Some clinical and epidemiological aspects related to the exogenous intoxications in children and adolescents

Authors

  • Yania Pérez Del Toro Hospital Infantil Docente Sur “Dr. Antonio María Béguez César”, Universidad de ciencias médicas, Santiago de Cuba
  • Yofaidy Pérez Medina Dirección Provincial de Salud, Santiago de Cuba
  • Migdalia Fernández Villalón Dirección Provincial de Salud, Santiago de Cuba
  • Maritza Fernández Villalón Hogar de Ancianos “América Labadié”, Santiago de Cuba

Keywords:

exogenous intoxications, children, adolescents, pediatric hospitals.

Abstract

A descriptive, observational and prospective investigation of 172 patients of up to 18 years with diagnosis of exogenous intoxication, admitted to "Dr. Antonio María Béguez César" Southern Teaching Children Hospital inSantiago de Cubawas carried out from January, 2015 to same month in2016, inorder to characterize them according to some clinical and epidemiological variables.  The percentage was used as summary measure for the qualitative variables and the results were compared by means of the chi-square test, with 95% of confidence.  There was a prevalence of adolescents aged 14-18, female sex and voluntary intoxication type.  In general, medications constituted the most frequent causal agent, most of the patients had a favorable clinical course and the percentage of complications was low.  It was recommended to continue improving the strategies of community intervention in the primary and secondary levels of health care, to be able to diminish the number of affected patients due to this health problem.

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References

1. Zaballos M. Manejo General del paciente intoxicado [citado 11 Ago 2016]. Disponible en: https://www.ucm.es/data/cont/docs/107-2017-12-06-Tema%2018.%20Manejo%20general%20del%20paciente%20intoxicado.pdf

2. Rodríguez Rubinos R, Pérez Rodríguez S, García Oñoz N, Ponce de León Consuegra J. Intoxicaciones agudas en la adolescencia. AMC. 2008 [citado 11 Ago 2016]; 12(2). Disponible en: http://www.amc.sld.cu/amc/2008/v12n2/amc02208.htm

3. Porter R, Kaplan J. Intoxicaciones. En: Manual Merck. 19 ed. Buenos Aires: Editorial Médica Panamericana; 2014.

4. Cuba. Ministerio de Salud Pública. Dirección Nacional de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud 2014. La Habana: ONEI; 2015. p. 29 [citado 11 Ago 2016]. Disponible en: http://files.sld.cu/bvscuba/files/2015/04/anuario-estadistico-de-salud-2014.pdf

5. Montoya Cabrera MA. Intoxicaciones en Pediatría. México, D.F.: Academia Mexicana en Pediatría; 1996 [citado 11 Ago 2016]. Disponible en: http://www.bvsde.paho.org/tutorial4/fulltex/pediatria.pdf

6. Grupo de Trabajo de Toxicología de la Sociedad Española de Urgencias Pediátricas. Manual de intoxicaciones en Pediatría. 3 ed. Madrid: Ergón; 2012.

7. Olson KR. Activated charcoal for acute poisoning: one toxicologist’s journey. J Med Toxicol. 2010; 6(2): 190-8.

8. Prado Vizcaíno Y, Vizcaíno Londián MA, Abeledo García CM, Leiva Peláez O. Intoxicaciones agudas en pediatría. Rev Cubana Pediatr. 2011 [citado 11 Mar 2017]; 83(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=s0034-75312011000400003

9. Mintegi Raso S. Intoxicaciones medicamentosas. En: Protocolos diagnóstico-terapéuticos de Urgencias Pediátricas. Madrid: Asociación Española de Pediatría; 2012.

10. Barnett AK, Boyer EW. Salicylate poisoning in children and adolescents. UpToDate. 2014 [citado 11 Mar 2017]. Disponible en: https://www.uptodate.com/contents/salicylate-poisoning-in-children-and-adolescents

11. Heard K, Dart R. Clinical manifestations and diagnosis of acetaminophen (paracetamol) poisoning in children and adolescents. UpToDate. 2014 [citado 11 Mar 2017]. Disponible en: https://www.uptodate.com/contents/clinical-manifestations-and-diagnosis-of-acetaminophen-paracetamol-poisoning-in-children-and-adolescents

12. Hendrickson RG, Kusin S. Gastrointestinal decontamination of poisoned patients. UpToDate. 2014 [citado 11 Mar 2017]. Disponible en: https://www.uptodate.com/contents/gastrointestinal-decontamination-of-the-poisoned-patient?search=decontamination-of-poisoned-children&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

13. Fernández E. Pediatric ethanol toxicity. Medscape. 2017 Feb [citado 11 Mar 2017]. Disponible en: https://emedicine.medscape.com/article/1010220-overview

14. García Aranda JA, Gómez Chico Velasco R, Valencia Mayoral PF. Manual de Pediatría. Hospital Infantil de México Federico Gómez. México, D.F.: McGraw-Hill Interamericana; 2016.

15. Virú Loza MA. Manejo actual de las intoxicaciones agudas por inhibidores de la colinesterasa: conceptos erróneos y necesidad de guías peruanas actualizadas .An Fac Med. 2015 [citado 11 Mar 2017]; 76(4): 431-7. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1025-55832015000500015

Published

2018-04-11

How to Cite

1.
Pérez Del Toro Y, Pérez Medina Y, Fernández Villalón M, Fernández Villalón M. Some clinical and epidemiological aspects related to the exogenous intoxications in children and adolescents. MEDISAN [Internet]. 2018 Apr. 11 [cited 2025 Jun. 3];22(4). Available from: https://medisan.sld.cu/index.php/san/article/view/1647

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Section

Original Articles