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Jabt 04 I 4 P 274
Jabt 04 I 4 P 274
Jabt 04 I 4 P 274
POISONING IN CHILDREN
Khurshid Ahmad Wani MD; Mushtaq Ahmad MD; Rauf-ur-Rashid Kaul MD; A S Sethi MD;
Shabnum MBBS
Poisoning is a Pediatric of age. This is in accordance with the
emergency and a thorough knowledge observation of American sub-committee
about the nature and magnitude of report, they also found majority of the
problem especially when associated with children belonged to the group of 1-3
regional peculiarities is necessary. years. This predilection of age group is
Pediatric reports 1-8 from various centers related the oral exploration of the
reveal the much needed intonation and environment during this phase of growth
changing spectrum. This study was with increasing mobility of child during
conducted in Govt. Hospital for Children, this period5.
Srinagar, the major referral hospital for
pediatrics” catering to the whole Kashmir Kerosene Oil: Remains the commonest
Valley. household substance involved in
During this entire period (4 years), accidental ingestion, it accounted for
out of 67,59,599 admissions, accidental 40.7% of our cases though other studies
poisoning accounted for a total of 650
7, 8
, have reported an incidence of 33.7%,
cases (0.96%),out of which 130 cases 55%. Kerosene oil ingestion results in
(0.75%)were in 1997,90 (0.58%)in 1998, toxicity of gastrointestinal, respiratory
180 ( 1.2%) in 1999 and 250 ( 1.25%) in and central nervous system 2, 5 Aspiration
2000. pneumonia was the commonest
Maximum number of cases complication observed but responded
Authors’ affiliations:
(49.8%)were in the age group of 1-5 years within 1-2 weeks. CNS complications were
Khurshid Ahmad Wani,
and least (4.2%) were below I year of age. noted in 25 cases. These cases had good
Mushtaq Ahmad, Prof. A S
46% of case were above 4 years of age prognosis. There was no mortality in
Sethi
group the male female ratio was 1.15:1 kerosene group.
Department Of Peadiatrics
where as the rural! urban ratio was 1.6 Pesticide Poisoning has shown
Rauf-ur-Rashid Koul
Kerosene oil was the leading an appreciable rise (20.5%) compared with
Department of SPM
poison consumed in all the four previous reports 7,8 of 4.9 to 9.2%. Organ
Govt. Medical College,
comparative years (39.25%) where as food phosphorus compounds like tick-20 and
Srinagar
poisoning was the least encountered Finite. (fenitrothium) are increasingly
Shabnum
poisoning (2.4%) being used for pest control in houses,
Asstt. Surgeon DTC Pulwama,
Over all mortality rate was I constituted many cases.
Kashmir.
6%.A total of eleven patients died during Organophosphorus compounds are
hospital stay .Highest number of deaths frequently used in the valley for fruit
Accepted for publication:
were in 1997 (4 out of 130) and lowest in crops and accounted for more than 5% of
June 2004
2000 (2 out of 250 cases). cases in our study. Organophosphorus
JK - Practitioner 2004; 11(4):274- The incidence of poisoning has poisoning has increased dramatically
275 shown a considerable variation with over past few years because of easy
reported incidence ranging form 2.0 to availability of pesticides especially in rural
5.1%I-8V,however in our study, the areas. Plant Poisoning Constituted
Correspondence to:
incident is 0.96%.This lesser incidence (15.2%) of poisoning cases in our study,
in the present series is probably due to of which more than 50% were due to
better awareness of parents keeping Datura Poisoning and the remaining
away poisonous substance out of the (6.3%) were due to consumption of wild
reach of children and better medical seeds which were identified as those of
facilities and pediatric care being available Coria ria neplansis .The fruits commonly
in the peripheral areas and some patients known as masoori bari are poisonous and
well managed at catchments area. In the were earlier used to make fly poisons and
age distribution our findings are in adulterant for sena .The patients present
conformity with the retrospective study with symptoms typical of tetanus.
reported by Buch etal in 19913 trom the All such cases had an
children hospital in Srinagar. Incidence uneventful course other than
was reported as (49.8%) in the age group convulsions, being managed
of 1-5years and 4.2 % below 1 year conservatively. Buch etal3 reported plant