@article{ref1,
title="Epidemiology of acute pediatric poisonings in Spain: a prospective multicenter study from the Spanish Society of Pediatric Emergency Medicine",
journal="European journal of emergency medicine",
year="2019",
author="Santiago, Paula and Bilbao, Nerea and Martinez-Indart, Lorea and Mintegi, Santiago and Azkunaga, Beatriz",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To identify types of childhood poisoning exposures leading to consultation to emergency departments (ED) in Spain. <br><br>METHODS: We carried out a multicenter prospective registry-based cohort study including children with acute poisonings presenting to 55 pediatric EDs of the Spanish Society of Pediatric Emergency Medicine between 2008 and 2017, during previously designated certain days. <br><br>RESULTS: During the study period, we registered 749 803 pediatric ED presentations, of which 1749 were for poisonings (0.23%). Most commonly involved toxicants were therapeutic drugs (845, 48.3%) household products (387, 22.1%), ethanol (168, 9.6%), cosmetics (88, 5%) and CO (73, 4.2%). We identified five types of poisoning presentations. Two types occurring at home involving young children accounted for 1368 episodes (78.2%): non-intentional ingestions and dosage error of therapeutic drugs (791, 45.2%), and non-intentional ingestions of household products and cosmetics (577, 33%). Most commonly involved toxicants were benzodiazepines and detergents in each group. The remaining three groups required more interventions in the ED and had a lower rate of outpatient management: intentional ingestion of therapeutic drugs (105, 6%, frequently suicide attempts, mainly with benzodiazepines or combinations of therapeutic drugs), non-intentional inhalation of CO (76, 4.3%) and recreational ingestion of ethanol or use of illicit drugs (200, 11.4%). The distribution of these groups showed differences related to sex, domestic habits of storage of toxicants, symptoms, management in the ED and patient disposition. <br><br>CONCLUSION: We identified five different types of childhood poisoning presentations to Spanish EDs. Best practices need to be identified for prevention of these episodes. European Journal of Emergency Medicine XXX: 000-000 Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0969-9546",
doi="10.1097/MEJ.0000000000000661",
url="http://dx.doi.org/10.1097/MEJ.0000000000000661"
}