Journal articles: 'Accidental poisoning'

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Craft, A. W. "Accidental poisoning." Archives of Disease in Childhood 63, no. 6 (June 1, 1988): 584–86. http://dx.doi.org/10.1136/adc.63.6.584.

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Gill, D. G. "Accidental poisoning." Archives of Disease in Childhood 64, no. 1 (January 1, 1989): 178. http://dx.doi.org/10.1136/adc.64.1.178.

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Grabska, Kinga, and Izabela Pilarska. "Acute poisoning among children and adolescents: a narrative review." Medical Science Pulse 16, no. 2 (August 1, 2022): 1–7. http://dx.doi.org/10.5604/01.3001.0015.9656.

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Background: Acute poisoning is a frequent emergency and a significant health concern in the pediatric population. The pattern of acute intoxication differs between countries and within each country. Poisoning depends on many factors. It can be divided into two categories (accidental and intentional), and each one has its own characteristics. Aim of the study: This study aimed to analyze and discuss the overall patterns of accidental and intentional poisoning among children and adolescents. Material and methods: A systematic literature search was conducted using Google Scholar, Elsevier, and the PubMed database. The following keywords were used: “acute poisoning”, “pediatric poisoning”, “intentional poisonings”, “unintentional poisonings”, and “suicide attempts”. Results: A total of 38 articles were included in the review. Half had been published in the last five years. The analysis focused on the characteristics of the materials and methods, results, and conclusions sections of each study. Conclusions: Unintentional poisonings dominate among younger children, with a slight male predominance. They usually occur at home and occasionally lead to severe harm or even death. The most common causes of intoxication in this population are medications and household products. The majority of poisonings among adolescents are intentional suicide attempts. Among older children, over-the-counter analgesics are the most common cause of acute poisoning. Accidental poisoning can be avoided by providing preventive educational programs to guardians and replacing potentially toxic household products with safer ones. The prevention of intentional poisoning should be based on a community support system and behavioral programs. Healthcare professionals should be familiar with poisoning and be aware of the different patterns of intoxication according to age and gender.

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Bakkannavar, Shankar M., Yajnesh Kidiyoor, Kavitha Saravu, and Ranjit Immanuel James. "Devil’s trumpet poisoning: A case report." Indian Journal of Forensic and Community Medicine 8, no. 3 (September 15, 2021): 200–201. http://dx.doi.org/10.18231/j.ijfcm.2021.041.

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Datura is a common plant in India that grows abundantly in the wild across the country. The common names of datura plant are Jimson weed, Stinkweed, Devil’s trumpet, Mad apple and Thorn apple etc. It is considered as a deliriant poison. Very few cases of intentional poisoning with Datura are reported in the literature. But accidental poisonings are though rare but not uncommon.Hereby we present a case of 37 years old male, who got poisoned by datura accidentally, following which he developed giddiness and was brought to our hospital. The diagnosis and treatment of the datura poisoning will be discussed.

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Alaqeli, Eman, Salma Elzwai, Ahmed Atia, Fawzia Ahmed, Manal Abuagela, Najia Alwaseea, Arij Mousa, et al. "Epidemiological Profile of Accidental Poisoning in Children, Retrospective Study at Benghazi Children’s Hospital, Libya, 2021." Asian Journal of Pediatric Research 13, no. 4 (November 29, 2023): 125–32. http://dx.doi.org/10.9734/ajpr/2023/v13i4300.

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Aims: This study aimed to determine the clinical and epidemiological profile, and outcomes of accidental poisonings in children. Study Design: This observational retrospective study. Place and Duration of Study: General ward and ICU of Benghazi Children's Hospital, from the 1st of January to the 31 of December 2021. Methodology: The study included 232 children up to 15 years old (131 males, 101 females) who were admitted with acute poisoning (either comatose or stable). Complete demographical, clinical, and outcomes data were recorded and analyzed using SPSS version 26.0 software. Results: out of 232 children admitted for poisoning 56% were drug poisoning, while 44% were non-drug poisoning. Children, less than 3 years were more liable for poisoning 61.2%. Males were poisoned more than females in all age groups 56.5%. The type of poisoning was found strong correlation with age and was higher in younger (P=.002), living in urban areas (P=.022). The results showed that there was a statistically significant difference between the types of drugs and age groups (P=.000). In almost all cases 93.1% were due to accidental/ unintentional poisoning. More than 88.3% of the cases were exposed to poisoning through the oral route. Overall, 29.3% of drug-poisoning children were asymptomatic, whereas all non-drug-poisoning children were symptomatic and most had mild symptoms. Most cases were discharged in good condition, and only one case died due to anti-psychiatric drug poisoning. Conclusion: The findings confirm that children under 3 years are more prone to accidental poisoning. Antipsychiatry drugs and cannabis were the most commonly involved in the poisoning. Recommendations: Accidental toxic exposures could be avoidable by preventive measures. The cornerstone of management for children’s poisoning is appropriate public education and raising awareness among parents about safe practices of storing medications and toxic household chemicals.

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Lubel, John S., Peter W. Angus, and Paul J. Gow. "Accidental paracetamol poisoning." Medical Journal of Australia 186, no. 7 (April 2007): 371–72. http://dx.doi.org/10.5694/j.1326-5377.2007.tb00943.x.

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Fitzgerald, P., N. Moss, S. O'Mahony, and M. J. Whelton. "Accidental hemlock poisoning." BMJ 295, no. 6613 (December 19, 1987): 1657. http://dx.doi.org/10.1136/bmj.295.6613.1657.

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O'Donnell, J., F. D. Brown, T. F. Beattie, C. Newman, S. Smith, S. Cotton, and D. S. Kettle. "Accidental child poisoning." BMJ 316, no. 7142 (May 9, 1998): 1460. http://dx.doi.org/10.1136/bmj.316.7142.1460.

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Karunakara, B. P., P. P. Maiya, S. Radhakrishna Hegde, and G. C. M. Pradeep. "Accidental Dextropropoxyphene poisoning." Indian Journal of Pediatrics 70, no. 4 (April 2003): 357–58. http://dx.doi.org/10.1007/bf02723596.

