A Single Center Experience in Poisoning Cases Followed in the  Pediatric Intensive Care Unit

Mehmet Nur Talay; Murat Kanğın

Makale detayları

A Single Center Experience in Poisoning Cases Followed in the Pediatric Intensive Care Unit

Yazarlar:

Mehmet Nur Talay | Murat Kanğın

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.45-51

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001285169

pISSN:

1304-9623

Anahtar kelimeler:

Özet:

 Background: Since poisoning cases cause serious mortality in childhood, the management of the sick child has a priority and special place in all countries. The age distribution of poisoning cases, the diversity of factors, as well as the type of poisoning predominant in which age groups, and accordingly, the frequency of suicide in poisoning cases in adolescence were investigated. Materials and Methods: In our study, patients who were followed up in the pediatric intensive care unit of our hospital for acute poisoning within three years between 2016-2019 were retrospectively analyzed. Results: Of 468 poisoning cases hospitalized in the intensive care unit, 259 55.3 were female and 209 44.7 were male. There were 183 39.1 cases aged 1-3 years, and 14 3.0 cases at least 9-12 years old, all of which were accidental. In suicidal poisonings, 109 96.4 patients were 13 years old, 4 3.5 patients were 12 years old, and 83 73.4 of these 113 patients were girls and 30 26.6  were followed as male. It was observed that cases of suicidal poisoning were more common in female patients. When the drugs taken were classified into groups, it was observed that paracetamol, nonsteroidal anti-inflammatory drugs and other antipyretics 115 20.6 were taken the most. No mortality was observed in the intensive care follow-ups. Conclusions: When the ages of the poisoning cases were examined, it was observed that the drugs and che-mical substances that could cause poisoning were not stored in sufficiently safe environments, since the group under the age of 3 was the most common. The fact that poisonings due to suicide are more common in girls shows that girls are more affected by factors such as family, school and social events. Key Words: Pediatric intensive care, Poisoning, Adolescents, Follow-up and treatment.

 Background: Since poisoning cases cause serious mortality in childhood, the management of the sick child has a priority and special place in all countries. The age distribution of poisoning cases, the diversity of factors, as well as the type of poisoning predominant in which age groups, and accordingly, the frequency of suicide in poisoning cases in adolescence were investigated. Materials and Methods: In our study, patients who were followed up in the pediatric intensive care unit of our hospital for acute poisoning within three years between 2016-2019 were retrospectively analyzed. Results: Of 468 poisoning cases hospitalized in the intensive care unit, 259 55.3 were female and 209 44.7 were male. There were 183 39.1 cases aged 1-3 years, and 14 3.0 cases at least 9-12 years old, all of which were accidental. In suicidal poisonings, 109 96.4 patients were 13 years old, 4 3.5 patients were 12 years old, and 83 73.4 of these 113 patients were girls and 30 26.6  were followed as male. It was observed that cases of suicidal poisoning were more common in female patients. When the drugs taken were classified into groups, it was observed that paracetamol, nonsteroidal anti-inflammatory drugs and other antipyretics 115 20.6 were taken the most. No mortality was observed in the intensive care follow-ups. Conclusions: When the ages of the poisoning cases were examined, it was observed that the drugs and che-mical substances that could cause poisoning were not stored in sufficiently safe environments, since the group under the age of 3 was the most common. The fact that poisonings due to suicide are more common in girls shows that girls are more affected by factors such as family, school and social events. Key Words: Pediatric intensive care, Poisoning, Adolescents, Follow-up and treatment.

