ABSTRACT
INTRODUCCIÓN: El objetivo es conocer cuáles son los agentes más habitualmente implicados en las intoxicaciones medicamentosas no intencionadas que consultan en los Servicios de Urgencias Pediátricos (SUP) en España. MATERIAL Y MÉTODOS: Estudio descriptivo basado en un registro prospectivo de las intoxicaciones registradas en los 57 SUP participantes del Observatorio Toxicológico de la Sociedad Española de Urgencias de Pediatría entre octubre de 2008 y septiembre de 2013. RESULTADOS: En el periodo estudiado se registraron 639 intoxicaciones, de ellas 459 (71.8%) ingestas no intencionadas. Los agentes principales implicados fueron los fármacos (253, 55,1%), seguidos de los productos del hogar (137, 29,8%). Los grupos de fármacos más involucrados fueron los psicofármacos (62, 24,5%); de estos, 54 benzodiacepinas, anticatarrales (41, 16,2%) y antitérmicos (39, 15,4%). CONCLUSIONES: La causa más importante de consulta por una intoxicación no intencionada en la infancia en los SUP españoles es la ingesta de psicofármacos, sobre todo benzodiacepinas
INTRODUCTION: The aim of this article is to determine the most common substances involved in unintentional poisoning in children attending Pediatric Emergency Departments (PED) in Spain. METHODS: A descriptive study was conducted based on a prospective registry of the poisonings registered in the 57 PED participating in the Toxicology Surveillance System of the Spanish Society of Pediatric Emergencies between October 2008 and September 2013. RESULTS: A total of 639 poisoning were registered during the study period, 459 of them (71.8%) were unintentional. The most commonly involved substances were drugs (253, 55.1%) followed by household products (137, 29.8%). The drug groups most involved were psychotropic drugs (62, 24.5%), which included benzodiazepines (54), anti-catarrhal (41, 16.2%), and antipyretics (39, 15.4%). CONCLUSIONS: The most common reason for consulting Spanish PEDs is the unintentional ingestion of psychotropic drugs, mainly benzodiazepines
Subject(s)
Child , Female , Humans , Male , Poisoning/epidemiology , Poisoning/prevention & control , Emergency Medical Services/statistics & numerical data , Benzodiazepines/toxicity , Emergency Service, Hospital/statistics & numerical data , Prospective Studies , Societies, Medical/standardsABSTRACT
INTRODUCTION: The aim of this article is to determine the most common substances involved in unintentional poisoning in children attending Pediatric Emergency Departments (PED) in Spain. METHODS: A descriptive study was conducted based on a prospective registry of the poisonings registered in the 57 PED participating in the Toxicology Surveillance System of the Spanish Society of Pediatric Emergencies between October 2008 and September 2013. RESULTS: A total of 639 poisoning were registered during the study period, 459 of them (71.8%) were unintentional. The most commonly involved substances were drugs (253, 55.1%) followed by household products (137, 29.8%). The drug groups most involved were psychotropic drugs (62, 24.5%), which included benzodiazepines (54), anti-catarrhal (41, 16.2%), and antipyretics (39, 15.4%). CONCLUSIONS: The most common reason for consulting Spanish PEDs is the unintentional ingestion of psychotropic drugs, mainly benzodiazepines.
Subject(s)
Psychotropic Drugs/poisoning , Child , Child, Preschool , Emergency Service, Hospital , Female , Humans , Male , SpainABSTRACT
INTRODUCTION: The identification of variations in different profiles of pediatric poisonings may improve the prevention of these episodes. OBJECTIVES: To analyze the profile of pediatric acute poisonings in different regions of Spain. MATERIAL AND METHODS: A study was conducted, based on a prospective registry of the acute pediatric poisonings registered in 53 Spanish pediatric emergency departments included in the Toxicology Surveillance System of the Spanish Society of Pediatric Emergencies between 2008 and 2013. The regions were defined taking into account geographic factors, and the structuring of regional pediatric societies. RESULTS: A total of 566 poisoning were recorded in children less than 14 years. Poisonings due to dosage errors were more common in Madrid (12.4% of the whole group of poisonings vs 5.0% in the other regions, P=.009); recreational poisonings were more common in the Basque-Navarre region and Zaragoza (14.4% vs 3.4% in the others, P=.0008); and CO poisoning in Catalonia, Madrid and others (7.1% vs 0.3%, P<.0001). CONCLUSIONS: The profiles of acute poisonings in children less than 14 years vary significantly between the different Spanish regions. An epidemiological Surveillance System is a good tool to collect information in order to design preventive actions.
