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Background: Accidental poisoning is an important cause of morbidity and mortality in children. Poisoning is one of the medical emergencies encountered in the emergency department. Accidental poisoning is common in toddlers and pre-school children. Aim of this study was to determine the agents of poisoning and demographic distribution of children brought to Rajarajeswari Medical College and Hospital with a history of accidental poisoning.Methods: The study method was descripitive study done in pediatric department at Rajarajeswari Medical College and Hospital for 18 months, from 1 December 2017 to 31 May 2019. 25 cases were of accidental poisoning. Data was analysed by statistical analysis.Results: The prevalence of accidental poisoning was 0.1%. There was male preponderance, 16 cases were male (64%) and 9 were female (36%), hydrocarbon (40%) was the most common household agent causing poisoning, followed by pyrethroid (24%), followed by NSAID’S (8%). Most common symptom was vomiting. The mean time elapsed to reach hospital was 97.80 minutes. In majority of the cases, hospital stay was for 2 days in (13 cases (52%)).Conclusions: Children become victims of accidental poisoning. Most common agents of poisoning are household products and medications.
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Background: Organosphophorous compounds are the commonly available insecticides in households. Therefore, children are vulnerable to accidental poisoning. It is associated with significant morbidity and mortality. The aim of this study was to study the clinical profile of organophosphorous poisoning in children.Methods: This was prospective study conducted over a period of two years from January 2018 to January 2020 in department of Pediatrics, Government Medical College Srinagar, Jammu and Kashmir, India. All the patients in the age group of 1-18 years with history and examination suggestive of organophosphorous poisoning were included in this study.Results: In this study there were total of 54 patients. In majority of cases poisoning was accidental. Oral consumption was most common route of poisoning. The most common symptoms were excessive salivation (100%), vomiting (72%), abdominal pain (26%), diarrohea (13%), agitation (11%) and convulsions (3.7%). The most common signs were miosis (78%), bradycardia (59%), fasciculation (57%) and altered sensorium (13%). Respiratory failure and circulatory collapse were two main complications which contributed to mortality in this study.Conclusions: Organophosphorous poisoning is one of the most common poisoning in children. Early diagnosis and treatment is of pivotal importance to prevent mortality.
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Abstracts: Background & Aim: Accidental Poisoning in children focuses on the effect of substances caused by accidental poisonings from drugs of abuse, household products, or various other chemicals. Aim is to analyze children with accidental poisoning for the epidemiological factors; type of poison, time elapsed to reach the hospital, mode of poisoning, socioeconomic status and outcome. Methodology: This was a hospital based prospective observational study carried out at department of pediatrics, SVRR Government General Hospital during the periods of November 2011 to October 2013 . Total of 127 children admitted in the hospital were studied. Results: Most common cause of poisoning in children was kerosene (37.8%) followed by organophosphates(24.4%). 54.3%of the poisoned cases were in the age group1month-5year, compared to 37% and 8.6% of the age groups 6-10 and 11-12 yr respectively. Overall incidence of poisoning in males was much higher than females, but in the age group above 10 years there is increased incidence in females. Conclusion: outcome of poisoning is directly related to the interval between poisoning and presentation to emergency care. Immediate access to the medical management , responsible monitoring of the poisoned patients, rapid treatment and follow-ups are essential to improve the condition of these poisoned children.
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Accidental poisoning, a common paediatric emergency, is one of the important causes of morbidity and mortality in children. More than half of all cases reported to the American Association of Poison Control Centers involve children under the age of six. And sadly, the majority of these accidental poisonings occur at home. However in India, the precise incidence of accidental poisoning among children is uncertain due to lack of reporting of all the cases. In India, pesticides are used abundantly for cultivation and are stored negligently at home, making them a potential source of accidental poisoning in children especially in rural areas. The best way to minimize paedi-atric accidental poisoning is by creating awareness about safe use and storage of poisonous substances and constant supervision of children. A case of accidental paedi-atric mass poisoning due to organophosphorus pesticide is being reported in this article.
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El síndrome serotonínico es un cuadro neurológico agudo debido a hiperactividad serotoninérgica, por la interacción de drogas que refuerzan o mimetizan la acción del neurotrasmisor. La incidencia del síndrome de serotonina es ascendente por la disponibilidad creciente de fármacos serotoninérgicos como los antidepresivos. Por ello es importante que los médicos reconozcan y manejen adecuadamente el síndrome serotonínico. Este reporte de caso se refiere a una intoxicación accidental por el neuroléptico atípico olanzapina en un niño de 2 años, quien desarrolló manifestaciones clínicas como agitación, sudoración, mioclonías, clonus espontáneo e hipertermia, considerados como criterios diagnóstico del cuadro. La terapia consistió en descontaminación interna con lavado gástrico, carbón activado y sulfato de sodio, ciproheptadina, propranolol y furosemida. Su evolución fue satisfactoria. En nuestro país hay disponibilidad de la mayoría de los fármacos causales y tienen amplio uso, por lo que es probable el subregistro del síndrome. De allí la importancia de este reporte de caso
Serotonin syndrome is an acute neurologic picture due to serotonergic hyperactivity, due to the interaction of drugs that enhance or mimic the action of the serotonin. The incidence of serotonin syndrome is rising because of the growing availability of serotonergic drugs such as antidepressants. It is therefore important that clinicians recognize and manage appropriately this syndrome. This case report refers to an accidental poisoning by the atypical neuroleptic olanzapine in a 2 year old boy who developed clinical manifestations such as agitation, sweating, myoclonus, spontaneous clonus and hyperthermia, considered as diagnostic criteria for the syndrome. Therapy consisted of internal decontamination with gastric lavage, activated charcoal and sodium sulfate, cyproheptadine, propranolol and furosemide. The clinical outcome was satisfactory. In our country the majority of the causal drugs are easily available and widely employed, for which reason it is probable that this syndrome is under registered. Hence the importance of this case report
Subject(s)
Humans , Male , Child, Preschool , Cyproheptadine/therapeutic use , Poisoning/complications , Serotonin Agents/adverse effects , Serotonin Syndrome/diagnosis , Serotonin Syndrome/therapy , PediatricsABSTRACT
Formaldehyde is an eye, skin, and respiratory tract irritant. Inhalation of vapour can produce narrowing of the bronchi and pneumonia. Liquid formalin causes corrosion of mucosa of the gastrointestinal tract. Systemic effects of formaldehyde are primarily due to conversion to formic acid and may include metabolic acidosis, circulatory shock, and acute renal failure. We report a case of accidental ingestion of formalin in an aquaculture research student.