Accidental Poisoning of Sheep due to Consumption of Contaminated Paddy Grains -Identification and Confirmation of Toxicants by GC-MS

The education of parents to the danger of accidental poisoning is an important aspect of office and clinic pediatrics. Since this preventive instruction can be time-consuming and incomplete in the usual medical interview, attention is called to the simple device of a display cabinet in the waiting room. In the display used in our clinic, the upper shelf shows common items actually ingested by our patients; the middle shelf contains those responsible for fatalities; the lower shelf demonstrates some of the discomforting elements of treatment. The effectiveness of this exhibit has been attested to by a decreased incidence of poisonings and continued parental interest in the information presented.

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PREVENTIVE IMPLICATIONS OF A STUDY OF 100 POISONINGS IN CHILDREN

PEDIATRICS ◽

10.1542/peds.25.3.490 ◽

1960 ◽

Vol 25 (3) ◽

pp. 490-495

Author(s):

Gordon D. Jensen ◽

Wesley W. Wilson

Keyword(s):

Family Member ◽

Accidental Poisoning ◽

Poison Control ◽

Poison Control Center ◽

Control Center ◽

Safe Place ◽

Specific Advice ◽

Usual Location ◽

Medicine Cabinet

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.

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Accidental Poisoning with Malathion

BMJ ◽

10.1136/bmj.3.5775.643-b ◽

1971 ◽

Vol 3 (5775) ◽

pp. 643-643

Author(s):

E. Sandi

Keyword(s):

Accidental Poisoning

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Accidental Poisoning

Poisons ◽

10.1201/9781315371757-28 ◽

2017 ◽

pp. 223-232

Author(s):

David J. George

Keyword(s):

Accidental Poisoning

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Profile of Paediatric Poisoning at a Tertiary Care Center in Karnataka

International Journal of Applied Sciences and Biotechnology ◽

10.3126/ijasbt.v2i2.10140 ◽

2014 ◽

Vol 2 (2) ◽

pp. 142-145

Author(s):

DK Dnyanesh ◽

Suma Dnyanesh ◽

Roopa Bellad

Keyword(s):

Urban Areas ◽

Care Center ◽

Tertiary Care ◽

Gastric Lavage ◽

Acute Poisoning ◽

Definitive Treatment ◽

Accidental Poisoning ◽

Age Group ◽

Tertiary Care Center ◽

Paediatric Patients

Objectives: To determine the profile and outcome of paediatric patients presenting with poisoning to a tertiary care center in Karnataka. Methods: Retrospectively we studied the PICU records of all the paediatric patients who presented with acute poisoning during the 4-years period from Feb 2010 to Jan 2014. All children aged less than 18 years with a definite history and suspected cases of poisoning were included. Results: 106 patients presented with acute poisoning during the study period. The majority of our patients were in the 0 - 6 year age group. Poisoning in this age group was most common with higher frequency in males, the ratio being 1.2:1. The agents most frequently used were hydrocarbons (43.1%), pyrethrine compounds 15.5%, Organo-Chlorine compounds 12.1%drugs, Organo-Phospherous compounds 12.1%, drugs 1.8%. In 1 - 6 year age group 54.7% cases were accidental in nature, whereas in the 12 - 18 year group 93.3% were suicidal. All patients were symptomatic and needed symptomatic or definitive treatment. 21 patients required mechanical ventilation. Almost 3/4th of patients underwent Gastric lavage. Specific antidote was given to 41 patients. 2 patients of OP poisoning died. Conclusion: Our study concluded that accidental poisoning is common in 0-6 year children, the common substance being used in rural areas was kerosene and in urban areas it was found to be pyrethrin compounds. Lack of awareness of parents regarding appropriate storage of these dangerous household products is the main cause. Measures should be taken to educate the parents and public in order to decrease the poisoning cases. Suicidal cases are increasing in adolescents and precipitating factors like exam fear, exam failure, love failure and parental pressure regarding studies needs counseling of both parents and childrenDOI: http://dx.doi.org/10.3126/ijasbt.v2i2.10140Int J Appl Sci Biotechnol, Vol. 2(2): 142-145

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Accidental childhood poisoning in Paediatrics department of a tertiary care facility: A retrospective review

