Characteristics of acute acetaminophen poisonings in children aged from 0 to 12 years reported to the Public Health Surveillance System (Sivigila) in Colombia, 2016-2019.
DOI:
https://doi.org/10.33610/01229907.2022v4n3a3Keywords:
Acute intoxication, Children, Acetaminophen, ColombiaAbstract
Introduction: Poisoning in children is an important and preventable cause of morbidity and mortality worldwide. Acetaminophen is the main drug responsible for unintentional poisoning in children under 12 years of age worldwide. In Colombia, information on this type of poisoning is scarce. The aim of this study was to describe the pattern of acute acetaminophen poisoning in children aged 0 to 12 years reported to SIVIGILA in Colombia from 2016 to 2019.
Methodology: retrospective observational study, all cases of acute acetaminophen poisoning in children aged from 0 to 12 years reported to SIVIGILA from December 27, 2015 to December 28, 2019 were taken. In this study were analyzed demographic variables, the product involved, circumstances of the intoxication, hospitalization, and final condition.
Results : A total of 962 cases met the inclusion criteria, the highest proportion of cases corresponded to the male sex and occurred in the group aged 0 to 5 years. The main route of exposure was oral with 100 % (962), accidental exposure was the most frequent type of exposure with 92.7 % (892) and home exposure was the most reported place of exposure with 99,0 % (952). The main product names reported were acetaminophen and dolexÒ, although there were also intoxications with mixtures of other drugs.
Conclusion: Children with acute acetaminophen poisoning reported to SIVIGILA were predominantly preschoolers, the most frequent type of poisoning was accidental, the predominant route of exposure was oral and most of these were at home. An understanding of the profile of acetaminophen poisonings in children will allow a better knowledge of the problem, which will allow the implementation of prevention and education policies.
References
Ahmed A, AlJamal AN, Mohamed Ibrahim MI, Salameh K, AlYafei K, Zaineh SA, et al. Poisoning emergency visits among children: A 3-year retrospective study in Qatar. BMC Pediatr [Internet]. 2015;15(1):1–7. Available from: http://dx.doi.org/10.1186/s12887-015-0423-7
WHO WHO. Poison control and unintentional poisoning [Internet]. 2022. 2019 [cited 2022 Nov 1]. Available from: world of health
Fernández-Barocio F, Socorro Sánchez-Villegas M del C. Epidemiología de las intoxicaciones en el Servicio de Urgencias Pediátricas de un Hospital de Tercer Nivel. Reporte de cinco años. Arch Med Urgenc México [Internet]. 2013;5(1):18–24. Available from: https://www.medigraphic.com/pdfs/urgencia/aur-2013/aur131d.pdf
García-Abril F. C, Benito Gutierrez M. Intoxicación por paracetamol. Protoc diagn ter pediatr [Internet]. 2021;1:803–10. Available from: https://www.sccalp.org/documents/0000/1448/BolPediatr1990_31_045-048.pdf
Trejo-acevedo A, Díaz-barriga F, Carrizales L, Domínguez G, Costilla R, Ize-lema I, et al. Chemosphere Exposure assessment of persistent organic pollutants and metals in Mexican children. Chemosphere [Internet]. 2009;74(7):974–80. Available from: http://dx.doi.org/10.1016/j.chemosphere.2008.10.030
World Health Organization. Summary of principles for evaluating health risks in children associated with exposure to chemicals. [Internet]. https://apps.who.int/iris/handle/10665/44533; 2011 p. 56. Available from: https://apps.who.int/iris/handle/10665/44533
Galvis P AL, Ospina D JM, Manrique A FG. Caracterización de la intoxicación exógena en niños y adolescentes en Sogamoso , Boyacá durante el período de 2010 a 2013. Médicas UIS [Internet]. 2014;27(1):9–15. Available from: file:///C:/Users/derly/Downloads/4022-Texto del artículo-17129-2-10-20170921.pdf
Rovetto C, Concha S. Niños intoxicados en la unidad de cuidado intensivo : riesgos de la medicina popular, complicaciones y costos. Colomb Med [Internet]. 2009;40(3):276–81. Available from: http:// www.scielo.org.co/scielo.php?pid=S1657-95342009000300004&script=sci_abstract&tlng=es
Dayasiri MBKC, Jayamanne SF, Jayasinghe CY. Patterns and outcome of acute poisoning among children in rural Sri Lanka. 2018;1–8.
Gheshlaghi F, Piri-Ardakani M-R, Yaraghi M, Shafiei F, Behjati M. Acute Poisoning in Children ; a Population Study in Isfahan, Iran, 2008-2010. Iran J Pediatr. 2013;23(2):189–93.
Ministerio de la Protección Social. Decreto número 3518 de 2006. 09 oct 2006 [Internet]. Colombia; 2006 p. 17. Available from: https://www.ins.gov.co/Normatividad/Decretos/DECRETO 3518 DE 2006.pdf Reporte Epidemiológico Nacional Volum
Instituto Nacional de Salud. Protocolo de Vigilancia en Salud Pública. Intoxicación por sustancias químicas [Internet]. Colombia; 2019 p. 18. Available from: http://www.ins.gov.co/buscador-eventos/Lineamientos/PRO Intoxicaciones.pdf
Ministerio de Salud C. Resolución número 8430 DE 1993 [Internet]. Colombia; 1993 p. 1–19. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
Azab SMS, Hirshon JM, Hayes BD, El-setouhy M, Smith GS, Sakr ML, et al. Epidemiology of acute poisoning in children presenting to the poisoning treatment center at Ain Shams University in Cairo, Egypt, 2009–2013. 2017;54(1):20–6.
Koh SH, Tan KHBa, Ganapathy S. Epidemiology of paediatric poisoning presenting to a children’s emergency department in Singapore over a five-year period. Singapore Med J. 2018;59(5):247–50.
Tarvadi PV, Bakkannavar S, Palimar V, Kumar P, Shetty M, Badiger S. Gender differences in childhood poisoning. Nitte Univ J Heal Sci. 2013;3(2):69–72.
Rodrigues M D, Silva M M, Almeida M M, Santos R D, Filho JN, Souza A R, et al. Acute Poisoning in Children in Bahia, Brazil. Glob Pediatr Heal. 2016;3:1–7.
Andýran N, Sarýkayalar F. Pattern of acute poisonings in childhood in Ankara: what has changed in twenty years ? Turk J Pediatr [Internet]. 2004;46:147–52. Available from: http://www.turkishjournalpediatrics.org/uploads/pdf_TJP_118.pdf
OPS. Informe mundial sobre prevención de las lesiones en los niños [Internet]. 2008 p. 135–52. Available from: https://www.who.int/violence_injury_prevention/publications/world_report_child_injury/ es/#:~:text=Presentación,los niños y cómo evitarlos.
Ikhile I, Chijioke-nwauche I, Orisakwe OE. Childhood Drug and Non-Drug Poisoning in Nigeria: An Economic Appraisal. Ann Glob Heal. 2019;85(1):1–7.
Roldán T, López Á. Intoxicación por acetaminofén en pediatría : aproximación y manejo. Univ Méd Bogotá. 2012;53(1):56–67.
Huang HS, Ho CH, Weng SF, Hsu CC, Wang JJ, Su S Bin, et al. Long-term mortality of acetaminophen poisoning: A nationwide population-based cohort study with 10-year follow-up in Taiwan. Scand J Trauma Resusc Emerg Med. 2018;26(1):1–7.
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