| Peer-Reviewed

Epidemiological and Clinical Aspects of Acute Intoxications in Children Between 1 Month and 15 Years in the Paediatric Emergency of the UHC Gabriel Toure

Received: 14 April 2022    Accepted: 3 May 2022    Published: 12 May 2022
Views:       Downloads:
Abstract

Introduction: Defined by the WHO as all the pathological manifestations following ingestion of food or the administration of products or drugs behaving like a poison in the body, acute intoxication is a growing problem. serious in pediatrics, in developing countries because of their frequency and the difficulties of care. In Mali, poisoning in children is very poorly assessed, in part due to the lack of popularization of poison control and pharmacovigilance centers. The objective of our study is to study the epidemiological and clinical aspects of acute poisoning in children in the emergency department of the pediatric department of the Gabriel Touré University Hospital. Material and methods: We carried out a retrospective, cross-sectional and descriptive study from January 2016 to December 2018, or a period of 3 years. It concerned children from 1 month to 15 years old hospitalized in the pediatric emergency room of the Gabriel Touré University Hospital for proven acute poisoning. The data were collected by: a pre-established individual survey form, information contained in the medical files of patients after the approval of the Head of the Department. Results: During our study period, 80 children were hospitalized for acute poisoning out of a total of 5,437, a frequency of 1.47%. The sex ratio was 1.3. The 13-48-month age group accounted for 65% of cases. The patients themselves were responsible for their poisoning in 74.2% of cases. Poisoning by unspecified drugs accounted for 25% of cases. The oral route represented 92.4% of the poisoning routes. Ingestion of milk (29.9%) and oil (6.3%) were the most common actions for parents. Vomiting with 35% and respiratory distress with 35% were the most frequent manifestations. The mean hospital stay was 3.5 days (50%). In 50% of cases, death occurred within the first 24 hours. Conclusion: Poisoning remains a common occurrence in our department, mainly linked to several medicines and household products.

Published in Science Journal of Public Health (Volume 10, Issue 3)
DOI 10.11648/j.sjph.20221003.12
Page(s) 110-114
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Epidemiology, Clinical, Intoxication, Child, 1 Month - 5 Years, Mali

