PATTERN AND

OUTCOME OF
PAEDIATRIC POISONING

Rashmita Nayak

S.K. Satpathy, Leena Das

P.K. Jena, R.Mohanty

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AIMS AND OBJECTIVES
 Pattern of poisoning in all the Hospitalized paediatric patients
 SCBMCH Cuttack
 Age, Sex, Areas, Literacy, clinical presentation and out come

MATERIALS AND METHOD

 Prospective study
 Period : Jun 2009 to May 2010
 Children upto 14yrs of age
 Accidental, suicidal or homicidal
 Ingestion of drugs or non-drugs

EXCLUSION CRITERIA
 Food poisoning
 Toxic or idiosynchrotic reaction to the prescribed drugs
 Snake bite

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INCIDENCE
POISONING, 71
1%

INDOOR , 6219

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 VARIOUS TYPES OF POISONS

40
33.80%
35

30
23.94% MEDICAMENTS
25 HYDROCARBONS
18.30% PESTICIDES
20 16.90% POISONOUS SEEDS
CORROSIVES
15
UNKNOWN
10

5
2.81% 4.22%

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 URBAN AND RURAL DISTRIBUTION OF
20
POISONS
18
18
16
14
12
10 9 9
8 8
8
6 URBAN
6 5
RURAL
4 3
2 2
2 1
0
0
T S NS E S D S E S N
EN O D E V W
B ICI SE SI NO
AM AR ST US R O K
DI
C O C PE
NO O R UN
E DR ISO
C
M HY
PO 7
 AGE GROUPS AND
MODE OF POISONING
25

21
20
20

15
13 13 ACCIDENTAL
SUICIDAL
10 HOMICIDAL

5
5

1 1 1 1
0 0 0
0
8
1-3 YRS 3-5 YRS 5-7 YRS 7-14 YRS
 PESTICIDES AS POISON
60
52.94
50

40

30
23.52
20
NO. OF CASES
11.76
9 PERCENTAGE
10 5.88 5.88
4
2 1 1
0
US NE E S NE E R
I ID E LL
OR OR C AL I
PH H L
NTI TH S EK
O S C E P U
H NO D NA LO
P A O
NO G RH
GA OR
O R
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 MEDICAMENTS AS POISON
  Medicaments No. of cases Percentage (%)

Alprazolam 3 25

Paracetamol 1 8.33

Phenytoin 2 16.66

Carbamzepine 2 16.66

Amlodepine 1 8.33

Codeine 1 8.33

Gamabenzene 1 8.33
Hexachloride

Olanzepine 1 8.33

  Total 12 100
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 CLINICAL MANIFESTATIONS
KEROSENE OIL
CLINICAL MANIFESTATIONS NO.OF CASES (n=22) PERCENTAGE

Vomiting 15 68.18

Kerosene odour 18 81.81

Fever 11 50.00

Cough 13 59.09

Drowsiness 7 31.81

Lung finding 13 59.09

Breathlessness 12 54.54

Asymptomatic 3 13.63
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 TIME BETWEEN INGESTION AND
HOSPITALISATION
20
18
18
16
14
12
12
10
10 9
8 <6 hrs
6 6-12 hrs
6 >12 hrs
4 3 3
2 2 2 2
2 1 1
  0 0 0 0 0 0
t s n s es n e s n
en b o ci d si o siv o w
m ar ti p o ro k n
ci a c s t r n
dr
o Pe an o U
ed Pl
C
M Hy
.
 
 
POISONING AND PARENTRAL
LITERACY
80
73.23
70

59.16
60

50
40.84
40
Literacy
Illiteracy
30 26.77

20

10

0
Father's literacy status Mother's literacy status
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 SUICIDAL POISONING AND
ASSOCIATED RISK FACTORS
POISON SCHOOL PARENTAL FAILURE IN LOVE
PERFORMANCE DISPUTES

<30% in exam

Medicaments 1 0 1

Non medicaments

Pesticides 8 5 3

Plant poison 8 6 4

Hydrocarbon 0 1 0

TOTAL 20(100%) 17(85%) 12(60%) 8(40%)

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 OUTCOME
7%=5

RECOVERED 93% = 65
DEATH

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 DEATH
18
16 2
14
12
3
10
DEATH
8 RECOVERED
15
6
10
4
2
0
PLANT POISON PESTICIDES

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 SUMMARY
• Accidental ingestion - commonest
• Kerosene is the commonest accidental poisoning
• Alprazolam and anticonvulsant - medicaments
• For suicidal attempt organophosphorus and Rhodenticide
• Poisonous seeds are in the rural area for suicidal attempt
• Hydrocarbon ingestion causes vomiting and abnormal odour
had better outcome
• Literacy of parents - seeking medical help
• Poor academic performance - suicidal attempts

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 TAKE HOME MESSAGE
• IEC activities
proper storage

• Safe handling of
medicaments

• Adolescent guidance
programme

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ME JUST A TODDLER

N K
H A
T U
Y O
SAVE ME 19
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