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ALzayadneh EM, ALHadidi KA, Alasasfeh I, Battah A, Khasawneh SM, Faouri MN, Diab RW, Alzagareet YM, Abbas NH, Al-Debei RH, Zaqqa AM, Hadidi FK, Khraisat LM. General pattern of paediatric poisoning in Jordan during 2018-2019. Toxicol Rep 2024; 12:369-374. [PMID: 38572466 PMCID: PMC10987798 DOI: 10.1016/j.toxrep.2024.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2023] [Revised: 03/06/2024] [Accepted: 03/18/2024] [Indexed: 04/05/2024] Open
Abstract
Introduction Acute accidental poisoning in children remains a significant public health issue and a predictable cause of morbidity around the world. To take preventive measures, it is necessary to identify the pattern of this problem. Objective To determine the extent and characteristics of paediatric poisoning, an epidemiological investigation specific to each country is required. The goal of our research was to determine the current pattern of acute poisoning in children between (0-5) years old in Jordan. Methods This retrospective study performs a descriptive analysis of the Jordan University Hospital's National Poison Information Center (NPIC) database and describes the epidemiology of acute poisoning in children between (0-5) years old during a period of two years (2018-2019). Results Paediatric poisoning (0-5) years old accounts for approximately 88% of poisoning cases in Jordan between 2018 and 2019.Out of 3531 paediatric poisoning cases, 44.9% of cases were in children between (2-3) years old, 63.4% of subjects were male. 40.9% of calls were from governmental hospitals. Most cases occurred at home (98.7%) and were unintentional (98.6%). Medication poisoning was the commonest among cases (71.0%). Besides, 89.4% were asymptomatic at the time of call, and Central Nervous System (CNS) symptoms being the most common (3.6%) among the symptomatic cases. Conclusions Most cases of paediatric poisoning handled by the NPIC was due to medications. To prevent or minimize these cases, it is necessary to educate parents and other caregivers about proper medication storage and use, and in case of poisoning, urgent referral to health facilities is required.
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Affiliation(s)
- Enas M. ALzayadneh
- Department of Paediatric, School of Medicine, the University of Jordan, Jordan
| | - Kamal A. ALHadidi
- Department of Pathology Microbiology and Forensic Medicine, School of Medicine, the University of Jordan, Jordan
- Jordan Poison Information Center- Jordan University Hospital, Jordan
| | - Ihab Alasasfeh
- Department of Emergency-Jordan University Hospital, General Surgery Department, School of Medicine, the University of Jordan, Jordan
| | - Abdelkader Battah
- Department of Pathology Microbiology and Forensic Medicine, School of Medicine, the University of Jordan, Jordan
| | | | - Madeha N. Faouri
- Department of Pharmacy, School of Nursing, Al-Balqa’ Applied University, Jordan
| | | | | | | | | | - Ayah M. Zaqqa
- School of Medicine, the University of Jordan, Jordan
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He C, Liang L, Zhang Y, Wang T, Wang R. Prognosis prediction of procalcitonin within 24 h for acute diquat poisoning. BMC Emerg Med 2024; 24:61. [PMID: 38616281 PMCID: PMC11017620 DOI: 10.1186/s12873-024-00975-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Accepted: 03/26/2024] [Indexed: 04/16/2024] Open
Abstract
BACKGROUND To explore the predictive value of procalcitonin (PCT) within 24 h after poisoning for prognosis of acute diquat poisoning. METHODS This retrospective study included acute diquat poisoning patients in the Nanyang City Hospital between May 2017 and July 2021. RESULTS Among the 45 patients included, 27 survived. The maximum PCT value within 24 h after poisoning was significantly higher in the non-survival patients [9.65 (2.63, 22.77) vs. 0.15 (0.10, 0.50) µg/mL, P < 0.001] compared to the survival patients. The area under the ROC curve (AUC) indicated that the maximum PCT value within 24 h had a good predictive value (AUC = 0.905, 95% CI: 0.808-1.000) compared to ingested quantity (AUC = 0.879, 95% CI: 0.776-0.981), serum creatinine (AUC = 0.776, 95% CI: 0.640-0.912), or APACHE II score (AUC = 0.778, 95% CI: 0.631-0.925). The predictive value of maximum PCT value within 24 h was comparable with blood lactate (AUC = 0.904, 95%CI: 0.807-1.000). CONCLUSIONS The maximum PCT value within 24 h after poisoning might be a good predictor for the prognosis of patients with acute diquat poisoning.