References
[1] Margie Peden, Kayode Oyegbite, Joan Ozanne-Smith, Adnan A Hyder et al. Organisation Mondiale de la Santé, Fonds des Nations Unies pour l’enfance sur la prévention des traumatismes chez l’enfant. Edition de l’OMS 2008; p 44-123. [World Health Organization, United Nations Children's Fund on Child Injury Prevention. WHO Edition 2008; p 44-123].
[2] Sylla M, Coulibaly Y, Dicko F T, Kourouma N et al. Intoxication aigue accidentelle chez l’enfant au service de pédiatrie de l’hôpital GT. [Accidental acute poisoning in children in the paediatric ward of the GT hospital]. Mali Médical 2006; 21 (2): 50-53.
[3] Mahdeb Nadia Sahnoune MariemBouzidi Abdelouahab et al. Etude épidémiologique des cas d’intoxication aigue traites à l’hôpital de Sétif entre janvier 2008 et avril 2012 (Est- Algerie). [Epidemiological study of acute intoxication cases treated at the hospital of Setif between January 2008 and April 2012 (East Algeria)]. European Scientific Journal 2013; 9 (3): 157 – 65.
[4] M Rkain, S El Kettani, N Rhalem, BSD Benjelloun et al. Profil épidémiologique des incidents et intoxications aigues accidentelles chez l’enfant. [Epidemiological profile of incidents and accidental acute intoxications in children]. Espérance Médicale Rabat 2011; 18 (1): p 181.
[5] Rebgui H, Hami H, Ouammi L, Hadrya F et al. Caractéristiques socio-épidémiologiques et évolutives des intoxications aiguës au maroc: cas de la région de l’oriental. [Socio-epidemiological and evolutionary characteristics of acute intoxications in Morocco: case of the Oriental region]. European Scientific Journal 2013; 9 (23): 24-37.
[6] WHO, PNUE, OIT. Lignes directrices pour la lutte contre les intoxications. [Guidelines for combating poisoning] WHO Genève 1998; p 115.
[7] Muhammad Khurram, Najia Mahmood, Nadeem Ikram. Unintentional Poisoning: Experience at a Medical Unit. Journal of Rawalpindi Medical College (JRMC) 2010; 14 (1): 46-48.
[8] Lavaud J. Intoxications aigues de l’enfant. [Acute poisoning in children] EMC – Pédiatrie 2002; p 23-412.
[9] Tidiane Diallo, Aboudoulatif Diallo, Amoudyat Ouro-Gnagba, Kodjo Agbeko Djagadou et al. Profil des intoxications aiguës au CHU-SO de Lomé (Togo). [Profile of acute intoxications at the UHC-SO of Lomé (Togo)]. Toxicologie Analytique et Clinique 2020; 32 (4): 258-265.
[10] Kouéta F, Dao L, Yé D, Fayama Z, Sawadogo A et al. Les intoxications aiguës accidentelles de l’enfant: aspects épidémiologiques, étiologiques et évolutifs au CHU pédiatrique Charles-de-Gaulle de Ouagadougou (Burkina Faso). [Accidental acute intoxications in children: epidemiological, etiological and evolutionary aspects at the Charles-de-Gaulle paediatric university hospital in Ouagadougou (Burkina Faso)]. Cah. Santé 2009; 19 (2): 55-9.
[11] Ines Maaloul, Sana Kmiha, Sourour Yaich, Kamoun Thouraya et al. Epidémiologie des accidents domestiques de l’enfant: expérience d’un Service de Pédiatrie Générale du sud tunisien. [Epidemiology of domestic accidents in children: experience of a general paediatric service in southern Tunisia]. Pan African Medical Journal 2019; 33: 108.
[12] Diallo T, Hami H, Maïga A, Mokhtari A et al. Etude de la prise en charge thérapeutique des intoxications aiguës dans la ville de Bamako au Mali de 2000 à 2010. [Study of the therapeutic management of acute intoxications in the city of Bamako in Mali from 2000 to 2010]. Antropo 2012; 26: 11-18.
[13] Ramzi Kechaou, Elaa Annabi, Fadia Touhami, Kais Garrab et al. Les intoxications aigües en réanimation pédiatrique: Étude rétrospective à l’unité de réanimation pédiatrique au CHU Farhat Hached de Sousse, Tunisie. [Acute intoxications in paediatric intensive care: Retrospective study in the paediatric intensive care unit at the Farhat Hached University Hospital in Sousse, Tunisia]. Toxicologie Analytique et Clinique 2020; 32 (4): S50-S51.
[14] Cremer R, Mathieu-Nolf M. Epidémiologie des intoxications de l’enfant. [Epidemiology of childhood poisoning]. Arch Péd. 2004; 11: 677-79.
[15] T Diallo, A Dénou, BF Coulibaly, B Dakouo et al. Epidémiologie des intoxications aiguës chez les enfants de moins de 15 ans au Mali. [Epidemiology of acute intoxications in children under 15 years old in Mali]. Antropo 2016; 35: 103-110.
[16] Woo JH, Ryoo E. Poisoning in Korean Children and Adolescents. Pediatric Gastroenterology, Hepatology & Nutrition 2103; 16 (4): 233-9.
[17] M H Aké-Assi, A M Timité-Konan, L Y Adonis-Koffy, E S Ehua-Amangoua et al. Enquête CAP sur les intoxications accidentelles aiguës de l’enfant à Yopougon (Abidjan, Côte d’Ivoire). [CAP survey on acute accidental poisoning in children in Yopougon (Abidjan, Ivory Coast)]. Bull Soc Pathol Exot 2002; 95 (1): 45-46.
[18] Doumbia M Z. Les aspects épidémiologiques et cliniques des intoxications aiguës au service des urgences de l’HGT à propos de 250 cas [Thèse méd]. [Epidemiological and clinical aspects of acute intoxications in the emergency department of the HGT about 250 cases [Thesis med]]. Bamako: FMPOS; 2006. 103p.
[19] K R Cessouma, S Gandema, N N Maiga, SA Kissou et al. Les intoxications aiguës accidentelles de l’enfant au Centre Hospitalier Universitaire Sourô Sanou de Bobo-Dioulasso, Burkina Faso. Research fr 2017; 4: 411.
Cite This Article
  • APA Style

