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Pediatric Poisonings in a Rural Ugandan Emergency Department.
Boyle, Katherine L; Periyanayagam, Usha; Babu, Kavita M; Rice, Brian T; Bisanzo, Mark.
Afiliação
  • Boyle KL; From the Beth Israel Deaconess Medical Center.
  • Periyanayagam U; Harvard Medical School.
  • Babu KM; Harvard Medical School.
  • Rice BT; Brigham and Women's Hospital, Boston.
  • Bisanzo M; Global Emergency Care Collaborative, Shrewsbury.
Pediatr Emerg Care ; 36(3): e160-e162, 2020 Mar.
Article em En | MEDLINE | ID: mdl-29016517
OBJECTIVE: This study aims to describe pediatric poisonings presenting to a rural Ugandan emergency department (ED), identifying demographic factors and causative agents. METHODS: This retrospective study was conducted in the ED of a rural hospital in the Rukungiri District of Uganda. A prospectively collected quality assurance database of ED visits was queried for poisonings in patients under the age of 5 who were admitted to the hospital. Cases were included if the chief complaint or final diagnosis included anything referable to poisoning, ingestion, or intoxication, or if a toxicologic antidote was administered. The database was coded by a blinded investigator, and descriptive statistics were performed. RESULTS: From November 9, 2009, to July 11, 2014, 3428 patients under the age of 5 were admitted to the hospital. A total of 123 cases (3.6%) met the inclusion criteria. Seventy-two patients were male (58.5%). The average age was 2.3 (SD, 0.97) years with 45 children (36.6%) under the age of 2 years. There were 19 cases (15.4%) lost to 3-day follow-up. The top 3 documented exposures responsible for pediatric poisonings were cow tick or organophosphates (36 cases, 29.2%), general poison or drug overdose (26 cases, 21.1%), and paraffin or hydrocarbon (24 cases, 19.5%).Of the admitted patients, 1 died in the ED and 2 died at 72-hour follow-up, for an overall 72-hour mortality of 2.4%. Patients who died were exposed to iron, cow tick, and rat poison. CONCLUSIONS: Pediatric poisoning affects patients in rural sub-Saharan Africa. The mortality rate at one rural Ugandan hospital was greater than 2%.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Intoxicação / Hospitais Rurais / Serviço Hospitalar de Emergência Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child, preschool / Humans / Infant País/Região como assunto: Africa Idioma: En Revista: Pediatr Emerg Care Assunto da revista: MEDICINA DE EMERGENCIA / PEDIATRIA Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Intoxicação / Hospitais Rurais / Serviço Hospitalar de Emergência Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child, preschool / Humans / Infant País/Região como assunto: Africa Idioma: En Revista: Pediatr Emerg Care Assunto da revista: MEDICINA DE EMERGENCIA / PEDIATRIA Ano de publicação: 2020 Tipo de documento: Article