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Affiliation(s)
- Cheng He
- Emergency Department of Nanyang Traditional Chinese Medicine Hospital, 473003, Nanyang, Henan, China.
| | - Liguo Liang
- Emergency Department of Nanyang Traditional Chinese Medicine Hospital, 473003, Nanyang, Henan, China
| | - Yu Zhang
- Emergency Department of Nanyang Traditional Chinese Medicine Hospital, 473003, Nanyang, Henan, China
| | - Tianyi Wang
- Emergency Department of Nanyang Traditional Chinese Medicine Hospital, 473003, Nanyang, Henan, China
| | - Rongyang Wang
- Emergency Department of Nanyang Traditional Chinese Medicine Hospital, 473003, Nanyang, Henan, China
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Nguyen SN, Vu LT, Nguyen HT, Nguyen LMT. Childhood Acute Poisoning at Haiphong Children's Hospital: A 10-Year Retrospective Study. Int J Pediatr 2023; 2023:2130755. [PMID: 37700774 PMCID: PMC10495236 DOI: 10.1155/2023/2130755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 08/16/2023] [Accepted: 08/24/2023] [Indexed: 09/14/2023] Open
Abstract
Introduction Children are most often harmed by acute poisoning, which may cause disability or even death. This demonstrates the critical necessity for epidemiologic studies specific to each nation and area since they aid in developing plans for the prevention of acute poisoning. There are no data or outdated data on acute poisoning in children in Vietnam. This research would partly fill this existing gap and compare the trend with other places across the globe. Methods A retrospective study was conducted in the 10-year period from 2012 to 2021 in Haiphong Children's Hospital, Vietnam. Results There were 771 children hospitalized due to acute poisoning. Children in the 1-5-year-old group accounted for the highest rate, at 506 (65.6%). The mean age was 4.5 ± 4.1 years old. The male-to-female ratio was 1.2/1. Nonpharmaceutical chemicals were the most common agent in 331 cases (42.9%), including cleaning products 63 (19.0%), rat poison 60 (18.1%), and petrol 42 (12.7%). Medications were the second most common agent in 290 cases (37.6%), mostly paracetamol 60 (20.7%) and sedatives 40 (13.8%). There were 633 (82.1%) children exposed to poisons unintentionally. Conclusion Children between the ages of 1 and 5 are more likely to be exposed to harmful substances. The most common agents were nonpharmaceutical chemicals followed by pharmaceuticals. Most incidents were inadvertent. Finally, our research may provide insights that public health authorities might use to plan practical actions.
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Affiliation(s)
| | - Lam Tung Vu
- Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam
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Lu Z, Wang Y, Nie M, Li J, Yu Y, Zhuang Y, Mao X, Shen X. Analysis of clinical characteristics and health resource costs in children hospitalised for injuries in southern Sichuan, China. Front Pediatr 2023; 11:1200886. [PMID: 37465416 PMCID: PMC10351037 DOI: 10.3389/fped.2023.1200886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 06/08/2023] [Indexed: 07/20/2023] Open
Abstract
Aim To investigate the clinical characteristics and health resource costs among children hospitalised for injuries in southern Sichuan, China, and to provide guidance for prevention and treatment. Methods We collected clinical data concerning children aged from 29 days to 18 years hospitalised for injuries from January 1, 2017, to December 31, 2021, retrospectively analysing the basic characteristics, evolution of injury characteristics over time, risk factors for events with adverse outcomes, and health resource costs. Results Among 5,826 hospitalised children with injuries, males (63.6%), those in rural areas (40.3%), and adolescents (33.5%) were most commonly injured. Most injuries occurred at home (52.6%), and during summer. The most common injury types were falls, burns, road traffic injuries, poisoning, and foreign body injuries (32.0%, 17.9%, 13.6%, 8.8%, and 7.9%, respectively). After 2019, the proportion of intentional injuries among adolescent girls was significantly higher. Road traffic injuries most commonly led to poor clinical outcomes (95%CI: 5.39-31.51), followed by falls (95%CI: 2.20-10.67). Adolescents were at higher risk of poor prognosis. Injuries occurring in rural areas, adolescents, road traffic injuries, and falls cost high health resource. Conclusion Injuries among children remain serious, with males and adolescents from villages predominantly affected. Attention should be paid to intentional injuries among adolescent females also. Targeted prevention and control measures for road traffic injuries and falls should be strengthened.
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Affiliation(s)
- ZiWei Lu
- Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, China
- Sichuan Clinical Research Center for Birth Defects, The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - YinSu Wang
- Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, China
- Sichuan Clinical Research Center for Birth Defects, The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Min Nie
- Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, China
- Sichuan Clinical Research Center for Birth Defects, The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - JiaQin Li
- Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, China
- Sichuan Clinical Research Center for Birth Defects, The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - YanHong Yu
- Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, China
- Sichuan Clinical Research Center for Birth Defects, The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Yuan Zhuang
- Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, China
- Sichuan Clinical Research Center for Birth Defects, The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Xiaoyan Mao
- Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, China
- Sichuan Clinical Research Center for Birth Defects, The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Xing Shen
- Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, China
- Sichuan Clinical Research Center for Birth Defects, The Affiliated Hospital of Southwest Medical University, Luzhou, China
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