scholarly journals Dynamics of acute poisoning with narcotic and psychotropic drugs in children

Author(s):  
Valeriy P. Kutsenko ◽  
Darya D. Kovaleva ◽  
Nana R. Mironova ◽  
Tatyana O. Rumyantseva

Introduction. Acute poisoning of chemical aetiology in children and adolescents is a significant medical and social problem. The average overall assessment of the state of the drug situation in St. Petersburg by all criteria is: in 2018 - 3.6 (pre-crisis condition), in 2019 - 3.5 (pre-crisis), in 2020 - 3.3 (severe). The aim of this work is to analyze the structure of acute poisoning with narcotic and psychodysleptic drugs in children of St. Petersburg. Materials and methods. An analysis was carried out of 4256 cases of acute chemical poisoning in children (form No. 64) admitted to the acute poisoning department of N.F. Filatov St. Petersburg State Children Hospital from 2016 to 2018. Results. The total number of chemical aetiology poisonings was 1441 cases in 2016, 1,527 in 2017 and 1,288 in 2018. Poisoning with narcotic and psychodysleptic drugs was (of the total number of poisonings) in 2016 - 3.1%, in 2017 - 5.8% and 2018 - 4.9%. The top place among poisonings with toxic substances of this group are opiates, methadone, LSD, hashish. The maximum poisoning with psychotropic drugs is psychostimulants such as methamphetamine - 2.6%, amphetamine - 1.4%, ecstasy - 1.2%. There was a significant increase in acute poisoning with unspecified psychotropic drugs from 0.7% (2016) to 4.6% (2018). Conclusions. The obtained results of the study revealed a decrease in the total number of acute chemical poisoning by 18.9%. On the background of a reduction in the total number of poisonings, there is an increase in the frequency of poisoning with neurodestructive substances (methadone, hashish, LSD, benzodiazepine, amphetamine, methamphetamine and ecstasy). The most frequent cause of acute chemical intoxication in children is poisoning with psychotropic drugs.

2019 ◽  
Vol 72 (7-8) ◽  
pp. 209-215
Author(s):  
Katarina Katic ◽  
Aleksandra Stojadinovic ◽  
Vesna Mijatovic ◽  
Marijana Grujic

Introduction. Acute pediatric poisoning has become an increasingly important medical emergency. This study was aimed at determining characteristics of acute poisoning in children and adolescents hospitalized at the Institute of Child and Youth Health Care of Vojvodina from 2015 to 2017. Material and Methods. Data were collected from medical records of all patients hospitalized for suspected acute intoxication at the Institute of Child and Youth Health Care of Vojvodina during the observed time. Results. This study included 519 patients hospitalized for suspected exposure to toxic substances. There were 49% male and 51% female patients. The intoxications had no seasonal features. The toxic substances were commonly taken orally. Medications were the most frequent cause of all poisonings, among which the most commonly reported were drugs for central nervous system disorders. Medications were the most frequent cause of poisoning in children and adolescents, as well as in children up to 10 years of age. In adolescents, the most prevalent cause of intoxication was alcohol abuse. Poisoning with suicidal intent and intentional self-poisoning without suicidal attempt were considerably more frequent in girls than in boys. There were no fatalities. Conclusion. It is of great importance to be familiar with the characteristics and circumstances of acute poisoning to plan and implement adequate preventive measures.


Author(s):  
Batievskaya V.B. ◽  
Chaes B.B.

The article is devoted to the study of the structure of acute poisoning among various gender and age groups of the population of the Kemerovo region in dynamics over nine years based on the analysis of primary information - registration form N 58-1/y "Emergency notification of acute poisoning of chemical etiology" for the period from 2010 to 2019. The analysis showed that the main causes of acute poisoning in children under 14 years of age are food and drug poisoning. Problems of acute alcohol and drug poisoning in school-age children are associated with suicidal intentions and social maladaptation in society. In victims of early childhood and preschool age, access to toxic substances is determined by parental negligence in the storage of drugs or non-compliance with the dosage regimen of medicines.


2015 ◽  
Vol 64 (2) ◽  
pp. 145-149
Author(s):  
Cristina Iolanda Vivisenco ◽  
◽  
Coriolan Emil Ulmeanu ◽  
◽  
◽  
...  

