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Amaç: Bu çalışmada Selçuk Üniversitesi Meram Tıp Fakültesi ÇocukAcil Servisi'ne başvuran zehirlenme olgularının epidemiyolojik ve demografik özelliklerinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmaya 1 ay-18 yaşları arası zehirlenme ile başvuran hastalar alındı. Hastaların tıbbi verileri geriye dönük olarak incelendi. Yaş, cinsiyet, alım zamanı, alınan etken madde, zehirlenme nedeni, mevsimsel dağılımı, klinik bulguları, tedavileri değerlendirildi. Bulgular: Beş yıllık dönemde çocuk acil servisine başvuran 1027 hasta vardı; bu süre içinde zehirlenme olguları tüm başvuruların %1,66’sını oluşturmuştu. Hastaneye yatırılarak takip edilen 513 zehirlenme olgusu çalışmaya alındı. Hastaların ortalama yaşları 7,8±5,6 yıl (5 ay-17 yıl) olan, 294 (%57,3)’ü kız, 219 (%42,7)’u erkek idi. Hastaların %86'sında tek ilaç zehirlenmesi tespit edildi. Zehirlenmelerin %64,5'i kaza sonucu ve%35,5'i öz kıyım amaçlı idi. Kaza sonucu zehirlenmeler 2-6 yaş grubunda en yaygın neden iken, öz kıyım amaçlı zehirlenmeler en sık 10-17 yaş grubunda görüldü. Öz kıyım amaçlı zehirlenmelerde kızların oranı belirgin şekilde yüksekti. En sık zehirlenme nedeni ilaç¬lar (%70,2) olup, en sık ilaç grubu amiritiptilin grubu trisiklik antidepresanlardı (%42,2). İkinci en yaygın etken farmakolojik olmayan ajanlardı ve bunların çoğunu insektisid ve organofosfatlar oluşturdu. Başvuru anında hastaların %71,7'i semptomatikti. En sık görülen semptom letarji (%34) idi. Hastaların %77’sine mide yıkama ve aktif kömür, %35,7’sine mide yıkama, %11,1’ine alkali diürez, %9,7’sine antidot tedavisi uygulandı. Hastanede kalış süresi ortanca 2 gün (1-10 gün) idi. Hastaların %50,9'u yoğun bakım ünitesinde takip edildi. Mortalite oranı %0,5 idi. Sonuç: İlaçlar ve organofosfat/insektisid zehirlenmeleri bölgemizde en sık görülen zehirlenme etkenleri idi. Önleyici tedbirlerin alınması, kamu ve sağlık personelini eğitilmesi açısından her bölgenin kendi zehirlenme özelliklerini belirlemesinin önemli olduğunu düşünüyoruz.
Aim: In this study, it is aimed to investigate the epidemiological and demographic characteristics of poisoning cases admitted to Selçuk University Meram Medical Faculty Pediatric Emergency Department. Methods: Patients with intoxication who applied to the emergency department between January 2001 and December 2005 were evaluated retrospectively. Patients were analyzed for in terms of age, sex, time of occurrence, received active substances, cause of poisoning, ways of taking, seasonal distribution of poisoning, symptoms at admission to the hospital, and treatment methods. Results: There were 1027 intoxication patients which consisted of 1.66% of all cases who were applied to the pediatric emergency department during the five-year period. Among these patients, 513 patients who hospitalized and followed were enrolled in the study. 294 (57.3%) were girls, 219 (42.7%) were boys and average age was 7.8±5.6 years (5 months to 17 years). In 86% of cases, single-drug poisoning was detected. 64.5 percent of poisoning were accidental and 35.5 percent were suicidal. While the poisoning caused by the accident was most common in the 2-6 years of age group, poisoning for the purpose of suicide was mostly seen in the 10-17 years of age group. In cases of suicidal poisoning, the proportion of girls was significantly higher. The most frequent (70.2%) causes of poisoning were drugs and the most common active ingredient was amitriptyline (42.2%). The second most common agents were non-pharmacological agents (29. 8%) and most of them were insecticides and organophosphates. At the time of admission, 71.7% of the patients were symptomatic and the most common symptom was lethargy (34%). Gastric lavage and activated carbon therapy were applied in 77% of patients, gastric lavage in 35.7%, alkaline diuresis in 11.1%, and specific antidote treatment in 9.7%. The length of the hospital stay was changed between 1-10 days, the median time was 2 days. 50% of the patients were treated in pediatric intensive care. The mortality rate was 0.5%. Conclusion: Drugs and organophosphate poisoning were found to be the most common poisoning agents in our region. We think it is important for each region to determine the poisoning characteristics in order to take preventive measures and educate the public and health personnel.
Aim: In this study, it is aimed to investigate the epidemiological and demographic characteristics of poisoning cases admitted to Selçuk University Meram Medical Faculty Pediatric Emergency Department. Methods: Patients with intoxication who applied to the emergency department between January 2001 and December 2005 were evaluated retrospectively. Patients were analyzed for in terms of age, sex, time of occurrence, received active substances, cause of poisoning, ways of taking, seasonal distribution of poisoning, symptoms at admission to the hospital, and treatment methods. Results: There were 1027 intoxication patients which consisted of 1.66 % of all cases who were applied to the pediatric emergency department during five year- period. Among these patients, 513 patients who hospitalized and followed were enrolled in the study. 294 (57.3%) were girls, 219 (42.7%) were boys and mean age was 7.8±5.6 years (5 months to 17 years). In 86% of cases, single-drug poisoning was detected. 64.5 % of poisoning were accidental and 35.5 % were suicidal. While the poisoning caused by the accident was most common in the 2-6 years of age group, poisoning for the purpose of suicide was mostly seen in the 10-17 years of age group. In cases of suicidal poisoning, the proportion of girls was significantly higher. The most frequent (70.2%) causes of poisoning were drugs and the most common active ingredient was amitriptyline (42.2%). The second most common agents were non-pharmacological agents (29.8%) and most of them were insecticide and organophosphates. At the time of admission, 71.7% of the patients were symptomatic and the most common symptom was lethargy(34%). Gastric lavage and activated carbon therapy were applied in 77% of patients, gastric lavage in 35.7%, alkaline diuresis in 11.1%, and specific antidote treatment in 9.7%. The length of the hospital stay was changed between 1-10 days, the median time was 2 days. 50% of the patients were treated in pediatric intensive care. The mortality rate was 0.5%. Conclusion: Drugs and organophosphate poisoning were found to be the most common poisoning agents in our region. We think that it is important for each region to determine the poisoning characteristics in order to take preventive measures and educate the public and health personnel.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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