Epidemiological Study of Acute Unintentional Poisoning Among Children in Iran
The occurrence of different types of poisoning and early diagnosis is important for therapeutic measures. In this study, we investigate the epidemiological causes of acute poisoning in children.
In this retrospective descriptive study, children presented with acute poisoning during 2010–2019 to Shahid Madani Hospital were included. The Electronic Medical Record system of the hospital was accessed to obtain the data of the patients. The data included was demographic information, type of poisoning, clinical findings, complications, duration of hospitalization, parents’ education status, and mortality status.
Of 336 patients included in the study, the mean age of patients was 4.90±3.27 years (range: 1–12 years). There was a significant correlation between the age of the child and the type of poisoning, p=0.001. The most frequent age group was 5 years and less (69.6%). The most frequent sex group was male (58.6%). However, there was no significant correlation between the sex of the child and the type of poisoning. Parents’ education and ICU admission were also associated significantly with the type of poisoning, p=0.001, respectively. The most common type of poisoning in children was medication (60.6%) which was mainly due to methadone. The mortality rate in the study was 1.2%.
Our study showed that pharmacological drugs are the main cause of poisoning in our population. Age of the children is likely to be associated with the type of poisoning however, no gender difference was found in this regard was found in our study.
Eingereicht: 25. Oktober 2021
Angenommen: 02. April 2022
Artikel online veröffentlicht:
23. Mai 2022
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- 1 Alghadeer S, Alrohaimi M, Althiban A. et al. The patterns of children poisoning cases in community teaching hospital in Riyadh, Saudi Arabia. Saudi Pharmaceutical Journal 2018; 26: 93-97 DOI: 10.1016/j.jsps.2017.10.007.
- 2 Schillie SF, Shehab N, Thomas KE. et al. Medication overdoses leading to emergency department visits among children. American journal of preventive medicine 2009; 37: 181-187
- 3 Mowry JB, Spyker DA, Cantilena LR. et al. 2012 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 30th Annual Report. Clin Toxicol (Phila) 2013; 51: 949-1229 DOI: 10.3109/15563650.2013.863906. published Online First: Epub Date|
- 4 Thanacoody R, Anderson M. Epidemiology of poisoning. Medicine 2020; 48: 153-155 DOI: 10.1016/j.mpmed.2019.12.001.
- 5 Anderson M, Hawkins L, Eddleston M. et al. Severe and fatal pharmaceutical poisoning in young children in the UK. Archives of disease in childhood 2016; 101: 653-656
- 6 Rodrigues Mendonça D, Menezes MS, Matos MAA. et al. Acute Poisoning in Children in Bahia, Brazil. Global Pediatric Health 2016; 3 2333794X15623243 DOI: 10.1177/2333794x15623243.
- 7 Gheshlaghi F, Piri-Ardakani M-R, Yaraghi M. et al. Acute poisoning in children; a population study in isfahan, iran, 2008-2010. Iranian journal of pediatrics 2013; 23: 189-193
- 8 Dayasiri MBKC, Jayamanne SF, Jayasinghe CY. et al. Risk Factors for Acute Unintentional Poisoning among Children Aged 1–5 Years in the Rural Community of Sri Lanka. International Journal of Pediatrics 2017; 2017: 4375987 DOI: 10.1155/2017/4375987.
- 9 Ghodsi Z, Moghaddam SS, Saadat S. et al. Trend of fatal poisoning at national and provincial levels in Iran from 1990 to 2015. Public Health 2019; 170: 78-88 DOI: 10.1016/j.puhe.2019.02.025.
- 10 Sahin S, Carman KB, Dinleyici EC. Acute poisoning in children; data of a pediatric emergency unit. Iran J Pediatr 2011; 21: 479-484
- 11 Azab SMS, Hirshon JM, Hayes BD. et al. Epidemiology of acute poisoning in children presenting to the poisoning treatment center at Ain Shams University in Cairo, Egypt, 2009–2013. Clinical Toxicology 2016; 54: 20-26 DOI: 10.3109/15563650.2015.1112014.
- 12 Jabbehdari S, Farnaghi F, Shariatmadari SF. et al. Accidental children poisoning with methadone: an Iranian pediatric sectional study. Iran J Child Neurol 2013; 7: 32-34
- 13 Azab SMS, Hirshon JM, Hayes BD. et al. Epidemiology of acute poisoning in children presenting to the poisoning treatment center at Ain Shams University in Cairo, Egypt, 2009-2013. Clinical toxicology (Philadelphia, Pa.) 2016; 54: 20-26 DOI: 10.3109/15563650.2015.1112014.
- 14 Abbas SK, Tikmani SS, Siddiqui NT. Accidental poisoning in children. Mercury. 2012 30. 7.0
- 15 Dayasiri MBKC, Jayamanne SF, Jayasinghe CY. et al. Patterns and outcome of acute poisoning among children in rural Sri Lanka. BMC Pediatrics 2018; 18: 274 DOI: 10.1186/s12887-018-1246-0.
- 16 Dayasiri M, Jayamanne S, Jayasinghe C. Patterns and outcome of acute poisoning among children in rural Sri Lanka. BMC pediatrics 2018; 18: 274
- 17 Pac-Kożuchowska E, Krawiec P, Mroczkowska-Juchkiewicz A. et al. Patterns of poisoning in urban and rural children: a single-center study. Advances in Clinical and Experimental Medicine 2016; 25: 335-340
- 18 Mansori K, Soori H, Farnaghi F. et al. A case-control study on risk factors for unintentional childhood poisoning in Tehran. Med J Islam Repub Iran 2016; 30: 355
- 19 Dayasiri M, Jayamanne SF, Jayasinghe CY. Risk factors for acute unintentional poisoning among children aged 1–5 years in the rural Community of Sri Lanka. International journal of pediatrics 2017; 2017: 4375987