Abstract
Background: Poisoning and Envenomation in children are quite common medical emergencies requiringhospitalization. Different regions may have different profiles depending on location and standards of living. Toknow the profile and outcome of acute poisoning and envenomation among children at our region this study wasundertaken.Methods: The ambispective study from year 2014 -2021 reviewed all maximum possible cases of pediatricpoisoning and envenomation by retrieving files from the medical record department and pertinent informationcollected.Results: Out of 188 analyzed data, 97 (51.3%) were males. Median (Q1, Q3) age in years was 9.5 (2.7, 15.3). Totalcases of acute poisoning were 91(48.4%), 80(42.6%) snakebite/scorpion/other bites whereas 17(9%) drowning& hanging. In outcome, deaths were in 7(3.7%) whereas 167(88.8%) discharged, 12(6.3%) LAMA and referral2(1.1%). Accidental and suicidal poisoning cases were 123(65.4%) & 39(20.8%) respectively. Among substancepoisoning, the top 2 causes were organophosphorus poisoning 37(41.1%) & kerosene 13(14.4%). Ventilatorsupport, vasoactive drug support, debridement and dialysis were required in 58(30.9%), 21(11.2%), 14(7.5%) &3(1.6%) cases respectively. Metabolic acidosis and hyponatremia in 25(13.3) & 16(8.5%) cases whereas mortalitywas significantly associated with the need for vasoactive support and aluminum phosphide poisoning.Conclusion: In children, acute accidental poisoning was commonest followed by envenomation at our tertiarycare canter. Vasoactive support and aluminum phosphide poisoning were predictors of poor outcomes.
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