Introduction. Exposure to various cardiovascular and non-cardiovascular drugs, drugs of abuse, chemicals and plants may cause secondary hypertension. The authors report their personal experience related to secondary hypertension due to acute poisoning in children and adolescents. Materials and methods. We conducted a 24 month prospective study that included 151 children and adolescents with acute poisoning who developed cardiovascular abnormalities. In order to detect cases of secondary hypertension, vital signs were assessed on admission and in evolution, considering the normal values by age. Results. 11.1% of all cases with acute poisoning admitted and treated in our department have associated cardiovascular impairment. Of these, 18.5% were cases of secondary hypertension. The main cause of hypertension in the study group was exposure to organophosphate insecticides, followed by exposure to sympathomimetic drugs. We noticed a dual effect exerted by organophosphate insecticides. At the beginning patients experienced a short period of tachycardia and hypertension, followed by the installation of the classic cholinergic feature of acute poisoning with organophosphate insecticides, with bradycardia and / or hypotension. All cases of hypertension were transient, self-limiting elevations of blood pressure, which did not require association of antihypertensive agents in the therapeutic approach. Conclusion. In children and adolescents, acute poisoning may be complicated by hypertension, which is mostly mild and transient. Vital signs monitoring is essential to address these cases. Medical staff must know thoroughly age peculiarities, including reference ranges for blood pressure in children and adolescents.


1999 ◽  
Vol 75 (8) ◽  
pp. 244-50 ◽  
Author(s):  
Cláudio Schvartsman ◽  
Samuel Schvartsman

1983 ◽  
Vol 31 (1_suppl) ◽  
pp. 60-76
Author(s):  
Patricia A. Morgan

Patricia Morgan's paper describes what happens when the state intervenes in the social problem of wife-battering. Her analysis refers to the United States, but there are clear implications for other countries, including Britain. The author argues that the state, through its social problem apparatus, manages the image of the problem by a process of bureaucratization, professionalization and individualization. This serves to narrow the definition of the problem, and to depoliticize it by removing it from its class context and viewing it in terms of individual pathology rather than structure. Thus refuges were initially run by small feminist collectives which had a dual objective of providing a service and promoting among the women an understanding of their structural position in society. The need for funds forced the groups to turn to the state for financial aid. This was given, but at the cost to the refuges of losing their political aims. Many refuges became larger, much more service-orientated and more diversified in providing therapy for the batterers and dealing with other problems such as alcoholism and drug abuse. This transformed not only the refuges but also the image of the problem of wife-battering.


2014 ◽  
Vol 34 (2) ◽  
pp. 100-103 ◽  
Author(s):  
Ajaya Kumar Dhakal ◽  
D Shrestha ◽  
A Shakya ◽  
SC Shah ◽  
H Shakya

Introduction: Acute poisonings are one of the common cause of emergency visits and hospital admissions and is potentially preventable cause of childhood mortality and morbidity. The objectives of this study were to identify the common type of poisoning in children, to determine types of poisoning according to age and to find out the common age group in which the incidence of poisoning was high.Materials and Methods: It was a descriptive observational study done in a teaching hospital in Lalitpur, Nepal in patients aged 1 month to 18 years who visited the emergency department and were admitted to hospital with history of alleged poisoning from 2009 July to 2014 January.Results: Fifty patients were included. Drugs, kerosene and organophosphorus were most common cause of poisoning. Drugs and kerosene below 10 years of age and organophosphorus and drugs above 10 years of age were common types of poisoning. Maximum numbers (50%) of children with poisoning cases were below five year of age. Mean duration of hospital stay was 2.1days and mean age of poisoning was 7.8 years with a male(54%) predominance. Majority of poisoning occurred at home (84%) and 68% of patients were symptomatic at presentation to hospital with 84% of patients presenting to hospital within six hours.Conclusion: This study showed that drugs, kerosene and organophosphorus were most common forms of poisoning. Young children were most vulnerable for acute poisoning.DOI: http://dx.doi.org/10.3126/jnps.v34i2.10139J Nepal Paediatr Soc 2014;34(2):100-103 


2019 ◽  

Jack Tizard Memorial Lecture: Professor Keith Hawton 'Self-harm in children and adolescents: a major health and social problem of our time'


Sign in / Sign up

Export Citation Format

Share Document