Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
권호 표지
DOI QR코드

DOI QR Code

Clinical aspects of injury and acute poisoning in Korean pediatric patients

소아의 응급질환 - 우리나라 소아 및 청소년의 손상과 급성 중독을 중심으로 -

  • Lee, Mi Jin (Department of Emergency Medicine, College of Medicine, Konyang University) ;
  • Park, Joon Seok (The Academic committee of the Korean Society of Clinical Toxicology)
  • 이미진 (건양대학교 의과대학 응급의학교실) ;
  • 박준석 (대한임상독성학회 학술위원회)
  • Received : 2007.12.28
  • Accepted : 2008.01.15
  • Published : 2008.02.15
Download PDF
⟨ Previous Next ⟩

Abstract

Unintentional injuries are the most important cause of morbidity and mortality in the pediatric population, and the home is the most common site of injury for children in Korea. The most common cause of injury was slip down. Fall down and burn were frequent in infant/toddlers group, automobile and bicycle accident more frequent in preschool children. Findings from the survey could then be used to provide targets for direct educational efforts by medical services and to direct environmental safety modifications tailored to the unique situation of each family. Pediatric toxic ingestions are treated commonly by pediatricians and emergency physicians. Significant injury after these ingestions is infrequent, but identifying the dangerous ingestion is sometimes a difficult task. By performing a detailed history, focused physical examination, and directed laboratory evaluation, an estimation of risk can be developed. According to recent Korean poison papers, there were bimodal peak of age distribution in poisoned children patient on the whole: infant and adolescents group. Various types of materials belonged the classes of drugs, household products, and industrial solvents. Most of the poisoned children patients had been poisoned accidentally, while most cases of adolescents poisoning had been intentional. More than half of the adolescents group had a suicidal purpose in Korea, so an understanding of the demographic factors associated with self-harm poisoning may provide useful information to improve prevention and treatment strategies.

