Poisoning in children at Georgetown Hospital, Guyana: a two year review

Between January 1992 and December 1993 a total of 109 children ó 10 years of age were admitted to the paediatric medical wards of the Georgetown Public Hospital for poisonous substance ingestion. Poisoning was most frequently seen in the 1-year-age-group (46 cases) followed by the 2-year-age-group (31) and the 3-year-age-group (15). There were no admissions of children aged 6, 7, 9 and 10 years. The youngest was 3-weeks-of-age and the oldest 8-years. The most common known substances ingested in order of frequency were kerosene (66 cases), bleach (11) and caustic soda (6 cases). There were 15 cases involving ingestion of known and 8 cases of unknown, medicinal substances (AU)

Cases of poisoning presenting in the Casualty Department of Cornwall Regional Hospital, Jamaica

Two hundred and eighty-one cases of poisoning were seen over a period of 2 years in the Casualty Department of the Cornwall Regional Hospital of which 226 were admitted and 6 died. Children aged 1-4 years were most frequently affected (56.6 percent of all patients). In toddlers, kerosene was the most involved poison. Ackee poisoning (30 cases) was not uncommon in older children and is believed to have caused 5 of the six deaths. Ganja intoxication was seen in 8 cases but there was no instance of poisoning, 10 of whom were foreign tourists, but only one death occurred. A Poison Information Centre has been established in the Casualty Department and is proving valuable. Continued public education on the dangers of poisoning, especially in children, is necessary (AU)

Poisoning in Jamaican children - abstract

All admissions to the Paediatric wards of the University Hospital of the West Indies for the 12-year period, February 25, 1961 to February 28, 1973, have been examined. 130 cases of poisoning or drug overdosage were admitted during this period. 101 children (78 percent) were between the ages 1 and 4 years. The yearly incidence of admissions varied from only one case in 1962 to 18 in 1971, and 60 percent of them were admitted in the latter half of the study period. Kerosene ingestion resulting in aspiration pneumonitis was the commonest cause of poisoning. Only 2 cases of salicylate poisoning were admitted - one was mildly affected while the other due to ingestion of 'oil of winter-green' was of modern severity. Phenothiazines (13 cases), acid or caustic substances (11 cases), ferrous sulphate (10 cases), barbiturates (7 cases), ackee with toxic hypoglycaemia (6 cases), digoxin (5 cases) and organic phosphate insecticides (5 cases) accounted for most of the other admissions. 2 cases of lead poisoning and 2 children with severe vomiting and diarrhoea due to ingestion of 'Physic nut' (Jatropha curcas) were admitted and there were single cases of poisoning from a variety of toxic substances including napthalene (camphor balls), oil of chenopodium and nitrobenzene. One child was admitted following an overdose of lignocaine administered in Casualty for local anaesthesia and another from linctus codeine given for diarrhoea. 5 patients died, one from severe pneumonitis. 3 from toxic hypoglycaemia and the 5th from an unknown poison. Examination of the admission records of all children admitted to the Casualty Observation ward during a 20-month period, 1971-1972, revealed 54 cases of poisoning. 37 of these were due to kerosene ingestion and only 2 of these were admitted to the ward, the others being discharged after 1 to 3 days of observation. Many milder cases of poisoning are seen in Casualty and treated and sent home without further observation (AU)