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Dayasiri, Kavinda, S. F. Jayamanne, and C. Y. Jayasinghe. "Accidental and Deliberate Self-Poisoning with Medications and Medication Errors among Children in Rural Sri Lanka." Emergency Medicine International 2020 (August 3, 2020): 1–8. http://dx.doi.org/10.1155/2020/9872821.

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Context. Pharmaceutical products are the leading cause accidental poisoning in middle- and high-income countries. Patterns of poisoning with medicinal drugs change across different geographic regions and over decades owing to variability in prescription practice, sociocultural factors, safe storage of medicines, and free availability of over the counter medications. Methods. This multicentre descriptive study was conducted over a seven-year period (February 2007 to January 2014) to assess patterns and trends of medicinal drug-related poisoning among children less than 12 years of age in thirty-six hospitals across rural Sri Lanka. Children with both accidental and deliberate medication poisonings and medication errors were recruited to the study. Data on poisoning events and medication errors were gathered via patient/parent interviews using multistructured questionnaires that assessed demographic factors, first aid measures, location and circumstances of poisoning, clinical management, and complications. In addition, focus group discussions were performed on all children and their families who had deliberate poisoning events and medication errors. Results and Conclusions. Among 1621 children presented with acute poisoning over seven years of age, 410 children had acute poisoning with medications. Male children (225, 54.9%) outnumbered female children. Paracetomol (137, 35.6%), salbutamol (55, 14.3%), and chlorpheniramine (35, 9.1%) were the most commonly poisoned medications. Prospective data at Anuradhapura teaching hospital (n = 112) revealed that unsafe first aid measures were practiced on 22 (19.6%) children. Although the majority of children remained asymptomatic (61, 54.5%), neurological symptoms (34, 67%) were predominantly seen in symptomatic children. The majority of poisonings took place within home premises (76, 67.9%). There were 16 reports of medication errors (14.2% of acute poisoning events) either due to erroneous administration by caregivers or erroneous issue of medicines by health workers. The current study did not observe mortality following medication poisonings. This study brings to light the burden of medicinal drug-related poisoning morbidity among children in rural Sri Lanka. Potentially, interventions such as community educational initiatives, written safety warnings, increased use of child resistant containers, and enforcement of laws to bring down accidental medication poisonings need to be implemented, and their effectiveness should be evaluated.

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Ahmed, Farzana, Md Masudur Rahman, and Muhammad Tawfiq. "Clinical profile and outcomes of childhood poisoning." Bangabandhu Sheikh Mujib Medical University Journal 10, no. 4 (December 10, 2017): 264. http://dx.doi.org/10.3329/bsmmuj.v10i4.34868.

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The patterns of accidental poisoning in children usually differ from country to country and from one region to another within the same country. This retrospective study was performed from January 2012 to December 2014 to determine the trends of childhood poisoning in urban area of Bangladesh. A total of 32 cases were analyzed completely; intention of poisoning was classified as accidental, suicidal and homicidal. The commonest age range for accidental poisoning was 1-5 years (64.7%). Suicidal poisoning was prevalent among mid adolescence group. The overall male to female ratio was 1:1; in case of accidental poisoning male to female ratio among preschooler was 2.66:1. All the patients were from urban background and drug overdose was the commonest cause of poisoning. Accidental poisoning was found in 53% of patients, suicidal 41% and homicidal 6% cases. The mortality was 3%. This study showed that boys at pre-school age group were at greater risk for accidental poisoning. Drug over dosage was the most common poisoning in this study. Alarmingly, accidental introduction of per rectal analgesic was the most common cause of acute poisoning during infancy in this study.

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Hassan, Basheir A., and Mohamed G. Siam. "Patterns of Acute Poisoning in Childhood in Zagazig, Egypt: An Epidemiological Study." International Scholarly Research Notices 2014 (October 29, 2014): 1–5. http://dx.doi.org/10.1155/2014/245279.

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Background. Acute poisoning represents one of the most common medical emergencies in childhood. In view of paucity of literature on accidental poisoning among children in Egypt, this study was designed to describe the pattern of childhood poisoning in Zagazig University Hospitals. Patients and Methods. This retrospective study included 300 children up to 12 years with acute poisoning admitted to the Pediatric Department and Poisoning Treatment Unit, Zagazig University Hospitals, from January 2011 to August 2012. Complete epidemiological and clinical data were recorded and analyzed. Results. Three hundred of poisoned children were enrolled in this study. Children from 1 to 6 years were more liable to poisoning (81%). More boys than girls were poisoned at all age groups. The majority of all cases (99%) were due to accidental poisoning. Overall, 32% of the poisoned cases were living in Zagazig city while 68% were living in the rural areas. The presenting symptoms were classic in 60% of the cases. Pesticides, therapeutic drugs, and cleaning and disinfectant agents were the most frequent poisoning agents (28.7%, 22.7%, and 17.0%, resp.). In 86.0% of cases, observation with or without supportive measures together with decontamination and specific antidote therapy whenever needed was sufficient. Conclusion. Most of the poisonings were due to accidental ingestions by infants and young children. Pesticides and medications were the most commonly involved agents.

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Jain, Sameer Kumar. "Accidental Poisoning in Children in Bilaspur." Indian Journal of Applied Research 4, no. 6 (October 1, 2011): 387–89. http://dx.doi.org/10.15373/2249555x/june2014/121.

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Hoque, Md Mazharul, Md Motiul Islam, Tarikul Hamid, Mohammad Rabiul Halim, Kazi Nuruddin Ahmed, Rajib Hasan, Md Atiquzzaman, and Rahatul Jannat Nishat. "Accidental Carbon monoxide poisoning with Neurological Sequelae." Bangladesh Critical Care Journal 10, no. 1 (April 25, 2022): 75–77. http://dx.doi.org/10.3329/bccj.v10i1.59210.