Keywords

References

  1. Nagaraja J, Menkedick J, Phelan KJ, Ashley P, Zhang X, Lanphear BP. Deaths from residential injuries in US children and adolescents, 1985-1997. Pediatrics 2005;116:454-61 https://doi.org/10.1542/peds.2004-1415
  2. Mace SE, Gerardi MJ, Dietrich AM, Knazik SR, Mulligan-Smith D, Sweeney RL, et al. Injury prevention and control in children. Ann Emerg Med 2001;38:405-14 https://doi.org/10.1067/mem.2001.115882
  3. Injury Surveillance System. Available at http://injury.cdc.go.kr. Accessed Jan 2. 2008
  4. Park JO. The effect of an age and the socioeconomic status on the death from the injury in children(dissertation). Seoul: Seoul National University, 2004
  5. Lee CH, Choi GD, Han HS, Hwang HH. The clinical studies on acute poisoning of infants and chilren visited the emergency room in rural area. J Korean Acad Fam Med 1991;12:40-6
  6. Shudy M, de Almeida ML, Ly S, Landon C, Groft S, Jenkins TL, Nicholson CE. Impact of pediatric critical illness and injury on families: a systematic literature review. Pediatrics 2006;118 Suppl 3:S203-18 https://doi.org/10.1542/peds.2006-0951B
  7. Hawkins ER, Brice JH, Overby BA. Welcome to the world: findings from an emergency medical services pediatric injury prevention program. Pediatr Emerg Care 2007;23:790-5 https://doi.org/10.1097/PEC.0b013e318159ffd9
  8. Park BS. Characters of death in Korean children (dissertation). Seoul: Seoul National University, 1994
  9. Ahn KO, Kim JE, Jang HY, Jung KY. ICECI based external causes analysis of severe pediatric injury. J Korean Soc Traumatol 2006;19:1-7
  10. Kong HP, Park KB, Lee OK, Park KS. The statistical study of patient with acute poisoning. J Korean Pediatr Soc 1997;40:1596-602
  11. Suh JH, Eo EK. The differences of clinical aspects in children and adolesents poisoning. J Korean Soc Clin Toxicol 2006;4:17-24
  12. Prosser JM, Perrone J, Pines JM. The epidemiology of intentional non-fatal self-harm poisoning in the United States:2001-2004. J Med Toxicol 2007;3:20-4 https://doi.org/10.1007/BF03161034
  13. Litovitz TL, Klein-Schwartz W, Rodgers GC Jr, Cobaugh DJ, Youniss J, Omslaer JC, May ME, Woolf AD, Benson BE. 2001 Annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 2002;20:391-452 https://doi.org/10.1053/ajem.2002.34955
  14. Park CS, Eun SH, Yang MH, Son JA, Hwang JY, Ko JW, et al. A study of acute poisoning in Korean children. J Korean Pediatr Soc 2001;44:614-9
  15. Koo SM, Lee KS. A clinical study on acute poisoning in children. Kyungpook Univ Med J 1983;24:413-48
  16. Eum JP, Suh JS, Kim HM. Clinical analysis of acute intoxication and foreign body ingestion in Wonju: comparison between the 1990s and the 2000s. Korean J Pediatr 2007;50:138-42 https://doi.org/10.3345/kjp.2007.50.2.138
  17. Shannon M. Ingestion of toxic substances by children. N Eng J Med 2000;20:186-91
  18. Madden MA. Pediatric poisonings: recognition, assessment, and management. Crit Care Nurs Clin North Am 2005;17:395-404 https://doi.org/10.1016/j.ccell.2005.07.004
  19. Eldridge DL, Van Eyk J, Kornegay C. Pediatric toxicology. Emerg Med Clin North Am 2007 ;25:283-308 https://doi.org/10.1016/j.emc.2007.02.011
  20. Criddle LM. An overview of pediatric poisonings. AACN Adv Crit Care 2007;18:109-18
  21. Tenenbein M. Recent advancements in pediatric toxicology. Pediatr Clin North Am 1999;46:1179-88 https://doi.org/10.1016/S0031-3955(05)70181-4
  22. Lapus RM. Activated charcoal for pediatric poisonings: the universal antidote? Curr Opin Pediatr 2007;19:216-22 https://doi.org/10.1097/MOP.0b013e32801da2a9
  23. Vale JA, Kulig K. American Academy of Clinical Toxicology; European Association of Poisons Centres and Clinical Toxicologists. Position paper: gastric lavage. J Toxicol Clin Toxicol 2004;42:933-43 https://doi.org/10.1081/CLT-200045006
  24. Yildiz TS, Toprak DG, Arisoy ES, Solak M, Toker K. Continuous venovenous hemodiafiltration to treat controlled-release carbamazepine overdose in a pediatric patient. Paediatr Anaesth 200616:1176-8
  25. Dnmez O, Cetinkaya M, Canbek R. Hemoperfusion in a child with amitriptyline intoxication. Pediatr Nephrol 2005;20:105-7 https://doi.org/10.1007/s00467-004-1654-2
  26. Audet PR, Cupit GC, Norman M, Morrison G. Resin hemoperfusion for chloramphenicol intoxication. Int J Pediatr Nephrol 1986;7:51-4
  27. Bayrakci B, Unal S, Erkocoglu M, Gungor HY, Aksu S. Case reports of successful therapeutic plasma exchange in severe amitriptyline poisoning. Ther Apher Dial 2007;11:452-4 https://doi.org/10.1111/j.1744-9987.2007.00527.x
  28. Kolcz J, Pietrzyk J, Januszewska K, Procelewska M, Mroczek T, Malec E. Extracorporeal life support in severe propranolol and verapamil intoxication. J Intensive Care Med 2007;22:381-5 https://doi.org/10.1177/0885066607307528
  29. Barry JD. Diagnosis and management of the poisoned child. Pediatr Ann 2005;34:937-46 https://doi.org/10.3928/0090-4481-20051201-09
  30. Chun YJ. Path model for the family and school environment affecting adolescent suicidal ideation mediated by depression. J Korean Home Econom Assoc 2001;39:151-67
  31. Ra HJ, Park GS, Do HJ, Choi JK, Joe HG, Kweon HJ, et al. Factors influencing the impulse of suicide in adolescence. Korean Acad Fam Med 2006;27:988-97

Cited by

  1. Acute Pesticide Poisoning among Children in South Korea: Findings from National Health Insurance Claims Data, 2006–2009 vol.60, pp.1, 2014, https://doi.org/10.1093/tropej/fmt067
  2. Analysis of Death due to Poisoning in Gwangju and Jeollanam-do Areas vol.40, pp.3, 2008, https://doi.org/10.7580/kjlm.2016.40.3.72
  3. Age group characteristics of children who visited the emergency department with acute poisoning by ingestion vol.5, pp.1, 2008, https://doi.org/10.22470/pemj.2018.00206
  4. 소아응급의료센터에 내원한 중독 환자의 입원 결정과 관련 있는 요인 분석 vol.16, pp.1, 2008, https://doi.org/10.22537/jksct.16.1.15
  5. Characteristics of poisoning in younger children according to different forms of the drugs vol.6, pp.2, 2008, https://doi.org/10.22470/pemj.2019.00108
  6. Clinical features of adolescents with suicide attempt and the factors associated with their outcomes: poisoning versus non-poisoning vol.7, pp.2, 2008, https://doi.org/10.22470/pemj.2020.00066
  7. Clinical features of adolescents with suicide attempt and the factors associated with their outcomes: poisoning versus non-poisoning vol.7, pp.2, 2008, https://doi.org/10.22470/pemj.2020.00066