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Çocuk acil servisine başvuran zehirlenme vakalarının değerlendirilmesi

Authors: BÜKÜLMEZ, Ayşegül; TAHTA, Evrim Gürhan; ŞEN, Tolga Altuğ; ALPAY, Faruk;

Çocuk acil servisine başvuran zehirlenme vakalarının değerlendirilmesi

Abstract

Objective: Acute poisoning in children is a common cause of emergency department attendance. Here we evaluated clinical and epidemiological aspects of intoxication in children. Material and Methods: A total of 288 acute intoxication cases who visited emergency service between August 2008 and March 2012, were evaluated. Results: Children diagnosed as acute childhood poisoning were between the ages of 6 months and 16 years old (mean age was 5.4 ± 4.4 years). Acute poisoning was the most common in 2 years old children (17.7%) and boys were exposed intoxication slightly more than girls (51.7% versus 48.3%) . In first 5 years of life boys were more intoxicated and after the age of six girls were more exposed to acute poisoning. Intoxications with caustic and corrosive materials were the most common (148 cases, 51.4%) and intoxications with medications were the second common (63 cases, 21.9) reasons of acute childhood poisoning. Intoxication materials were mostly taken by gastrointestinal route (245 cases, 85.1%) and rest of them (43 cases, 19.4%) was exposed to those materials by respiratory tract. There was no report of mortality in those 288 acute childhood poisoning cases. Conclusion: Accidental childhood poisoning is mostly caused by caustic and corrosive materials and intoxication with medications is the second common reason following it. Using boxes and bottles with more safe covers for the storage of those hazardous substances, and education of parents may decrease acute intoxication cases in childhood causing morbidity and mortality especially when such accidents are preventable

Amaç: Çocukluk çağı zehirlenmeleri acil servise başvuruların önemli nedenleri arasındadır. Bu çalışmada bölgemizde görülen çocukluk çağı zehirlenmelerinin epidemiyolojik ve klinik özelliklerinin belirlenmesi amaçlandı. Gereç ve Yöntem: Bu çalışmada Ağustos 2009-Mart 2012 tarihleri arasında acil servisimize zehirlenme nedeniyle getirilen 288 olgu değerlendirildi. Bulgular: Çocuk Acil Polikliniğimizde akut zehirlenme tanısı almış olan olguların yaşları 6 ay-16 yaş (ortalama 5,4 ± 4,4 yıl) arasında idi. Zehirlenmeler en sık 2 yaşındaki (%17,7) çocuklarda görülmekte olup tüm yaş gruplarında erkeklerin zehirlenmelere daha çok maruz kaldığı bulundu (%51,7). Zehirlenme olgularının ilk 5 yaşta erkeklerde, 6 yaşından sonra ise kızlarda daha sık görüldüğü saptandı. Yakıcıkoroziv madde ile oluşan zehirlenmelerin 148 (%51,4) hasta ile ilk sırada olup ikinci sırayı ise, 63 (%21,9) hasta ile ilaç zehirlenmelerinin takip ettiği bulundu. Zehirlenme etkeni olan maddelerin alınış yollarına bakıldığında; 245’inde sindirim yoluyla (%85,1), 43’ünde solunum yoluyla (%19,4) alındığı bulundu. Çalışmanın yapıldığı tarihlerde bu zehirlenme olgularında mortalite saptanmadı. Sonuç: En sık zehirlenme etkeni yakıcı-koroziv maddeler ve bunu ikinci sırada ilaçlar takip etmektedir. Özellikle koroziv madde ve ilaç zehirlenmelerinde emniyetli kapakların kullanılması ve ebeveynlerin, çocuk bakıcılarının eğitimi çocukluk çağı akut zehirlenmelerini önemli ölçüde azaltabilir

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Turkey
Keywords

[No Keywords], Acil servis; çocukluk çağı; zehirlenme, Çocukluk Çağı, Emergency service; childhood; intoxication, Acil Servis, Zehirlenme

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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