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Carbon monoxide (CO) intoxication is one of the leading causes of accidental poisonings1. It often leads to diagnostic errors, because of its presenting symptoms are extremely nonspecific and confounding. Symptoms commonly include headache, dizziness, weakness, vomiting, chest pain and confusion. Large exposures can result in loss of consciousness, arrhythmias, seizures, or death. The most common location of exposures causing CO poisoning are in homes and less commonly in workplaces 2. Unintentional, non-fire related CO poisoning is responsible for approximately 450 deaths and 21,000 emergency department (ED) visits each year in United States3,4,5. Bangladesh Crit Care J March 2022; 10 (1): 75-77

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Hoque, Md Mazharul, Md Motiul Islam, Tarikul Hamid, Mohammad Rabiul Halim, Kazi Nuruddin Ahmed, Rajib Hasan, Md Atiquzzaman, and Rahatul Jannat Nishat. "Accidental Carbon monoxide poisoning with Neurological Sequelae." Bangladesh Critical Care Journal 10, no. 1 (April 25, 2022): 75–77. http://dx.doi.org/10.3329/bccj.v10i1.59210.

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Carbon monoxide (CO) intoxication is one of the leading causes of accidental poisonings1. It often leads to diagnostic errors, because of its presenting symptoms are extremely nonspecific and confounding. Symptoms commonly include headache, dizziness, weakness, vomiting, chest pain and confusion. Large exposures can result in loss of consciousness, arrhythmias, seizures, or death. The most common location of exposures causing CO poisoning are in homes and less commonly in workplaces 2. Unintentional, non-fire related CO poisoning is responsible for approximately 450 deaths and 21,000 emergency department (ED) visits each year in United States3,4,5. Bangladesh Crit Care J March 2022; 10 (1): 75-77

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Aicha, Detsouli, Latifa Amiar, Nabih Zineb, Kharbouch Donia, Abidli Zakaria, Windy Maria, Rhalem Naima, Soulaymani Abdelmajid, Mokhtari Abdelrhani, and Soulaymani Bencheikh Rachida. "Les Intoxications Accidentelles Par Les Pesticides Au Maroc Entre 2008-2014: Evolution Et Facteurs De Risque." European Scientific Journal, ESJ 13, no. 24 (August 31, 2017): 133. http://dx.doi.org/10.19044/esj.2017.v13n24p133.

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The aim of this study was to determine the epidemiological profile of accidental poisoning by pesticides. A retrospective study of poisoning cases, declared between January 2008 to December 2014 at the Moroccan Anti poisoning and Pharmacovigilance Center (MAPPC), was conducted. During the study period, 4 110 acute accidental poisoning by pesticides cases were collected. The average age was of patients 19, 24±0,25 years. The sex-ratio (female/male) was 0.95. Poisoning mainly concerned adults between the ages of 20 and 74 (about 43%). The pesticide poisoning occurs more often in urban zones with 54.1%. These were mainly poisonings that occurred at home in 70.5% of cases. Patients were mostly symptomatic (about 65%), these poisonings occurred mainly during the spring mostly in the spring (32%) and summer (29%). Insecticides were the most commonly incriminated in 64, 13% of cases, followed by rats, pesticides, and herbicides with respectively 29%, 3.42% and 0.85%. The declarations came from all regions of Morocco, the highest incidence was recorded in the Tadla-Azilal region (4.04 per 100 000 inhabitants). The Fes Boulemane region showed a significant lethality of 6.43%. Among the 3,077 patients for whom the evolution was known, 98.1% had progressed favorably. 47 cases of death were recorded with a lethality of 1.2%.

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Malla, Tejesh, Kalpana K. Malla, KS Rao, Eva Gauchan, Sahisnuta Basnet, and DP Koirala. "A Scenario of Poisoning in Children in Manipal Teaching Hospital." Journal of Nepal Paediatric Society 31, no. 2 (May 6, 2011): 83–88. http://dx.doi.org/10.3126/jnps.v31i2.3634.

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Objective: To see the pattern and prevalence of poisoning in children in Manipal Teaching Hospital, Pokhara. The cases were also considered in relevance to the age groups with various agents, the commonly observed clinical features in various poisonings and mortality. Study design: Hospital based retrospective study. Study period: 4 years (January 2006 – January 2010). Study place: Department of Paediatric, Manipal Teaching Hospital, Pokhara. Material and Methods: A detailed study of all the case files of the children admitted with various acute poisonings, where the causative agent was known, was done. Results: A total number of 94 children (56 males & 38 females) were admitted with poisoning (1.79% of the total admissions) during that period. Maximum number of children were of the preschool age group i.e. < 5 years (64.89%). Organophosphorus Compounds (OPC) (27%) and Kerosene Oil (23%) were the two most frequent agents involved. The other agents included Snake bite (19%), Drugs/ Chemicals (16%), Dhatura (12%), and Mushroom poisoning (3%). The most common nature of poisoning noted was accidental (95%). The mortality rate observed was 6.38%. Conclusion: OPC and Kerosene Oil poisoning were the two most common poisoning observed in this study comprising almost half the cases; accidental poisoning was the most common pattern noted and there was a male predominance. Early recognition and timely treatment can decrease the mortality. Key words: Poisoning; Organophosphorus and Kerosene poisoning; Snake bite.DOI: 10.3126/jnps.v31i2.3634 J Nep Paedtr Soc 2010;31(2):83-88

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B., Arpitha, Rajanish K. V., and Adarsh E. "Study of clinical profile of accidental poisoning in children." International Journal of Contemporary Pediatrics 7, no. 8 (July 22, 2020): 1792. http://dx.doi.org/10.18203/2349-3291.ijcp20203178.

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Background: Accidental poisoning is an important cause of morbidity and mortality in children. Poisoning is one of the medical emergencies encountered in the emergency department. Accidental poisoning is common in toddlers and pre-school children. Aim of this study was to determine the agents of poisoning and demographic distribution of children brought to Rajarajeswari Medical College and Hospital with a history of accidental poisoning.Methods: The study method was descripitive study done in pediatric department at Rajarajeswari Medical College and Hospital for 18 months, from 1 December 2017 to 31 May 2019. 25 cases were of accidental poisoning. Data was analysed by statistical analysis.Results: The prevalence of accidental poisoning was 0.1%. There was male preponderance, 16 cases were male (64%) and 9 were female (36%), hydrocarbon (40%) was the most common household agent causing poisoning, followed by pyrethroid (24%), followed by NSAID’S (8%). Most common symptom was vomiting. The mean time elapsed to reach hospital was 97.80 minutes. In majority of the cases, hospital stay was for 2 days in (13 cases (52%)).Conclusions: Children become victims of accidental poisoning. Most common agents of poisoning are household products and medications.