    Dembele Adama, Cisse Mohamed Elmouloud, Doumbia Abdoul Karim, Maiga Belco, Maiga Fatoumata, et al. (2022). Epidemiological and Clinical Aspects of Acute Intoxications in Children Between 1 Month and 15 Years in the Paediatric Emergency of the UHC Gabriel Toure. Science Journal of Public Health, 10(3), 110-114. https://doi.org/10.11648/j.sjph.20221003.12

    Copy | Download

    ACS Style

    Dembele Adama; Cisse Mohamed Elmouloud; Doumbia Abdoul Karim; Maiga Belco; Maiga Fatoumata, et al. Epidemiological and Clinical Aspects of Acute Intoxications in Children Between 1 Month and 15 Years in the Paediatric Emergency of the UHC Gabriel Toure. Sci. J. Public Health 2022, 10(3), 110-114. doi: 10.11648/j.sjph.20221003.12

    Copy | Download

    AMA Style

    Dembele Adama, Cisse Mohamed Elmouloud, Doumbia Abdoul Karim, Maiga Belco, Maiga Fatoumata, et al. Epidemiological and Clinical Aspects of Acute Intoxications in Children Between 1 Month and 15 Years in the Paediatric Emergency of the UHC Gabriel Toure. Sci J Public Health. 2022;10(3):110-114. doi: 10.11648/j.sjph.20221003.12

