scholarly journals Acute poisoning in children and adolescents hospitalized at the Institute of Child and Youth Health Care of Vojvodina between 2015-2017

2019 ◽  
Vol 72 (7-8) ◽  
pp. 209-215
Author(s):  
Katarina Katic ◽  
Aleksandra Stojadinovic ◽  
Vesna Mijatovic ◽  
Marijana Grujic

Introduction. Acute pediatric poisoning has become an increasingly important medical emergency. This study was aimed at determining characteristics of acute poisoning in children and adolescents hospitalized at the Institute of Child and Youth Health Care of Vojvodina from 2015 to 2017. Material and Methods. Data were collected from medical records of all patients hospitalized for suspected acute intoxication at the Institute of Child and Youth Health Care of Vojvodina during the observed time. Results. This study included 519 patients hospitalized for suspected exposure to toxic substances. There were 49% male and 51% female patients. The intoxications had no seasonal features. The toxic substances were commonly taken orally. Medications were the most frequent cause of all poisonings, among which the most commonly reported were drugs for central nervous system disorders. Medications were the most frequent cause of poisoning in children and adolescents, as well as in children up to 10 years of age. In adolescents, the most prevalent cause of intoxication was alcohol abuse. Poisoning with suicidal intent and intentional self-poisoning without suicidal attempt were considerably more frequent in girls than in boys. There were no fatalities. Conclusion. It is of great importance to be familiar with the characteristics and circumstances of acute poisoning to plan and implement adequate preventive measures.

Author(s):  
Valeriy P. Kutsenko ◽  
Darya D. Kovaleva ◽  
Nana R. Mironova ◽  
Tatyana O. Rumyantseva

Introduction. Acute poisoning of chemical aetiology in children and adolescents is a significant medical and social problem. The average overall assessment of the state of the drug situation in St. Petersburg by all criteria is: in 2018 - 3.6 (pre-crisis condition), in 2019 - 3.5 (pre-crisis), in 2020 - 3.3 (severe). The aim of this work is to analyze the structure of acute poisoning with narcotic and psychodysleptic drugs in children of St. Petersburg. Materials and methods. An analysis was carried out of 4256 cases of acute chemical poisoning in children (form No. 64) admitted to the acute poisoning department of N.F. Filatov St. Petersburg State Children Hospital from 2016 to 2018. Results. The total number of chemical aetiology poisonings was 1441 cases in 2016, 1,527 in 2017 and 1,288 in 2018. Poisoning with narcotic and psychodysleptic drugs was (of the total number of poisonings) in 2016 - 3.1%, in 2017 - 5.8% and 2018 - 4.9%. The top place among poisonings with toxic substances of this group are opiates, methadone, LSD, hashish. The maximum poisoning with psychotropic drugs is psychostimulants such as methamphetamine - 2.6%, amphetamine - 1.4%, ecstasy - 1.2%. There was a significant increase in acute poisoning with unspecified psychotropic drugs from 0.7% (2016) to 4.6% (2018). Conclusions. The obtained results of the study revealed a decrease in the total number of acute chemical poisoning by 18.9%. On the background of a reduction in the total number of poisonings, there is an increase in the frequency of poisoning with neurodestructive substances (methadone, hashish, LSD, benzodiazepine, amphetamine, methamphetamine and ecstasy). The most frequent cause of acute chemical intoxication in children is poisoning with psychotropic drugs.


2013 ◽  
Vol 22 (Suppl 1) ◽  
pp. 48.3-48
Author(s):  
S Maris ◽  
J Deurloo ◽  
C Lanting ◽  
M Kamphuis ◽  
I van der Vlugt

2020 ◽  
Vol 73 (11-12) ◽  
pp. 337-342
Author(s):  
Dejan Dobrijevic ◽  
Biljana Vuckovic ◽  
Jasmina Katanic ◽  
Goran Rakic ◽  
Jelena Antic ◽  
...  

Introduction. Recently, there has been a need to use more readily available parameters to assess the severe acute respiratory syndrome coronavirus 2 infection in children. Material and Methods. A single-center retrospective study included 30 children with severe acute respiratory syndrome coronavirus 2 infection who were admitted to the Isolation Department of the Institute for Child and Youth Health Care of Vojvodina from April to September 2020. A complete blood count with differential was performed. Additionally, systemic inflammatory index, neutrophil-lymphocyte ratio and plateletlymphocyte ratio were calculated. For comparison, age- and sex-matched 30 children negative for severe acute respiratory syndrome coronavirus 2 were included in the study. Results. In the period from April to September 2020, 30 laboratory-confirmed cases of coronavirus-19, aged 0 - 17 years, were admitted to the Institute for Child and Youth Health Care of Vojvodina. The age was not a risk factor for the development of coronavirus-19 (p = 0.707; OR: 1.018; 95% CI: 0.927 - 1.119). The comparison of hematological parameters of severe acute respiratory syndrome coronavirus 2 status showed that hemoglobin concentration (p < 0.01) and hematocrit (p < 0.01) were lower, and the percentage of neutrophil granulocytes (p < 0.05) was higher among severe acute respiratory syndrome coronavirus 2 positive children. Furthermore, it was found that some severe acute respiratory syndrome coronavirus 2 positive children had a higher (p < 0.01), while others had a lower (p < 0.01) percentage of lymphocytes. The systemic inflammatory index, the ratio of neutrophils to lymphocytes, and the ratio of platelets to lymphocytes, were not found to be statistically significantly different (p > 0.05). Conclusion. Low hemoglobin and hematocrit levels, a high percentage of neutrophil granulocytes, and a non-physiological percentage of lymphocytes (both, low and high) may have a diagnostic significance in children with severe acute respiratory syndrome coronavirus 2 infection.


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