistakes. 94.8% of drug poisonings occurred at households,while 5.2% occurred in non-household environments. Drug poisonings presented differences in terms of gender (62.4% female,37.6% male). The number of drug poisoning cases were found to be higher in the months of summer and spring. The number offemale cases peaked in the 13-18 age group (211 cases) and were higher than the same age group of males (30 cases). Conclusions: In our present study, we highlighted the profile of pediatric drug poisoning cases admitted to the Pediatric EmergencyService.

___

  • 1. O'Donnell KA, Ewald MB. Poisonings. İn: Kliegman R, Stanton BF, Geme JW, eds. Nelson Textbook of Pediatrics $19^{th}$ edition. Philadelphia: Elsevier Saunders 2011;250.
  • 2. Gecim N, İkinciogullari D, Harmanci N. Evaluation of childhood poisoning cases on National Poison Center of Turkey: 5 years retrospective study. Turk. Klinikleri J Pediatr Sci 2006;2:1-4.
  • 3. Mowry JB, Spyker DA, Brooks DE, et al. 2014 Annual Report of the American Association of Poison Control Centers’ National Poison Data System: $32^{nd}$ Annual Report. Clinical Toxicol 2015;53:962-1147.
  • 4. Ozdemir R, Bayrakci B, Teksam O, et al. Thirty-threeyear experience on childhood poisoning. Turk J Pediatr 2012;54:251-9.
  • 5. Gungorer V, Yildirim NK. Evaluation of poisoning cases hospitalized in our newly opened second level pediatric intensive care unit. Turkish Pediatrics Archive 2016;51.
  • 6. Ozcan N, Central İDUZD study report summary. Turk Hij Den Biyol Derg 2009;66:29-58.
  • 7. Hincal F, Hincal AA, Muftu Y, et al. Epidemiological aspects of childhood poisonings in Ankara: a 10-year survey. Hum Toxicol 1987;6:147-52.
  • 8. Oner N, İnan M, Vatansever U, et al. Childhood Poisoning in Trakya region. Turkish Pediatrics Archive 2004;39.
  • 9. Uziel Y, Adler A, Aharonowitz G, et al. Unintentional childhood poisoning in the Sharon area in İsrael: a prospective 5-year study. Pediatr Emerg Care 2005;21:248-51.
  • 10. Akbay Onturk Y, Ucar B. Retrospective evaluation of childhood poisonings in Eskisehir. Cocuk Sagligi Hast Derg 2003;46:103-13.
  • 11. Soyucen E, Aktan Y, Saral A, et al. Retrospective evaluation of childhood poisonings in Sakarya . Cocuk Sagligi Hast Derg 2006;49:301-6.
  • 12. Mintegi S, Fernández A, Alustiza J, et al. Emergency visits for childhood poisoning: a 2-year prospective multicenter survey in Spain. Pediatr Emerg Care 2006;22:334-408.
  • 13. Nalliah RP, Anderson İM, Lee MK, et al. Children in the United States make close to 200,000 emergency department visits due to poisoning each year. Pediatr Emerg Care 2014;30:453-507.
  • 14. Kondolot M, Akyildiz B, Gorozen F, et al. Evaluation of poisoning cases admitted to the pediatric emergency department. Cocuk Sagligi Hast Derg 2009;52:68-4.
  • 15. Genc G, Avni Sarac D, Ertan U. Evaluation of Poisoning Cases Admitted to Children's Hospital Emergency Service. Evaluation-US 2007;74:8.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

The effects of sedation with propofol and propofol ketamin combination on postoperative cognitive functionin elderly patients undergoing spinal anesthesia

Duygu DEMİRÖZ ASLAN, Hatice BİRGÜL CUMURCU, Ülkü ÖZGÜL, Cemil ÇOLAK, Mahmut DURMUŞ, Yusuf Ziya ÇOLAK

The effect of periodontal treatment on depression, bodyimage, self esteem and anxiety in individuals:A randomized controlled clinical trial

Hatice BALCI YÜCE, Osman DEMİR, Özge GÖKTÜRK, Sema İNANIR, Hümeyra AYDEMİR TÜRKAL

Impact of patient’s clinical features on the recurring lungmetastases of breast cancer

Murat SARIÇAM

Conversion in laparoscopic gastric cancer surgery ahighlight on the abdominal access

Cüneyt KAYAALP, Mehmet Can AYDIN, Akile ZENGİN, Yusuf Murat BAĞ

Fatal systemic juvenile xanthogranuloma with multiplecentral nervous system lesions

Serdar ASLAN, Muhammet BULUT, İsmet ÇAKIR, Tumay BEKÇİ

The prognostic value of T-peak T-end among patients with implantable cardiac defibrillator for secondary prevention

Oğuzhan Ekrem TURAN, Mürsel ŞAHİN, Ali Nail KAYA, Armağan KAYA, Burcu KODAL

Seroprevalence of HBsAg, Anti-HCV and HIV in patientsundergoing ocular surgery

Elçin KAL ÇAKMAKLIOĞULLARI, Murat ÇAKMAKLIOĞULLARI

Oxidant and antioxidant levels in patients diagnosed withacute coronary syndrome at the emergency department

Mustafa AVCI, Hamit Yaşar ELLİDAĞ, Yavuz YILMAZ, Nalan KOZACI, Selma TEKKANAT, Fatih SELVİ

Protective effect of thymol and coenzyme Q10 administered in two different doses against gentamycin-induced ototoxicity in rats

Serkan YILDIRIM, Korhan KILIÇ, Muhammed Sedat SAKAT, Abdulkadir ŞAHİN, Abdulbaki SÖKMEN

Laparoscopic management of ureter stones, comparisonof two techniques

Ali AKKOÇ, Cemil AYDIN