Nigerian Journal of Paediatrics ◽

10.4314/njp.v47i3.4 ◽

2020 ◽

Vol 47 (3) ◽

Author(s):

D.C. Obu ◽

M.C. Orji ◽

U.V. Muoneke ◽

U.V. Asiegbu ◽

G.O. Ezegbe

Keyword(s):

Tertiary Care ◽

Care Facility ◽

Accidental Poisoning ◽

Female Ratio ◽

The Public ◽

Tertiary Care Facility ◽

Childhood Poisoning ◽

The Mean ◽

The Relationship ◽

Male To Female

Background: Accidental childhood poisoning is a recognized preventable cause of morbidity and mortality among children worldwide. This studywas aimed at determining the prevalence, pattern, and outcome of childhood poisoning among children in Abakaliki, Ebonyi State. Material and Methods: Medical records of all cases of accidental childhood poisoning admitted into Children’s emergency room (CHER) of the health facility of study between January 2014 and December 2018 were retrospectively identified and relevant data extracted and analyzed usingSPSS version 22. Results: Out of the 7,700 children that presented to CHER over a 5- year period, 42 were cases of poisoning, giving prevalence rate of 0.5%. Of the 42 cases, only 20 case notes were retrieved. The male to female ratio was 2.3:1 while the ages ranged between 6months and 14 years with the mean age of 3.06±2.88. Kerosene poisoning had the highest proportion of 50.0% (10/20) with the overall mortality rate of 5.0% (1/20).The relationship between age, place of residence and outcome in poisoned children was statistically significant (p = 0.038, 0.045 respectively). Conclusion: Accidental childhood poisoning is common in Abakaliki. Kerosene still remained the major agent while male toddlers were most vulnerable. There is need to intensify enlightenment campaigns and education of the public about the hazard of improper storage of kerosene and other implicated substances at home. Keywords: Accidental poisoning, Childhood, Kerosene

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Childhood accidental poisoning among hospitalised children in a tertiary health care in North Central Nigeria - A two year prospective report

Nigerian Journal of Paediatrics ◽

10.4314/njp.v47i3.5 ◽

2020 ◽

Vol 47 (3) ◽

Author(s):

P.A. Ahmed ◽

V.E. Nwatah ◽

C.C. Ulonnam

Keyword(s):

Hospital Stay ◽

Clinical Features ◽

Acute Poisoning ◽

Accidental Poisoning ◽

Time Interval ◽

Fisher Exact Test ◽

Severity Scores ◽

Childhood Poisoning ◽

Home Intervention ◽

The Mean

Background: The young child can be at risk of accidental poisoning because of its being very inquisitive to mouth objects. The prevalence and typesof poisoning vary within Nigeria and different parts of the world. Aim: To describe the sociodemographics, clinical features and outcome in childhood poisoning seen at the National hospital Abuja (NHA) Nigeria. Subjects and Methods: A descriptive prospective study on children admitted for acute poisoning from September 2014 -August 2016. Consecutive children with a history of poisoning were recruited during the study period. The children were examined, and poison severity scores were recorded into a proforma, and followed up till discharge or demise. Results: Twenty-two children were admitted for acute poisoning, out of the 2336 children seen during the study period, with a prevalence rate of 0.94%. Fourteen (63.6%) were of upper social class, with 12 (54. 5%) mothers having tertiary level education. The mean time (±SD) of presentation was 11.9 ± 23.9 hours, while the mean (SD) duration of hospital stay was 4.8 ± 6.2 days; hospital stay was significant with types of poisoning (Fisher exact test 22.062, p<0.0001). The common poisoning agents were kerosene and organophosphate, 8(36.4%) each, while main clinical features were cough in 8 (36.4%), tachypnoea in 7(31.8%), fever in 6 (27.3%) and 8(36.4%) had home intervention. Two (9.1%) and 4(18.2%) had poison severity scores (PSS) of 3 and 4 respectively, which was significant for time interval of presentation and use of harmful home intervention (Fisher exact test3.697, p=0.024) and (Fisher exact test10.04, p=0.018) respectively. Fatality was 18.2%. Conclusion: kerosene and organophosphate were most common poison agents, while PSS was related to time of presentation, home intervention and types of poisoning agents. Key words: childhood, poisoning, hospitalized, outcome.

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