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Sikary, Asit K., and C. Behera. "Homicidal methanol poisoning in filicide–suicide." Medico-Legal Journal 85, no. 4 (March 21, 2017): 219–20. http://dx.doi.org/10.1177/0025817217701367.

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Most methanol poisonings are accidental. We present a rare case of filicide–suicide, where a youth was killed by methanol poisoning and his parents then committed suicide by jumping in front of a running train. The father’s suicide note explains the crime.

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Ozdogan, H., M. Davutoglu, M. Bosnak, M. Tutanc, and K. Haspolat. "Pediatric poisonings in southeast of Turkey: epidemiological and clinical aspects." Human & Experimental Toxicology 27, no. 1 (January 2008): 45–48. http://dx.doi.org/10.1177/0960327108088975.

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Current detailed information about the causes, management, and clinical course of acute childhood poisonings in Turkey is scarce. Therefore, we have conducted a descriptive study of children presenting with acute poisoning to the pediatric emergency department of Dicle University Hospital throughout an 8-month period. Two hundred unselected children with poisoning were evaluated in terms of clinical, epidemiological and socioeconomic aspects. The mean age of patients was 5.7 ± 4.0 years. The majority of the patients ( n = 108, 54%) were aged from 13 months to 4 years ( P < 0.05). In majority of patients (66.5%, n = 133), poisonings were accidental. Intentional poisonings accounted for 3.5% ( n = 7) and food poisoning accounted for 30% ( n = 60) of all cases. The families had more than three children in 129 (97%) of accidentally poisoned and in seven (100%) of intentionally poisoned patients, six were girls and one was a boy. The parents of most patients were uneducated. Furthermore, more than two third of families had low level of income. In all, 171 patients (85.5%) were discharged after an observation period of 24 h. Four patients died. In conclusion, factors such as low educational level of parents, presence of more than three children in the family, and low income increase the incidence of childhood poisonings. The low educational level of girls increases the incidence of intentional poisoning.

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Parmar, Bhargavi D., Kuntal S. Thacker, Vimesh R. Mistry, and Neeta J. Kanani. "A cross sectional study of various types of acute poisoning; pharmacological management and their outcome in a tertiary care hospital." International Journal of Basic & Clinical Pharmacology 12, no. 3 (April 27, 2023): 464–70. http://dx.doi.org/10.18203/2319-2003.ijbcp20231129.

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Background: Acute poisoning is a common and life-threatening crisis, leading to serious complications and death of patients. Poisoning may be due to self-consumption, accidental exposure of chemical compounds, medications and poisonous animal bites/stings. Aim of current study was to investigate the pattern of drug utilization, poisoning agents and outcome in patients with acute poisoning treated at a tertiary care teaching hospital, Vadodara, Gujarat. Methods: This prospective cross-sectional study was done on patients of acute poisoning admitted in emergency department, SSG Hospital during August 2021-March 2022. Results: 400 patients were enrolled during the study, from which 262 (65.50%) were male and 138 (34.50%) were female. Mean age of patients was 30.30 ± 13.79 years. The commonest mode of poisoning observed was Suicidal (66.25%). The most common cause of poisoning was due to Pesticides (33.25%), followed by venomous animal exposures (30.75%). Death was recorded in 53 (13.25%) patients with highest number seen in suicidal poisoning (14.34%) compared to accidental poisonings (11.19%). Mainly, multivitamins (19.03%), Antimicrobials (16.65%), Proton Pump Inhibitors (15.85%) and Antiemetics (11.10%) were prescribed. Antidotes used were Atropine (4.81%), Pralidoxime (4.46%) and Anti-snake venom (2.80%). Median number of drugs per patient was 8; range: 2-25. Conclusions: Pattern and magnitude of poisoning are multidimensional and demand multi-sectoral approach for facing this problem. Due to high incidence of snakebites, hospital stockpiles should be regularly checked for availability of antivenom. There is a need for stringent pesticide regulation laws, counselling and training programs to reduce incidence of poisonings and deaths due to it.

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Callaghan, Rachel. "Poisoning." InnovAiT: Education and inspiration for general practice 14, no. 6 (March 14, 2021): 386–90. http://dx.doi.org/10.1177/1755738021999686.

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Every day in the UK, hundreds of people seek medical attention after accidental or deliberate exposure to a drug or chemical. Although significant cases of poisoning will be managed in secondary care, many patients will seek help from primary care, either through their GP practice or the NHS telephone advice services. The most common cause of poisoning in adults is deliberate overdose of a drug. Other poisoning scenarios encountered in general practice include accidental exposure (especially in young children), environmental exposure, medication administration errors and therapeutic excess of prescribed or over-the-counter drugs.

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Moghadamnia, A. A., and M. Abdollahi. "An epidemiological study of poisoning in northern Islamic Republic of Iran." Eastern Mediterranean Health Journal 08, no. 01 (March 15, 2002): 88–94. http://dx.doi.org/10.26719/2002.8.1.88.

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We examined the causes and mortality of poisoning in the province of Mazandaran. In all, 1751 poisoning cases referred to four main hospitals over a three-year period [1997-2000] were included. More poisoning cases were females [55.5%] than males [45.5%] but the proportional mortality for males was greater than for females [65% versus 35%]. The greatest proportion of poisonings occurred between the ages of 16 and 25 years. Most frequent was intentional poisoning, followed by accidental and occupational poisoning. Medicines were the most common cause, followed by chemicals such as pesticides. Poisoning by opiates, aluminium or zinc phosphide, rodenticides, petroleum and ethanol intoxication was also observed. Pesticide poisoning was most frequently fatal.

