4 research outputs found
Acute poisoning in children
Uvod. Otrovanja ili intoksikacije patoloÅ”ka su stanja koja nastaju kao posljedica djelovanja otrovnih tvari na organizam. Visoka incidencija sluÄajnih otrovanja u djeÄjoj dobi najÄeÅ”Äa je kod djece izmeÄu dvije i pet godina starosti. Cilj ovog istraživanja bio je utvrditi uÄestalost otrovanja, Äimbenike rizika i sredstvo akutnog otrovanja kod djece.
Materijali i metode. Retrospektivna studija bolniÄke dokumentacije Pedijatrijske jedinice intenzivnog lijeÄenja, KliniÄkog bolniÄkog centra Osijek za razdoblje 2008-2012. godine. U studiju su ukljuÄena sva djeca od 0-19 godina starosne dobi rasporeÄena u pet grupa: 0-12 mjeseci, 1-4 godine, 5-9 godine, 10-14 godine, 15-19 godine. Sva djeca bolniÄki su lijeÄena pod medicinskom dijagnozom akutnog otrovanja.
Rezultati. Od 1846 bolniÄki lijeÄene djece, 367 je bolniÄki lijeÄeno zbog akutnog otrovanja. MuÅ”ki spol zastupljen je sa 50,7% sluÄajeva akutnog otrovanja. Kod akutnog otrovanja lijekovima ženski spol zastupljen je sa 51,6% sluÄajeva kao i u grupi pokuÅ”aja suicida sa 55,5%. SluÄajna otrovanja najÄeÅ”Äa su u dobi od 1-4 godine života 64,9% a najÄeÅ”Äa sredstva otrovanja su lijekovi 74% i sredstva u domaÄinstvu 24,1%. Alkohol sa 64,7% najÄeÅ”Äe je sredstvo otrovanja u dobi od 15-19 godine starosti kao i 71,2% sluÄajeva u istoj dobnoj skupini s obzirom na namjeru otrovanja. Namjernih otrovanja znaÄajno je viÅ”e kod obitelji u kojima su oba roditelja nezaposlena. NajÄeÅ”Äa vrsta otrova kojom se dijete namjerno otrovalo je alkohol u 40,3% i lijekovi u 35,4% sluÄajeva. Od ukupnog broja otrovane djece namjerno se otrovalo 62,4%, a 91,3% otrovalo se samostalno bez utjecaja drugih osoba. NaÄin ulaska otrovne tvari u organizam je kod 92,2% djece putem usta.
ZakljuÄak. Akutno otrovano dijete je Äesto pacijent bolniÄkih pedijatrijskih odjela. S obzirom na raznolikost sredstava otrovanja u djece logiÄno proizlazi da je ono svaki puta ponovni problem za cjelokupnu zajednicu u okruženju djeteta. UnatoÄ smanjenju incidencije otrovanja kod djece nakon odreÄenih intervencija, sluÄajevi otrovanja joÅ” uvijek pridonose znaÄajnom udjelu djeÄjih ozljeda.Introduction. Poisonings or intoxications are pathological conditions that occur as a result of the activity of toxic substances in the body. The high incidence of accidental poisonings in children is most common in children between two and five years of age. The aim of this study was to determine the incidence of poisoning, risk factors and means of acute poisoning in children.
Materials and methods. A retrospective study of hospital records of the Pediatric Intensive Care Unit, University Hospital Center Osijek for the period between 2008 till 2012. The study included all children from 0-19 years of age classified into five groups: 0-12 months, 1-4 years, 5-9 years, 10-14 years, 15-19 years. All children were hospitalized under the medical diagnosis of acute poisoning.
Results. Out of 1846 hospitalized children, 367 were hospitalized due to acute poisoning. Male gender is represented with 50.7% of cases of acute poisoning. In acute drug poisoning the female gender is represented with 51.6% of the cases, as well as in the group of suicide attempts with 55.5%. Accidental poisonings are most common between the ages of 1-4 years of life (64.9%), and the most common poisoning agents are drugs (74%), and household products (24.1%). Alcohol is with its 64.7% the most common poisoning agent at 15-19 years of age, as well as with 71.2% of the cases in the same age group with the intention of poisoning. Intentional poisoning was significantly higher in families in which both parents are unemployed. The most common type of poison the child used to deliberately poison itself was alcohol in 40.3%, and drugs in 35.4% of the cases. Of the total number of poisoned children 62.4% were poisoned deliberately, and 91.3% poisoned themselves single-handedly without the influence of other people. The way through which the toxic substances enter the body was through the mouth in 92.2% of cases.
