TY  - JOUR
PY  - 2007//
TI  - Universal versus Selective Iron Supplementation for Infants and the Risk of Unintentional Poisoning in Young Children: A Comparative Study of Two Populations
JO  - Annals of pharmacotherapy
A1  - Finkelstein, Y.
A1  - Wahl, Michael S.
A1  - Bentur, Yedidia
A1  - Schechter, Tal
A1  - Garty, B. Z.
A1  - Erickson, T. B.
A1  - Chodick, Gabriel
A1  - Cahana, Alfred
A1  - Mounstephen, Bill J.
A1  - Koren, G.
A1  - Aks, Steven E.
SP  - 414
EP  - 419
VL  - 41
IS  - 3
N2  - BACKGROUND: Iron continues to be a common cause of poisoning in young children, in part due to its widespread use and easy accessibility. OBJECTIVE: To determine differences in the epidemiology and outcome of unintentional iron ingestion by young children in populations practicing selective (eg, US) versus universal (eg, Israel) iron supplementation to infants. METHODS: All cases of unintentional iron ingestion in children younger than 7 years in a one year period were identified through the poison control center databases of 2 sites (Illinois and Israel). Parameters compared include patient sex and age; type, form, and dose of iron preparation; circumstances and clinical manifestations; management; and outcome. RESULTS: A total of 602 children were identified: 459 in Illinois and 143 in Israel. The majority of Illinois children ingested multivitamin preparations (94%), whereas Israeli children ingested single-ingredient iron preparations (78%) (p < 0.001). Iron doses ingested were higher in Israel (median 14.5 vs 6.6 mg/kg; p < 0.001) but remained within the nontoxic range for most children. No deaths or severe poisonings were reported, and 93% of children in both groups were asymptomatic. The majority of ingestions in both locations were due to unintentional self-ingestion. However, parental miscalculation occurred more frequently in Israel (16%) than in Illinois (1%). CONCLUSIONS: Universal iron supplementation to infants was not associated with a negative impact on the outcome of pediatric unintentional ingestions. Low-dose exposures were safely managed by on-site observation.<p />  <p>Language: en</p>
LA  - en
SN  - 1060-0280
UR  - http://dx.doi.org/10.1345/aph.1H346
ID  - ref1
ER  -