PROFILE OF HOSPITALISED CHILDREN WITH ACUTE POISONING IN A TERTIARY CARE HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 1
Abstract
BACKGROUND Acute poisoning in children is one of the most common medical emergencies encountered in paediatric clinical practice with preventable morbidity and mortality and is mostly accidental in nature, especially in children and adolescents, but rarely it could be suicidal/voluntary in adolescents. Hence, paediatrician must have a thorough knowledge regarding the range of possible poisonous substances, high risk groups, environmental factors that add further risk of acute poisoning in children and also treatment of acute poisoning. Further, a paediatrician must play an important role to prevent poisoning in children by providing anticipatory guidance to parents. The aim of this observational study is to find out clinical and epidemiological profile of acute poisoning in hospitalised children. MATERIALS AND METHODS A total of 117 children aged below 12 years admitted between May 2015 to April 2017 in Paediatric Department of King George Hospital, a Tertiary Care Hospital at Visakhapatnam with a diagnosis of acute poisoning were included in the study. RESULTS During the study period, one hundred and seventeen (117) children aged below 12 years were admitted with history of acute poisoning. In this study, Boys: Girls ratio was 1:1.12 and the most common age group affected was between 1-5 years. Higher number of cases were reported from rural and urban slums (47.9%& 40.2% respectively). In our study, majority (73%) belonged to lower socioeconomic status. Kerosene was the most common poisoning agent (29%) that was implicated in hospitalised children with acute poisoning in our study. Vomiting, altered sensorium, unconsciousness and respiratory distress were the common symptoms or signs of presentation. CONCLUSION We conclude that in our area kerosene poisoning (accidental ingestion) is the common form of acute poisoning.
Authors and Affiliations
Bhavanishankar R, Ramu P, Rakesh P
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