Conclusion. Acutely poisoned child is often a patient of the pediatric unit. Given the diversity of possible poisoning agents in children, the logical conclusion is that it is a recurring problem for the entire community of the child. Despite of the reduction in the incidence of poisoning in children after certain interventions, the cases of poisoning are still large contributors when it comes to children's injuries
Intoksikacije u djeÄjoj dobi
Otrovanja ili intoksikacije u djeÄjoj dobi patoloÅ”ka su stanja nastala kao posljedice djelovanja otrovnih tvari na organizam. EtioloÅ”ki intoksikacije se dijele na sluÄaj- ne, suicidalne i kriminalne. Mogu nastati kao posljedica akutne, subakutne ili kroniÄne izloženosti otrovnoj tvari. U djeÄjoj su dobi 85 ā 95% otrovanja uzrokovana peroralnim unosom Å”tetne tvari. Osnovni postupci lijeÄenja akutno otrovanog djeteta su metode prve pomoÄi, reanimacija, simptomatsko i detoksikacijsko lijeÄenje. Nakon provedenih detoksikacijskih mjera lijeÄenja, medicinska sestra kontinuirano prati dijete kroz 24 sata, uoÄava i bilježi promjene fizioloÅ”kih funkcija organizma. Ona mora biti osposobljena za procjenjivanje i utvrÄivanje o uporabi metoda i postupaka za provoÄenjem zdravstvene njege, te za planiranje, provoÄenje i evaluiranje kvalitete i kvantitete provedenih metoda i postupaka zdravstvene njege. Za ispravnu uporabu metoda i postupaka zdravstvene njege potrebita je uporaba individua- liziranih planova zdravstvene njege
Acute poisoning in children
Uvod. Otrovanja ili intoksikacije patoloÅ”ka su stanja koja nastaju kao posljedica djelovanja otrovnih tvari na organizam. Visoka incidencija sluÄajnih otrovanja u djeÄjoj dobi najÄeÅ”Äa je kod djece izmeÄu dvije i pet godina starosti. Cilj ovog istraživanja bio je utvrditi uÄestalost otrovanja, Äimbenike rizika i sredstvo akutnog otrovanja kod djece.
Materijali i metode. Retrospektivna studija bolniÄke dokumentacije Pedijatrijske jedinice intenzivnog lijeÄenja, KliniÄkog bolniÄkog centra Osijek za razdoblje 2008-2012. godine. U studiju su ukljuÄena sva djeca od 0-19 godina starosne dobi rasporeÄena u pet grupa: 0-12 mjeseci, 1-4 godine, 5-9 godine, 10-14 godine, 15-19 godine. Sva djeca bolniÄki su lijeÄena pod medicinskom dijagnozom akutnog otrovanja.
Rezultati. Od 1846 bolniÄki lijeÄene djece, 367 je bolniÄki lijeÄeno zbog akutnog otrovanja. MuÅ”ki spol zastupljen je sa 50,7% sluÄajeva akutnog otrovanja. Kod akutnog otrovanja lijekovima ženski spol zastupljen je sa 51,6% sluÄajeva kao i u grupi pokuÅ”aja suicida sa 55,5%. SluÄajna otrovanja najÄeÅ”Äa su u dobi od 1-4 godine života 64,9% a najÄeÅ”Äa sredstva otrovanja su lijekovi 74% i sredstva u domaÄinstvu 24,1%. Alkohol sa 64,7% najÄeÅ”Äe je sredstvo otrovanja u dobi od 15-19 godine starosti kao i 71,2% sluÄajeva u istoj dobnoj skupini s obzirom na namjeru otrovanja. Namjernih otrovanja znaÄajno je viÅ”e kod obitelji u kojima su oba roditelja nezaposlena. NajÄeÅ”Äa vrsta otrova kojom se dijete namjerno otrovalo je alkohol u 40,3% i lijekovi u 35,4% sluÄajeva. Od ukupnog broja otrovane djece namjerno se otrovalo 62,4%, a 91,3% otrovalo se samostalno bez utjecaja drugih osoba. NaÄin ulaska otrovne tvari u organizam je kod 92,2% djece putem usta.
ZakljuÄak. Akutno otrovano dijete je Äesto pacijent bolniÄkih pedijatrijskih odjela. S obzirom na raznolikost sredstava otrovanja u djece logiÄno proizlazi da je ono svaki puta ponovni problem za cjelokupnu zajednicu u okruženju djeteta. UnatoÄ smanjenju incidencije otrovanja kod djece nakon odreÄenih intervencija, sluÄajevi otrovanja joÅ” uvijek pridonose znaÄajnom udjelu djeÄjih ozljeda.Introduction. Poisonings or intoxications are pathological conditions that occur as a result of the activity of toxic substances in the body. The high incidence of accidental poisonings in children is most common in children between two and five years of age. The aim of this study was to determine the incidence of poisoning, risk factors and means of acute poisoning in children.
Materials and methods. A retrospective study of hospital records of the Pediatric Intensive Care Unit, University Hospital Center Osijek for the period between 2008 till 2012. The study included all children from 0-19 years of age classified into five groups: 0-12 months, 1-4 years, 5-9 years, 10-14 years, 15-19 years. All children were hospitalized under the medical diagnosis of acute poisoning.