 Background: Since poisoning cases cause serious mortality in childhood, the management of the sick child has a priority and special place in all countries. The age distribution of poisoning cases, the diversity of factors, as well as the type of poisoning predominant in which age groups, and accordingly, the frequency of suicide in poisoning cases in adolescence were investigated. Materials and Methods: In our study, patients who were followed up in the pediatric intensive care unit of our hospital for acute poisoning within three years between 2016-2019 were retrospectively analyzed. Results: Of 468 poisoning cases hospitalized in the intensive care unit, 259 55.3 were female and 209 44.7 were male. There were 183 39.1 cases aged 1-3 years, and 14 3.0 cases at least 9-12 years old, all of which were accidental. In suicidal poisonings, 109 96.4 patients were 13 years old, 4 3.5 patients were 12 years old, and 83 73.4 of these 113 patients were girls and 30 26.6  were followed as male. It was observed that cases of suicidal poisoning were more common in female patients. When the drugs taken were classified into groups, it was observed that paracetamol, nonsteroidal anti-inflammatory drugs and other antipyretics 115 20.6 were taken the most. No mortality was observed in the intensive care follow-ups. Conclusions: When the ages of the poisoning cases were examined, it was observed that the drugs and che-mical substances that could cause poisoning were not stored in sufficiently safe environments, since the group under the age of 3 was the most common. The fact that poisonings due to suicide are more common in girls shows that girls are more affected by factors such as family, school and social events. Key Words: Pediatric intensive care, Poisoning, Adolescents, Follow-up and treatment.

 Giriş: Zehirlenme olguları çocukluk çağında ciddi mortaliteye neden olduğundan hasta çocuğun yönetimi tüm ülkelerde öncelikli ve özellikli bir yere sahiptir. Amaç: Zehirlenme olgularının yaş dağılımı, etken çeşitliliğinin yanı sıra hangi yaş gruplarında ne tür zehirlenmenin ağırlıklı olduğu, buna bağlı olarak adolesan dönemde zehirlenme olgularında intihar sıklığı incelenmiştir. Gereç ve Yöntem: Çalışmamızda 2016-2019 tarihleri arasında, üç yıl içerisinde hastanemiz çocuk yoğun bakım ünitesinde akut zehirlenme nedeniyle takip edilen hastalar geriye dönük olarak incelendi. Bulgular: Yoğun bakıma yatırılan 468 zehirlenme olgusunun 259u kız 55,3, 209 u erkek 44,7 olarak izlenmiştir. En sık 1-3 yaşta 183 39,1 ve tamamının kazara olduğu, en az 9-12 yaşta 14 3,0 olgular izlendi. Öz kıyım amaçlı zehirlenmelerde 10996,4 hasta 13 yaş, 43,5 hasta 12 yaşta izlendi ve bu 113 hastanın 83ü 73,4 kız, 30u 26,6 erkek olarak izlendi. Öz kıyım amaçlı zehirlenme vakalarının kız hastalarda daha çok olduğu izlendi. Alınan ilaçlar gruplarına sınıflandırıldığında, parasetamol ile birlikte nonsteroid antienflamatuvarlar ve diğer antipiretiklerin 115 20,6 en çok alındığı izlendi. Yoğun bakım takiplerinde mortalite izlenmemiştir. Sonuç: Zehirlenme olgularının yaşları incelendiğinde en sık 3 yaş altı grubun olduğundan zehirlenmeye neden olabilecek ilaç ve kimyasal maddelerin yeterince güvenilir ortamlarda saklanmadığı izlenmiştir. Öz kıyım nedeniyle zehirlenmelerin kız çocuklarında fazla görülmesi, kız çocuklarının aile, okul ve toplumsal olaylar gibi etkenlerden daha fazla etkilendiklerini göstermektedir.

Makale detayları

A Single Center Experience in Poisoning Cases Followed in the Pediatric Intensive Care Unit

Yazarlar:

Mehmet Nur Talay | Murat Kanğın

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.45-51

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001285169

pISSN:

1304-9623

Çocuk yoğun bakım

Zehirlenme

Adolesanlar

takip ve tedavi

Sayı

Makale detayları

A Single Center Experience in Poisoning Cases Followed in the Pediatric Intensive Care Unit

Yazarlar: Mehmet Nur Talay | Murat Kanğın

Yayıncı: Harran University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.45-51

Belge Tipi: Makale

Yayın Tarihi: 4/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001285169

pISSN: 1304-9623

Çocuk yoğun bakım

Zehirlenme

Adolesanlar

takip ve tedavi

Sayı

Yazarlar:

Mehmet Nur Talay | Murat Kanğın

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.45-51

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001285169

pISSN:

1304-9623