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HAMBLIN, JOAN E., and CHARLES A. MARTIN. "Transdermal Patch Poisoning." Pediatrics 79, no. 1 (January 1, 1987): 161. http://dx.doi.org/10.1542/peds.79.1.161.

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To the Editor.— We wish to report a case of an accidental ingestion of clonidine from a transdermal patch by a 9-month-old baby. A.M., a 9-month-old boy, was seen in a local emergency room six hours after he had accidentally mouthed a transdermal clonidine patch. A.M.'s father had applied a 2.5-mg transdermal clonidine patch to his left wrist under his watch ten to 12 days earlier for BP control. The night before the incident, the father had removed his watch.

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Wallace, Dean, Ewa Lichtarowicz-Krynska, and Detlef Bockenhauer. "Non-accidental salt poisoning." Archives of Disease in Childhood 102, no. 2 (August 3, 2016): 119–22. http://dx.doi.org/10.1136/archdischild-2016-310437.

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Sussman, Jonathan S., Susan C. Brozena, Neal Skop, Magdalena Korecka, and Leslie M. Shaw. "Accidental Intravenous Colchicine Poisoning." Therapeutic Drug Monitoring 26, no. 6 (December 2004): 688–92. http://dx.doi.org/10.1097/00007691-200412000-00017.

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Gozal, David, Avishai Ziser, Avi Shupak, and Yehuda Melamed. "Accidental Carbon Monoxide Poisoning." Clinical Pediatrics 24, no. 3 (March 1985): 132–35. http://dx.doi.org/10.1177/000992288502400302.

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Holdright, Diana R., and Marjan Jahangiri. "Accidental Poisoning with Podophyllin." Human & Experimental Toxicology 9, no. 1 (January 1990): 55–56. http://dx.doi.org/10.1177/096032719000900113.

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Podophyllin is available without prescription and is commonly used in the topical treatment of warts. We describe a case of accidental ingestion of podophyllin, mistaken for cough linctus, and its resultant toxicity.

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Rfidah, H., and D. Gill. "Accidental poisoning in children." Archives of Disease in Childhood 66, no. 9 (September 1, 1991): 1104. http://dx.doi.org/10.1136/adc.66.9.1104-c.

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Meadow, R. "Non-accidental salt poisoning." Archives of Disease in Childhood 68, no. 4 (April 1, 1993): 448–52. http://dx.doi.org/10.1136/adc.68.4.448.

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Gutch, M., N. Jain, A. Agrawal, and S. Consul. "Acute accidental phosgene poisoning." Case Reports 2012, apr02 1 (April 2, 2012): bcr1120115233. http://dx.doi.org/10.1136/bcr.11.2011.5233.

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Mishra, Shubhankar, T. V. Ramkumar, Ashok Kumar Biswas, and Sambedana Panigrahi. "Childhood Poisoning, A Rising Epidemic in Developing Nations: Large Single Centre Study." Journal of Nepal Paediatric Society 37, no. 2 (February 24, 2018): 117–21. http://dx.doi.org/10.3126/jnps.v37i2.16843.

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Introduction: Poisoning is a major problem in children. The aims of this study were to determine the pattern of poisoning in children along with seasonal incidence, duration of treatment and outcome in referral centre of eastern India.Materials and Methods: All the children admitted to paediatric ward of MKCG Medical college and hospital from 1st April 2015 to 31st March 2016 (1 year) with history or suspicion of poisoning and animal bites were included in the study. Brought dead patients and the children with side effects due to ingested drugs in prescribed amount were excluded from the study.Results: Total 530 cases were documented with highest incidence in rainy season. 1-6 years children were mostly vulnerable (42.6%). Accidental mode was the major cause in small children and suicidal, in older. Animal bites and stings (n=241) were the commonest followed by chemical poisonings. Kraits were commonest culprit in snake envenomation group. Alprazolam was most common drug causing drug overdose. Total numbers of death were 27. Major cause of death was organo- phosphorus poisoning (OP) and snakebite. Mean days of hospitalization was 2.5 days and death after hospitalization was 1.8 days.Conclusion: Most of the childhood poisonings were due to accidental cause. Animal bites were mostly due to snakes. Maximum numbers of deaths were due to OP poisoning. Watchful observation, clean and clear environment, understanding the problems of adolescence, friendly atmosphere in home can prevent most of the poisonings and animal bites in children.

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Anandabaskar, Nishanthi, Reveda Murugan, Nitya Selvaraj, Mohanasundaram Jayaraman, Meher Ali Rajamohammad, and Rajendrakumar Nivaratirao Kagne. "A retrospective analysis of acute poisoning cases admitted to a tertiary care hospital in South India." International Journal of Basic & Clinical Pharmacology 8, no. 10 (September 25, 2019): 2271. http://dx.doi.org/10.18203/2319-2003.ijbcp20194270.

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Background: Acute poisoning is a medical emergency and a global public health problem. The poisoning pattern varies across countries and even between different regions within a country. The aim of this was to explore the demographic, etiological, and clinical characteristics of acute poisoning cases admitted to a tertiary care hospital in Puducherry, South India.Methods: This was a retrospective hospital record based study of acute poisoning cases admitted to our hospital during the period from January 2015 to December 2017. The patients’ demographic, etiological and clinical characteristics were analyzed.Results: Of the total of 275 cases of acute poisoning, majority of them were in the age group of 21- 30 years (32%) and were females (58.5%). Most of the cases were suicidal in nature (75.3%). Majority of the patients consumed a single poisonous agent (92.7%) and the route of poisoning was oral in all of them. Majority of the patients (56.7%) reached the hospital within 2 hours of exposure to the poison with median duration of hospital stay of 2 days, and mortality of 2.9%. Majority of the suicidal poisonings were associated with abuse of insecticides (39.4%), rodenticides (19.7%) and plant seeds (14.4%); whereas the accidental poisonings were mostly due to household agents (79.1%).Conclusions: Our study shows that the majority of the poisoning cases occurred with a single poisonous agent consumed orally, for suicidal purposes in young age group and women. Pesticides and plant seeds were commonly abused for committing suicides and household agents dominated the list of causes for accidental poisoning.

