EPIDEMIOLOGICAL CHARACTERISTICS AND COMMON CAUSES OF ACUTE POISONING IN CHILDREN AT THE POISON CONTROL CENTER BACH MAI HOSPITAL

Đặng Thị Xuân, Đỗ Ngọc Sơn

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Abstract

Objectives: to describe the epidemiological characteristics and the common causes of acute poisoning in children at the Poison Control Center, Bach Mai Hospital. Methods: A cross-sectional study on 200 patients <18 years old diagnosed with acute poisoning at the Poison Control Center, Bach Mai hospital from July 2014 to June 2015. Results: The mean age was 14.4±3.94 years, most commonly the adolescent group (63.5%). The male/female ratio was 1.1. The rate of unintentional poisoning was 52.5% (mainly accident, food poisoning). The rate of poisoning intentionally was 47% (mainly suicide), poisoned accounts for 0.5%. The rate of intentional poisoning in female were statistically higher than those in male (p<0.05). Poisoning were mainly from the gastrointestinal tract (71%). Most of the pediatric patients were admitted to the hospital early, within 6 hours after being poisoned, accounting for 63.5%. The main causes of common acute poisoning are: chemicals (40% - of which are mainly plant protection chemicals); animal bites (27%); food (16.5%); medicine (12.5%); addictive substances (4%). Conclusion: The circumstances and agents of acute poisoning in children are diverse and complex. Measures to propagate and educate about risks, agents and ways to prevent poisoning in children should be strengthened

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References

1. Watson W. A, et al. Annual report of the american asociation of poison control centers toxic exposure surveillance system. Am J Emerg Med. 2002, 21, 353-421.
2. Youniss J, Litovitz T. L, and Villanueva P. Characterization of US poison center: a 1998 survey conducted by the American Association of Poison Control Center. Vet Hum Toxicol. 2000, 42, 43-53.
3. Long Nary. Nhận xét tình hình ngộ độc cấp ở trẻ em tại viện Nhi Quốc gia trong 4 năm. Luận văn thạc sỹ Y học 2002, Chuyên ngành nhi
4. Nguyễn Thị Dụ, Định hướng chung chẩn đoán và xử trí ngộ độc cấp, Tư vấn chẩn đoán và xử trí nhanh ngộ độc cấp. Nhà xuất bản Y học Hà Nội. 2004; 9-22.
5. Vũ Đình Thắng. Nghiên cứu tình hình ngộ độc cấp ở trẻ em tại Bệnh viện Nhi đồng I và Nhi đồng II trong năm 2002. Luận văn thạc sỹ Y học
6. Gupta S.K, et al. A Study of Childhood Poisoning at National Poison Information Center, All India Insitute of Medical Sciences, New Delhi. J. Occup Health. 2003, 45, 191-196.
7. Nguyễn Tấn Viên. Ngộ độc cấp ở trẻ em nhận xét trên 400 trường hợp từ năm 1979-1990. Tạp chí Y học, Bộ Y tế, 1992 số 2 (296), 3-10.