CLINICAL AND LABORATORY CHARACTERISTICS IN LEAD POISONING CHILDREN IN POISON CONTROL CENTER BACH MAI HOSPITAL

2017 ◽  
pp. 85-90
Author(s):  
Hong Thu Be ◽  
Duc Ngoc Ngo

Background: Lead poisoning is a common emergency in the worldwide. When exposure in the body, lead will affect most organs and systems such as neurologic, hematologic, renal, gastrointestinal, bone, immune. In particular, children with lead poisoning can be severe as convulsions, coma, meningitis, kidney failure. Objective: Evaluate the clinical, Laboratory of children with lead poisoning treated at the Poison Control Center in Bach Mai Hospital. Methodology: Retrospective descriptive study with 108 patients at the Poison Control Center in Bach Mai Hospital from 3/2012 to 9/2013. Results: The first symptoms after lead exposure: seizure (26.9%), vomiting (5.6%), diarrhea (4.6%). The intensity of symptoms correlated with lead serum level (p<0.05). The mean serum lead level were 56,1 µg/dl; mean urine lead level were 0.08 g/l, maximum concentration was 0,46 g/l. A half of cases have mild and morderate anemia, it had correlation with serum lead level. There were 20 patients (33%) had epilesy wave form in encephalo-electro-graphies. Conclusion: It is necessary to assess sign and symtoms of neurologic (seizures, li packages, irritability, cranial nerve paralysis, decreased motor spirit), gastrointestine (vomiting, diarrhea, abdominal pain), hematologic (anemia mild to moderate) for the early diagnosis of lead poisoning, avoid heavy complications in children. Key words: Lead poisoning, children, clinical and paraclinical lead poisoning.

2020 ◽  
Author(s):  
Paolo Maurizio Soave ◽  
Simone Grassi ◽  
Antonio Oliva ◽  
Bruno Romanò ◽  
Enrico Di Stasio ◽  
...  

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
M. Marano ◽  
F. Rossi ◽  
L. Ravà ◽  
M. Khalil Ramla ◽  
M. Pisani ◽  
...  

Abstract Introduction Acute pediatric poisoning is an emerging health and social problem. The aim of this study is to describe the characteristics of a large pediatric cohort exposed to xenobiotics, through the analysis of a Pediatric Poison Control Center (PPCc) registry. Methods This study, conducted in the Pediatric Hospital Bambino Gesù of Rome, a reference National Pediatric Hospital, collected data of children whose parents or caregivers contacted the PPCc by phone (group “P”), or who presented to the Emergency Department (group “ED”), during the three-year period 2014–2016. Data were prospectively and systematically collected in a pre-set electronic registry. Comparisons among age groups were performed and multivariable logistic regression models used to investigate associations with outcomes (hospital referral for “P”, and hospital admission for “ED”group). Results We collected data of 1611 children on group P and 1075 on group ED. Both groups were exposed to both pharmaceutical and non-pharmaceutical agents. Pharmaceutical agent exposure increased with age and the most common route of exposure was oral. Only 10% among P group were symptomatic children, with gastrointestinal symptoms. Among the ED patients, 30% were symptomatic children mostly with gastrointestinal (55.4%) and neurologic symptoms (23.8%). Intentional exposure (abuse substance and suicide attempt), which involved 7.7% of patients, was associated with older age and Hospital admission. Conclusions Our study describes the characteristics of xenobiotics exposures in different paediatric age groups, highlighting the impact of both pharmacological and intentional exposure. Furthermore, our study shows the utility of a specific PPCc, either through Phone support or by direct access to ED. PPCc phone counselling could avoid unnecessary access to the ED, a relevant achievement, particularly in the time of a pandemic.


2001 ◽  
Vol 39 (6) ◽  
pp. 587-593 ◽  
Author(s):  
Jou-Fang Deng ◽  
Chen-Chang Yang ◽  
Wei-Jen Tsai ◽  
Jiin Ger ◽  
Ming-Ling Wu

PEDIATRICS ◽  
1960 ◽  
Vol 25 (3) ◽  
pp. 490-495
Author(s):  
Gordon D. Jensen ◽  
Wesley W. Wilson

One hundred cases of accidental poisoning occurring in Seattle, Washington, during the summer of 1958 and referred through the Poison Control Center were studied. Although this group probably was not representative of all Seattle children in whom poisonings occurred during this period, the information gained from a study of the circumstances leading to the poisonings has important preventive implications. Eighty-two of the children were between 1 and 3 years of age. Aspirin caused 24 poisonings. In 19 of these cases it had been left out by another family member, and only three children found aspirin in the medicine cabinet. The medicine cabinet was the source of the poison in only 4 of the 100 cases. Poisonous berries and toadstools caused 14 poisonings and represent an important local hazard, particularly as most parents were not aware that the berries were harmful. Whereas only 22 of the patients had previously suffered accidents, 25 had been poisoned before, several more than once. In 32 cases there had been recent or concurrent illness in some member of the household. Three circumstances were found to occur commonly, and singly or in combination accounted for 86 of the poisonings: 1) In 26 cases some person other than the parents (siblings, other children, neighbors, relatives, friends) played an important part either by making it possible for the patient to reach the poison or by failing to put it away. 2) In 31 cases the parents did not think that the child could climb, open doors, unscrew caps, or perform other tasks necessary to get the poison. 3) In 53 cases the poison was not in its usual location, either because it was in use, because persons other than the parents had left it out, or because the parents themselves were careless. As most of these parents appeared to have some degree of safety consciousness and at least tried to provide a safe place in which to keep potential poisons, they would probably profit from specific advice based on the most common circumstances under which poisonings occur.


1998 ◽  
Vol 23 (SupplementII) ◽  
pp. 280-283 ◽  
Author(s):  
Dong-Zong HUNG ◽  
Chen-Chang YANG ◽  
Hsin-Chen ONG ◽  
Jia-Fen WU ◽  
Chih-Hsign SA ◽  
...  

2015 ◽  
Vol 4 (4) ◽  
pp. 546 ◽  
Author(s):  
DanielE Brooks ◽  
Adam Bosak ◽  
Sharyn Welch ◽  
Angie Padilla-Jones ◽  
RichardD Gerkin

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