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Moon, Jeong Mi, Byeong Jo Chun, and Yong Soo Cho. "Diagnosis and treatment of sodium hypochlorite poisoning with ingestion of household bleaching agents." Journal of the Korean Medical Association 66, no. 2 (February 10, 2023): 123–29. http://dx.doi.org/10.5124/jkma.2023.66.2.123.

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Background: Sodium hypochlorite is commonly used as a household bleaching agent (for example, the Clorox brand). Sodium hypochlorite poisoning with ingestion of a bleaching agent is often observed in clinical practice.Current Concepts: Ingestion (intentional or accidental) is the most common route of exposure to household bleaching agents. Accidental ingestion of household bleaching agents is rarely clinically important. However, ingestion of a large amount of a dilute formulation or a high-concentration preparation of bleaching agents can result in severe and rarely fatal corrosive injury. Therefore, prompt supportive care is essential because a specific antidote is currently unavailable. Severe poisoning requires hospital admission. Emergency endoscopy and thoracic and abdominal computed tomography are warranted to aid with diagnosis and management of hypochlorite-induced corrosive injury in patients with severe poisoning, who develop clinical features suggestive of corrosive injury.Discussion and Conclusion: Intentional poisoning, which accounts for most cases of household bleaching agent poisonings in Korea, is likely to cause severe corrosive injuries. Therefore, it is necessary to gain deeper and accurate understanding of the clinical aspects and treatment of poisoning by household bleaching agents.

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Bodwal, J., M. Chauhan, C. Behera, and K. Jitendra. "Fatal monocrotophos poisoning by cutaneous absorption while sleeping: A remarkable case study." Medico-Legal Journal 87, no. 3 (July 29, 2019): 144–50. http://dx.doi.org/10.1177/0025817219853455.

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Organophosphate poisoning is a continued menace associated with high morbidity and mortality in both resource-crunched developing and developed countries. Cases have been described of deliberate self-poisoning which has higher mortality than accidental exposure. Fatal poisoning by accidental dermal absorption is rarely reported for monocrotophos. Authors detail fatal accidental monocrotophos poisoning in adult female by dermal exposure while sleeping. Pesticide was detected in post-mortem blood and skin by chromatography and spectroscopy. Extraction along with review of literature for monocrotophos poisoning is adjuncted in this study.

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Dayasiri, Kavinda, V. Thadchanamoorthy, Michael Jansz, Senuri Dassanayake, and Geetha Anand. "Epidemiology of acute poisoning among children in urban Sri Lanka: the experience of two tertiary care hospitals in Colombo district." Jaffna Medical Journal 35, no. 1 (August 11, 2023): 7–9. http://dx.doi.org/10.4038/jmj.v35i1.177.

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Acute poisoning in children is an important public health problem and one of the leading causes of emergency department admissions following childhood injuries. Although most paediatric ingestions are accidental, children are at a higher risk for serious complications following ingestion of a similar toxic dose compared to adults. The current study evaluated the recent patterns and trends in acute poisoning among children in two tertiary care centers in urban Sri Lanka: Lady Ridge Hospital for Children, Colombo and North Colombo Teaching Hospital, Ragama. Out of 200 cases, the majority were between 1-5 years and male children outnumbered female children. The most common poisons included kerosene oil, paracetamol and “Good Luck” plants. Complication rate was low, and no mortalities were reported. Deliberate poisoning accounted for 1% of total poisonings. The current trends in poisoning among children living in urban Sri Lanka showed decreasing incidence of pesticide poisonings and increasing incidence of pharmaceutical poisonings and poisoning with ornamental plants.

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Maharjan, Sumi, Sudhir Raman Parajuli, and Durga Dhungana. "Aconite Poisoning: A Case Report." Annapurna Journal of Health Sciences 2, no. 2 (August 20, 2022): 43–46. http://dx.doi.org/10.52910/ajhs.75.

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Aconite is the well-known toxic plant as well as valuable drug since decades. Most of the intoxications are accidental whereas suicidal attempt is rather rare after ingestion. This case report is about three persons who landed in our emergency department after consuming Aconite accidentally as an herbal medicine. Two of them were managed immediately while one was declared dead on arrival.

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Earan, Sujay Kumar, Revathi Krishnakumar, Sivaraman Sangili, Arulkumaran Arunagirinathan, Duvvur Preethika Reddy, and Uma Maheshwari R. "How safe are our children in our own homes? accidental ingestion in children: a 6 year retrospective study from a tertiary care centre." International Journal of Contemporary Pediatrics 6, no. 2 (February 23, 2019): 449. http://dx.doi.org/10.18203/2349-3291.ijcp20190546.

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Background: According to the World Health statistics, in 2016 more than 100000 deaths were caused due to unintentional poisonings. Children are vulnerable due to their smaller body surface area, an inherent behaviour of negation, curiosity in exploring their surroundings, their initial phallic stage where they tend to put any objects they come across into their mouth.Methods: This study is a hospital based retrospective observational study where the records of all the children admitted due to poisoning, accidental or intentional from June 2012 to November 2018 were reviewed. All the children admitted due to food poisoning and idiosyncratic drug reactions were excluded from the study.Results: A total of 203 cases of accidental ingestion were admitted during the study period, of which the majority of the patients were male children. The age group varied from 5 months to 14 years. Majority of the accidental ingestions were due to kerosene (108), followed by insecticides (25) and cleaning agents (20).Conclusions: Poisoning in young children is unintentional and accidental; hence the introduction of safe child resistant containers should be encouraged in storing harmful chemicals. Knowledge about the chemicals, awareness about their hazardous effects and education of the care givers about safe storage would be the first step in the prevention of accidental ingestion. Establishment of a reporting system from all the health care centres and establishment of poison information system at all the levels is the need of the hour.

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Dawson, K. P., D. Harron, L. McGrath, I. Amirlak, and A. Yassin. "Accidental poisoning of children in the United Arab Emirates." Eastern Mediterranean Health Journal 3, no. 1 (January 15, 1997): 38–42. http://dx.doi.org/10.26719/1997.3.1.38.

