Çocukluk Çağı Zehirlenmelerinde Son 10 Yılın Analizi ve Önceki 33 Yıl ile Karşılaştırılması

Abstract

Childhood poisoning is a significant health issue. Every year thousands of kids face the risk of losing their health by poisoning. Epidemiological studies must be done periodically to inform child health workers. Every poisoned child between 2008 and 2018 years who come to our hospital included in this study. We tried to understand what changed in childhood poisoning in last ten years comparison to previous thirty three years. In addition, the aim of this study is to ensure the continuity of the data of the previous 33 years and to suggest solutions in the light of 43 years of experience, to evaluate the results by evaluating the poisonings, to discuss the measures to be taken and to contribute to the diagnosis and treatment of poisoning. The patients between the ages of 0-19 who were admitted to the Pediatric Intensive Care Unit and Pediatric Emergency Unit of Hacettepe University between October 1, 2008 and October 1, 2018 were included in the study. Foreign body aspirations, animal bites were not included. The data were compared with the studies between 1985 and 2008. 59% of the patients were female (n = 1181) and 41% were male (n = 827). 46% are 0-5 age group, 41% are 12-19 age group and 12% are 5-12 age group. Poisoning occurred in 58% of the drug and 42% in non-medication. 67.8% of drug intoxications were female patients. 53.4% of non-drug poisonings are male patients. Drug poisoning in female patients, non-drug intoxication in male patients is statistically significant. (p= 0,0001) 51.2% of drug intoxications consist of children over 12 years of age. 52.2% of non-drug poisonings consist of children between 0-5 years of age. It is statistically significant that drug intoxications are more frequent in young patients and adolescents. (p=0,0001) %65 of the posisonig occurred as the toxin easily found in the era. 66% of the poisonings were unintentional, 31% of them were suicidal and 1% with therapeutic error. Unintentional poisonings were most common in 0-5 age group and males. (p= 0,019) The poisonings caused by suicide attempt were in girls over 12 years of age. (p=0,0001) In 14.4% of patients, the patient underwent decontamination with gastric lavage. Single dose of activated charcoal was given to 18% of patients. In last ten years, their use declined. 59.4% of the patients admitted to the pediatric intensive care unit due to poisoning were followed-up with only monitoring of vital signs. The overall mortality rate was 0.034%. The mortality rate in pediatric intensive care unit was 1.36% (n = 7). Of the patients who died, 71% were girls. Colchicine was the most lethal drug poisoning (6%). The most lethal agent in non-drug intoxications was organophosphate / carbamate (30%).