Abstract
Introduction: Poisoning in children is an important Paediatric emergency and is a worldwide problem. It is a common and preventable cause of morbidity and mortality in children. Objectives: The aim of this study was to determine the profile and outcome of children less than 13 years admitted to the Paediatric department presenting with acute poisoning at a Teaching district hospital in southern Karnataka. Methods: Prospectively, 134 acute poisoning cases, admitted to Paediatric intensive care, SIMS Shivamogga from November 2018 to May 2019 were included in this study. Results: During the study period, 134 patients presented with acute poisoning. The incidence of poisoning in Paediatric patients was 2.84%. The median age of our patients was 5.2 years (range 0.75-12 years). The male to female ratio was 1.58:1. Animal bites (27.61%), Petroleum products (26.87%), Household chemicals (15.67%), Drugs (11.19%), Poisonous plant derivatives (8.96%) and Insecticides (6.72%) were the agents most frequently implicated. Almost all (98.41%) cases in 1 to 5 years age group were accidental in nature, whereas in the >10 years age group, the majority (71.43%) were suicidal. Thirteen patients (9.7%) remained asymptomatic. The specific antidote was given to 19 (14.18%) patients. Three patients (2 snake bite and 1 rodenticide child) died. The mean duration of hospital stay was 4.49 days (range was 1 day to 22 days). Conclusions: Accidental poisoning was common in children below 5 years of age. Minimal age of suicidal poisoning was 8 years. The most common agent implicated was a snake bite.
Highlights
Poisoning in children is an important Paediatric emergency and is a worldwide problem
The aim of this study was to determine the profile and outcome of children less than 13 years admitted to the Paediatric department presenting with acute poisoning at a Teaching district hospital in southern Karnataka
Sample size and inclusion criteria- All children below 13 years of age, who were admitted to the SIMS pediatric intensive care unit with a history of poisoning were included in this study
Summary
Poisoning in children is an important Paediatric emergency and is a worldwide problem. It is a common and preventable cause of morbidity and mortality in children. Objectives: The aim of this study was to determine the profile and outcome of children less than 13 years admitted to the Paediatric department presenting with acute poisoning at a Teaching district hospital in southern Karnataka. Conclusions: Accidental poisoning was common in children below 5 years of age. Poisoning is an important emergency as well as a major problem in all age groups throughout the world. Accidental poisoning is the twelfth leading cause of admission in the pediatric ward in India and accounts for about 1.0% of the hospitalized patients [8]. Sometimes exposure to the non-poisonous substance or suspected poisoning necessitates hospitalization and an increased burden to the hospital [9]
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