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A prospective study of childhood accidental poisoning was conducted in the Al-Ain district of the United Arab Emirates. The results showed that accidental poisoning was frequent but morbidity was low and there were no deaths. The pattern of poisoning is similar to that in western Europe and north America, with household chemicals and medicines predominating. Analgesics and antihistamines were most frequently ingested. The frequency of accidental poisoning in Al-Ain merits the introduction of a public awareness campaign and increased use of child-resistant containers

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Hincal, F., A. A. Hincal, Y. Müftü, F. Sarikayalar, Y. Özer, N. Çevik, and E. Kinik. "Epidemiological Aspects of Childhood Poisonings in Ankara: A 10-Year Survey." Human Toxicology 6, no. 2 (March 1987): 147–52. http://dx.doi.org/10.1177/096032718700600207.

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1 In the 10-year period 1975-1984, 1188 children were admitted to the Children's Hospital of Hacettepe University in Ankara with a diagnosis of poisoning. 2 Retrospective analysis of their medical records showed that the incidence of poisoning with medicinal drugs was 64.0%, while pesticides accounted for 17.8% and plants for 6.7% of total cases. 3 The majority (69.9%) of cases were due to accidental poisoning, 70.6% of which occurred in children under 5 years of age; 15.1% of the poisonings were diagnosed as therapeutic mishaps of which 68.3% involved children under 5 years of age. 4 Analgesics (186 cases), barbiturates (176 cases) and tranquilizers (37 cases) were the most common drugs encountered, however, the two drugs most frequently overused were aspirin (146 cases) and Optalidon (175 cases). 5 Overall mortality was 4.9% (58 cases). Fifty per cent of fatalities were due to accidental poisoning while 41.4% (24 cases) were due to therapeutic mishaps. 6 This study is presented as a background to the need for the development of a Poison Information Service for Ankara.

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Tinelli, A., G. Passantino, A. Perillo, and N. Zizzo. "Accidental Oleandrum (Nerium Oleander L.) Ingestion: Anatomo-Pathological consequences in livestock species." Journal of the Hellenic Veterinary Medical Society 74, no. 1 (April 18, 2023): 5089–94. http://dx.doi.org/10.12681/jhvms.29465.

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The oleander (Nerium oleander L.) is a flowering and evergreen shrub or small tree, belonging to the Dogbane family, cultivated as ornamental plants in gardens and public city areas. These plants, distributed originally in Asia and Mediterranean area, grow in many parts of the world, particularly in warm temperate and subtropical regions. Oleander is considered noxious weed and its toxicity has been known since ancient times. All parts of plants, including stems, leaves, young shoots, flowers, nectar, sap and products induced by combustion are toxic. The poisoning effects of plant induced sever negative changes especially in the heart, also in the lung, in the liver and in the kidney. Accidental and experimental cases of oleander poisonings have been described in several species. Several cases of accidental ingestion in human and animals have been reported from across the world. Therefore, this review summarizes the main anatomo-pathological effects found in livestock species after accidental oleandrum poisoning.

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Mutlu, M., A. Cansu, T. Karakas, M. Kalyoncu, and E. Erduran. "Pattern of pediatric poisoning in the east Karadeniz region between 2002 and 2006: increased suicide poisoning." Human & Experimental Toxicology 29, no. 2 (December 17, 2009): 131–36. http://dx.doi.org/10.1177/0960327109357141.

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In the present study, 386 patients with the diagnosis of poisoning admitted to the Pediatric Emergency Unit of Farabi Hospital of Medical Faculty of Karadeniz Technical University between January 2002 and December 2006 were retrospectively evaluated with respect to gender, age, cause of poisoning, type of substance used, route of exposure, reason for the intake, signs and symptoms, time of referral to the hospital, hospitalization period, and prognosis. The age group of most poisoning cases was <5 years of age and constituted 51% (n = 197) of all cases. The main toxic agent was drugs (70.2%), followed by foods (8.8%), rodenticides (7%), insecticides/pesticides (4.9%), and carbon monoxide (4.7%). In childhood poisonings, accidental drug poisoning was frequent in toddlers, whereas suicidal poisoning was frequent in adolescents. The suicidal poisoning rate was 23.8% among all poisoning patients, and 98.9% of these patients were adolescents. The suicidal poisoning rates for males and females were 30% and 70%, respectively. An increase in suicidal and inhalation poisonings was observed when compared with previous studies that have been conducted in the same region. The results of the present study suggest that poisonings still represents an important health problem that could be prevented by safe drug storage at home, as well as parental education on adolescence issues, particularly those regarding females.

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Gupta, Monica, Dipti Handa, Amit Chaturvedi, Ram Singh, and S. S. Lehl. "Cartap poisoning: an unusual poisoning in North India." International Journal of Scientific Reports 1, no. 1 (May 2, 2015): 99. http://dx.doi.org/10.18203/issn.2454-2156.intjscirep20150214.

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Cartap hydrochloride, an analogue of nereistoxin, belongs to a relatively new class of insecticidal chemistry, and its poisoning is uncommon in India. We describe a 50-year-old farmer who presented to emergency department in altered sensorium and alleged history of accidental inhalation of cartap hydrochloride while working in the fields. The patient improved with conservative management with BAL (British anti-lewisite) without any residual complications. As per the current medical literature; this is probably the first case report of cartap inhalational accidental poisoning. Keywords: Cartap hydrochloride, Pesticide, Inhalational poisoning

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Pritchett, Sean, Daniel Green, and Peter Rossos. "Accidental Ingestion of 35% Hydrogen Peroxide." Canadian Journal of Gastroenterology 21, no. 10 (2007): 665–67. http://dx.doi.org/10.1155/2007/423217.