    Copy | Download

  • @article{10.11648/j.sjph.20221003.12,
      author = {Dembele Adama and Cisse Mohamed Elmouloud and Doumbia Abdoul Karim and Maiga Belco and Maiga Fatoumata and Sacko Karamoko and Coulibaly Oumar and Togo Pierre and Konate Djeneba and Diall Hawa Gouro and Sidibe Lala Ndrainy and Coulibaly Yacouba Aba and Diakite Fatoumata Leonie and Kone Younoussa Dembele Guediouma and Kone Oumou and Ahamadou Ibrahim and Traore Kalirou and Konare Awa and Diakite Abdoul Aziz and Togo Boubacar},
      title = {Epidemiological and Clinical Aspects of Acute Intoxications in Children Between 1 Month and 15 Years in the Paediatric Emergency of the UHC Gabriel Toure},
      journal = {Science Journal of Public Health},
      volume = {10},
      number = {3},
      pages = {110-114},
      doi = {10.11648/j.sjph.20221003.12},
      url = {https://doi.org/10.11648/j.sjph.20221003.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20221003.12},
      abstract = {Introduction: Defined by the WHO as all the pathological manifestations following ingestion of food or the administration of products or drugs behaving like a poison in the body, acute intoxication is a growing problem. serious in pediatrics, in developing countries because of their frequency and the difficulties of care. In Mali, poisoning in children is very poorly assessed, in part due to the lack of popularization of poison control and pharmacovigilance centers. The objective of our study is to study the epidemiological and clinical aspects of acute poisoning in children in the emergency department of the pediatric department of the Gabriel Touré University Hospital. Material and methods: We carried out a retrospective, cross-sectional and descriptive study from January 2016 to December 2018, or a period of 3 years. It concerned children from 1 month to 15 years old hospitalized in the pediatric emergency room of the Gabriel Touré University Hospital for proven acute poisoning. The data were collected by: a pre-established individual survey form, information contained in the medical files of patients after the approval of the Head of the Department. Results: During our study period, 80 children were hospitalized for acute poisoning out of a total of 5,437, a frequency of 1.47%. The sex ratio was 1.3. The 13-48-month age group accounted for 65% of cases. The patients themselves were responsible for their poisoning in 74.2% of cases. Poisoning by unspecified drugs accounted for 25% of cases. The oral route represented 92.4% of the poisoning routes. Ingestion of milk (29.9%) and oil (6.3%) were the most common actions for parents. Vomiting with 35% and respiratory distress with 35% were the most frequent manifestations. The mean hospital stay was 3.5 days (50%). In 50% of cases, death occurred within the first 24 hours. Conclusion: Poisoning remains a common occurrence in our department, mainly linked to several medicines and household products.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Epidemiological and Clinical Aspects of Acute Intoxications in Children Between 1 Month and 15 Years in the Paediatric Emergency of the UHC Gabriel Toure
    AU  - Dembele Adama
    AU  - Cisse Mohamed Elmouloud
    AU  - Doumbia Abdoul Karim
    AU  - Maiga Belco
    AU  - Maiga Fatoumata
    AU  - Sacko Karamoko
    AU  - Coulibaly Oumar
    AU  - Togo Pierre
    AU  - Konate Djeneba
    AU  - Diall Hawa Gouro
    AU  - Sidibe Lala Ndrainy
    AU  - Coulibaly Yacouba Aba
    AU  - Diakite Fatoumata Leonie
    AU  - Kone Younoussa Dembele Guediouma
    AU  - Kone Oumou
    AU  - Ahamadou Ibrahim
    AU  - Traore Kalirou
    AU  - Konare Awa
    AU  - Diakite Abdoul Aziz
    AU  - Togo Boubacar
    Y1  - 2022/05/12
    PY  - 2022
    N1  - https://doi.org/10.11648/j.sjph.20221003.12
    DO  - 10.11648/j.sjph.20221003.12
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 110
    EP  - 114
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20221003.12
    AB  - Introduction: Defined by the WHO as all the pathological manifestations following ingestion of food or the administration of products or drugs behaving like a poison in the body, acute intoxication is a growing problem. serious in pediatrics, in developing countries because of their frequency and the difficulties of care. In Mali, poisoning in children is very poorly assessed, in part due to the lack of popularization of poison control and pharmacovigilance centers. The objective of our study is to study the epidemiological and clinical aspects of acute poisoning in children in the emergency department of the pediatric department of the Gabriel Touré University Hospital. Material and methods: We carried out a retrospective, cross-sectional and descriptive study from January 2016 to December 2018, or a period of 3 years. It concerned children from 1 month to 15 years old hospitalized in the pediatric emergency room of the Gabriel Touré University Hospital for proven acute poisoning. The data were collected by: a pre-established individual survey form, information contained in the medical files of patients after the approval of the Head of the Department. Results: During our study period, 80 children were hospitalized for acute poisoning out of a total of 5,437, a frequency of 1.47%. The sex ratio was 1.3. The 13-48-month age group accounted for 65% of cases. The patients themselves were responsible for their poisoning in 74.2% of cases. Poisoning by unspecified drugs accounted for 25% of cases. The oral route represented 92.4% of the poisoning routes. Ingestion of milk (29.9%) and oil (6.3%) were the most common actions for parents. Vomiting with 35% and respiratory distress with 35% were the most frequent manifestations. The mean hospital stay was 3.5 days (50%). In 50% of cases, death occurred within the first 24 hours. Conclusion: Poisoning remains a common occurrence in our department, mainly linked to several medicines and household products.
    VL  - 10
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Department of Paediatrics, Gabriel Toure University Hospital, Bamako, Mali

  • Sections