Alper KAÇAR, Yelda TÜRKMENOĞLU, Ömer Faruk BEŞER, Berna AKŞAHİN, Ümit SARITAŞ, Pınar BÜTÜN, Seda YOLGİDEN, Ahmet İRDEM, Belen ATEŞ, Gizem GÜVENER

Çocuklarda akut zehirlenmelerde farklılıklar: Tek merkez deneyimi

Giriş: Çocuklukta akut zehirlenmelerin özellikleri aynı toplumlarda zaman içinde değişebilmektedir. Bu çalışmanın amacı aynı merkeze farklı zamanlarda başvuran zehirlenme olgularının demografik özelliklerini karşılaştırmaktır.Yöntemler: Bu çalışma merkezimize 2010 ve 2016 yıllarında zehirlenme şikayetiyle başvuran 0-16 yaş arasındaki çocuklar arasında yapıldı. Zehirlenme olgularının demografik özellikleri acil kayıtlarından değerlendirildi ve her iki yılın bulguları birbiriyle karşılaştırıldı.Bulgular: Grup 2010’da 404, Grup 2016’da ise 398 olgunun yaş ortalaması sırasıyla 6,5±5.1yaş ve 4,7±4.6 yaş idi (p=0.001). İlaç zehirlenmeleri her iki grupta ilk sıradaydı, Grup 2010’da %61.6 ve Grup 2016’da %49.7 sıklığında idi (p=0.001). Gazlarla olan zehirlenmeler Grup 2010’da %19.2 ve Grup 2016’da %10.1 oranında gözlendi (p=0.0001). Grup 2010 ile Grup 2016 karşılaştırıldığında Grup 2010'da %13.8 Grup 2016’da ise %29.4 sıklığında korroziv maddelerle zehirlenme gözlendi. Kaza sonucu zehirlenme olguları ise Grup 2010'da % 77.3 iken Grup 2016'da % 81.9 idi (p = 0,001). Sonuçlar: İlaç ve gaz ile olan zehirlenmelerde azalma, ancak kostik maddelerle olan zehirlenmelerde artış görülmüştür. Kaza ile olan zehirlenmelerdeki artışın toplumun bu konuda farkındalığının artması ve eğitilmesi ile önlenebileceği düşünülmektedir.

Differences in acute childhood poisoning: A single center experience

Introduction: Characteristics of acute childhood poisonings may change over time in the same populations. The aim of thisstudy is to compare the demographic characteristics of poisoning children presenting to the same center at different times.Methods: This study was conducted among children aged 0-16 years who presented with the complaint of poisoning to ourcenter in 2010 and 2016.The demographic characteristics of the poisoning cases were evaluated from the emergency recordsand the findings of both years were compared with each other. Results: The mean age of 404 cases in Group 2010 and 398cases in Group 2016 were 6.5 ± 5.1 years and 4.7 ± 4.6 years, respectively (p = 0.001). Drug poisonings were in the first placein both groups, the group was 61.6% in 2010 and 49.7% in 2016 (p = 0.001). Gas poisoning was observed at a rate of 19.2%in the Group 2010 and 10.1% in the Group 2016 (p = 0.0001). When Group 2010 and Group 2016 were compared, poisoningwith corrosive substances was observed with a frequency of 13.8% in Group 2010 and 29.4% in Group 2016. The rate ofaccidental poisoning cases was 77.3 % in Group 2010 and 81.9 % in Group 2016 (p = 0.001). Conclusions: There was adecrease in drug and gas intoxications, but an increase in intoxications with caustic substances. It is thought that the increasein accidental poisoning can be prevented by increasing the awareness and education of the society on this issue.

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