Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
|
| pubmed:dateCreated |
1997-8-19
|
| pubmed:abstractText |
We reviewed the case histories of 743 children seen at our hospital from 1981 to 1990 for suspected ingestion of caustic substances. Mean patient age was 27 months; 85% of patients were less than 3 years old. The male-to-female ratio was about 2:1. About 53% of patients were from urban environments. All ingestions appear to have been accidental. Of the 743 children, 20% presented oesophageal burns (11.8% first-degree, 3.1% second-degree and 2.7% third-degree). Alkaline products were ingested about 11 times more frequently than acid products. The substance ingested was bleach in 73% of cases. The most dangerous substances were dishwasher liquids/powders (59% of ingestions led to oesophageal burn), caustic soda (55%) and drain cleaners (55%). The caustic product was not in its original container in 75% of cases. Most accidents (58%) took place in the home. We did not detect any reliable predictive relationship between the presence of symptoms and signs and of oesophageal burns. Of the 743 patients, 5% developed oesophageal stricture and 3% required oesophageal dilatation. CONCLUSION: The incidence of accidents caused by the ingestion of caustic substances can only be reduced by broad-based preventive strategies, including enforcement of safe manufacturing practices and public education programmes. Most importantly, the containers for caustic household products should be cheap, small and childproof.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
May
|
| pubmed:issn |
0340-6199
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
156
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
410-4
|
| pubmed:dateRevised |
2005-11-16
|
| pubmed:meshHeading |
pubmed-meshheading:9177989-Accidents,
pubmed-meshheading:9177989-Accidents, Home,
pubmed-meshheading:9177989-Adolescent,
pubmed-meshheading:9177989-Burns, Chemical,
pubmed-meshheading:9177989-Caustics,
pubmed-meshheading:9177989-Child,
pubmed-meshheading:9177989-Child, Preschool,
pubmed-meshheading:9177989-Child Behavior,
pubmed-meshheading:9177989-Circadian Rhythm,
pubmed-meshheading:9177989-Esophageal Stenosis,
pubmed-meshheading:9177989-Esophagus,
pubmed-meshheading:9177989-Feeding Behavior,
pubmed-meshheading:9177989-Female,
pubmed-meshheading:9177989-Household Products,
pubmed-meshheading:9177989-Humans,
pubmed-meshheading:9177989-Infant,
pubmed-meshheading:9177989-Male,
pubmed-meshheading:9177989-Product Packaging,
pubmed-meshheading:9177989-Retrospective Studies,
pubmed-meshheading:9177989-Severity of Illness Index,
pubmed-meshheading:9177989-Spain
|
| pubmed:year |
1997
|
| pubmed:articleTitle |
A retrospective analysis of ingestion of caustic substances by children. Ten-year statistics in Galicia.
|
| pubmed:affiliation |
Servicio de Cirugía Pediátrica, Complejo Hospitalario Universitario de Santiago, Santiago of Compostela, Spain.
|
| pubmed:publicationType |
Journal Article,
Review
|