A study of accidental ingestion of hydrocarbons in children in a medical college hospital in central Kerala
Abstract
Background: The accidental ingestion of various chemicals especially the hydrocarbons are seen worldwide in the paediatric population. Inspite of all awareness programmes in the community hydrocarbons especially petrol, diesel, turpentine and kerosene are always in the reach of children. The side effects and clinical spectrum is alarming after ingestion. So it is vital to prevent hydrocarbon ingestion.
Objective: To understand the clinical profile of accidental ingestion of hydrocarbons (AIH) in children, assess the radiological changes and treatment.
Materials and Methods: The retrospective study was conducted analysing the hospital records of children hospitalized between January 1st 2010 and December 31st 2015 with accidental poisoning due to various causes in the paediatric intensive care unit (PICU) with special reference to AIH. A standard proforma included age, sex of the children, types of poisoning agents including hydrocarbons (HC), clinical presentations and treatment given.
Results: In the PICU out of a total of 5806 patients admitted, 401 (6.9%) were due to acute poisoning. Among them AIH was noted in 118 (29.4%) patients. These children were admitted initially in the PICU stabilized and there was no mortality following AIH during the period of study.
Conclusion: AIH is a common cause of poisoning in children. The main reason is the easy availability in the house itself due to various reasons. The morbidity and mortality can be prevented by education of the society especially the care takers of the children in the community.
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