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Hydrogen peroxide is a commonly used oxidizing agent with a variety of uses depending on its concentration. Ingestion of hydrogen peroxide is not an uncommon source of poisoning, and results in morbidity through three main mechanisms: direct caustic injury, oxygen gas formation and lipid peroxidation. A case of a 39-year-old man who inadvertently ingested 250 mL of unlabelled 35% hydrogen peroxide intended for natural health use is presented. Hydrogen peroxide has purported benefits ranging from HIV treatment to cancer treatment. Its use in the natural health industry represents an emerging source for accidental poisonings.

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Bergen, H., K. Hawton, N. Kapur, J. Cooper, S. Steeg, J. Ness, and K. Waters. "Shared characteristics of suicides and other unnatural deaths following non-fatal self-harm? A multicentre study of risk factors." Psychological Medicine 42, no. 4 (September 13, 2011): 727–41. http://dx.doi.org/10.1017/s0033291711001747.

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BackgroundMortality, including suicide and accidents, is elevated in self-harm populations. Although risk factors for suicide following self-harm are often investigated, rarely have those for accidents been studied. Our aim was to compare risk factors for suicide and accidents.MethodA prospective cohort (n=30 202) from the Multicentre Study of Self-harm in England, 2000–2007, was followed up to 2010 using national death registers. Risk factors for suicide (intentional self-harm and undetermined intent) and accidents (narcotic poisoning, non-narcotic poisoning, and non-poisoning) following the last hospital presentation for self-harm were estimated using Cox models.ResultsDuring follow-up, 1833 individuals died, 378 (20.6%) by suicide and 242 (13.2%) by accidents. Independent predictors of both suicide and accidents were: male gender, age ⩾35 years (except accidental narcotic poisoning) and psychiatric treatment (except accidental narcotic poisoning). Factors differentiating suicide from accident risk were previous self-harm, last method of self-harm (twofold increased risks for cutting and violent self-injury versus self-poisoning) and mental health problems. A risk factor specific to accidental narcotic poisoning was recreational/illicit drug problems, and a risk factor specific to accidental non-narcotic poisoning and non-poisoning accidents was alcohol involvement with self-harm.ConclusionsThe similarity of risk factors for suicide and accidents indicates common experiences of socio-economic disadvantage, life problems and psychopathology resulting in a variety of self-destructive behaviour. Of factors associated with the accidental death groups, those for non-narcotic poisoning and other accidents were most similar to suicide; differences seemed to be related to criteria coroners use in reaching verdicts. Our findings support the idea of a continuum of premature death.

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Shasho, Raghba, and Mohammad Shasho. "Diagnostic Approach Common Cases of Vitamins Toxicity in Children." Scholars Journal of Applied Medical Sciences 10, no. 1 (January 4, 2022): 1–8. http://dx.doi.org/10.36347/sjams.2022.v10i01.001.

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Pediatric emergency departments have recorded visits by afraid parents who are worried that their child has been poisoned. Often, attendances of poisoning cases at emergency room after poison exposure is unnecessary, but sometimes for lifesaving. In young children especially among toddlers aged between one- and three-years poisoning is common accidentally while they explore their environment as part of their normal natural development, or deliberately in response to stress or underlying mental problems .Young children are at a high risk of accidental poisoning when they try to discover the world around them by playing with things – opening the cabinets, mother’s handbag , imitating their parents or adult in actions especially if there is an elderly at home has one of geriatric diseases such as hypertension, diabetes mullites …and taking medication contiguously so an accidental poisoning occurs as a trial from child to learn who ingest that. The child is detected by parents or caregiver by chance while playing with a packet of tablets or with some of them in mouth. Deliberately poisoning usually happens in adolescent as attempting self-harm or suicide purpose by ingested large quantities of tablets than young children. Poisoning may be presents because of error doses which is prescribed by health professionals by wrong.

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V., Shashidhar, Sharanabasappa S. Dhanwadkar, Yogesh Khanage, Rakesh Navale, and Ashwini Kumari N. B. "Paediatric Jatropha poisoning: a retrospective study at Government General Hospital, Gulbarga, Karnataka, India." International Journal of Contemporary Pediatrics 6, no. 2 (February 23, 2019): 380. http://dx.doi.org/10.18203/2349-3291.ijcp20190006.

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Background: Plant poisonings are one of the significant causes of accidental poisoning among pediatric age group. As jatropha is being increasingly being cultivated in new regions for its economic benefit as a source of biodiesel, accidental poisoning among children are being reported. As with many members of the family euphrobiaceae, Jatropha contains compounds that are highly toxic. Jatropha Curcas is one of the best oil seed plants and identified as most suitable oil seed bearing plant due to its various favorable attributes. The objectives of this study were to determine the spectrum of clinical presentation and morbidity and mortality related to this poisoning. Methods: Data was collected from January 2012 to December 2013, total 19 cases of Jatropha were examined. Descriptive analyses and measures of central tendency were performed on the demographic data to describe the sample.Results: Overall 78 % of children presented with vomiting, pain abdomen and loose stool, while 15% were admitted with only complaints of vomiting, furthermore only 5 % had both symptoms of vomiting and loose stools. There was no mortality related to Jatropha poisoning out of 19 cases.Conclusions: In recent years there are increasing number of children being admitted to hospital with accidental ingestion of Jatropha seeds. Like in other reported studies present patients had predominant gastrointestinal symptoms and recovered well with supportive measures. There were no mortality or complications in present patients. Extensive awareness among the rural community and medical fraternity alike is needed about this potential lethal plant poison.

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Gajre, MonaP, Dimple Jain, and Alka Jadhav. "Accidental haloperidol poisoning in children." Indian Journal of Pharmacology 44, no. 6 (2012): 803. http://dx.doi.org/10.4103/0253-7613.103307.

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Gale, Allen E. "Accidental poisoning with agricultural chemicals." Medical Journal of Australia 149, no. 5 (September 1988): 288. http://dx.doi.org/10.5694/j.1326-5377.1988.tb120622.x.

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Christophers, Allen J. "Accidental poisoning with agricultural chemicals." Medical Journal of Australia 150, no. 3 (February 1989): 167–68. http://dx.doi.org/10.5694/j.1326-5377.1989.tb136411.x.

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Journal articles on the topic 'Accidental poisoning'

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