Results. Out of 1846 hospitalized children, 367 were hospitalized due to acute poisoning. Male gender is represented with 50.7% of cases of acute poisoning. In acute drug poisoning the female gender is represented with 51.6% of the cases, as well as in the group of suicide attempts with 55.5%. Accidental poisonings are most common between the ages of 1-4 years of life (64.9%), and the most common poisoning agents are drugs (74%), and household products (24.1%). Alcohol is with its 64.7% the most common poisoning agent at 15-19 years of age, as well as with 71.2% of the cases in the same age group with the intention of poisoning. Intentional poisoning was significantly higher in families in which both parents are unemployed. The most common type of poison the child used to deliberately poison itself was alcohol in 40.3%, and drugs in 35.4% of the cases. Of the total number of poisoned children 62.4% were poisoned deliberately, and 91.3% poisoned themselves single-handedly without the influence of other people. The way through which the toxic substances enter the body was through the mouth in 92.2% of cases.
Conclusion. Acutely poisoned child is often a patient of the pediatric unit. Given the diversity of possible poisoning agents in children, the logical conclusion is that it is a recurring problem for the entire community of the child. Despite of the reduction in the incidence of poisoning in children after certain interventions, the cases of poisoning are still large contributors when it comes to children's injuries
Acute poisoning in children
Uvod. Otrovanja ili intoksikacije patoloÅ”ka su stanja koja nastaju kao posljedica djelovanja otrovnih tvari na organizam. Visoka incidencija sluÄajnih otrovanja u djeÄjoj dobi najÄeÅ”Äa je kod djece izmeÄu dvije i pet godina starosti. Cilj ovog istraživanja bio je utvrditi uÄestalost otrovanja, Äimbenike rizika i sredstvo akutnog otrovanja kod djece.
Materijali i metode. Retrospektivna studija bolniÄke dokumentacije Pedijatrijske jedinice intenzivnog lijeÄenja, KliniÄkog bolniÄkog centra Osijek za razdoblje 2008-2012. godine. U studiju su ukljuÄena sva djeca od 0-19 godina starosne dobi rasporeÄena u pet grupa: 0-12 mjeseci, 1-4 godine, 5-9 godine, 10-14 godine, 15-19 godine. Sva djeca bolniÄki su lijeÄena pod medicinskom dijagnozom akutnog otrovanja.
Rezultati. Od 1846 bolniÄki lijeÄene djece, 367 je bolniÄki lijeÄeno zbog akutnog otrovanja. MuÅ”ki spol zastupljen je sa 50,7% sluÄajeva akutnog otrovanja. Kod akutnog otrovanja lijekovima ženski spol zastupljen je sa 51,6% sluÄajeva kao i u grupi pokuÅ”aja suicida sa 55,5%. SluÄajna otrovanja najÄeÅ”Äa su u dobi od 1-4 godine života 64,9% a najÄeÅ”Äa sredstva otrovanja su lijekovi 74% i sredstva u domaÄinstvu 24,1%. Alkohol sa 64,7% najÄeÅ”Äe je sredstvo otrovanja u dobi od 15-19 godine starosti kao i 71,2% sluÄajeva u istoj dobnoj skupini s obzirom na namjeru otrovanja. Namjernih otrovanja znaÄajno je viÅ”e kod obitelji u kojima su oba roditelja nezaposlena. NajÄeÅ”Äa vrsta otrova kojom se dijete namjerno otrovalo je alkohol u 40,3% i lijekovi u 35,4% sluÄajeva. Od ukupnog broja otrovane djece namjerno se otrovalo 62,4%, a 91,3% otrovalo se samostalno bez utjecaja drugih osoba. NaÄin ulaska otrovne tvari u organizam je kod 92,2% djece putem usta.
ZakljuÄak. Akutno otrovano dijete je Äesto pacijent bolniÄkih pedijatrijskih odjela. S obzirom na raznolikost sredstava otrovanja u djece logiÄno proizlazi da je ono svaki puta ponovni problem za cjelokupnu zajednicu u okruženju djeteta. UnatoÄ smanjenju incidencije otrovanja kod djece nakon odreÄenih intervencija, sluÄajevi otrovanja joÅ” uvijek pridonose znaÄajnom udjelu djeÄjih ozljeda.Introduction. Poisonings or intoxications are pathological conditions that occur as a result of the activity of toxic substances in the body. The high incidence of accidental poisonings in children is most common in children between two and five years of age. The aim of this study was to determine the incidence of poisoning, risk factors and means of acute poisoning in children.
Materials and methods. A retrospective study of hospital records of the Pediatric Intensive Care Unit, University Hospital Center Osijek for the period between 2008 till 2012. The study included all children from 0-19 years of age classified into five groups: 0-12 months, 1-4 years, 5-9 years, 10-14 years, 15-19 years. All children were hospitalized under the medical diagnosis of acute poisoning.
Results. Out of 1846 hospitalized children, 367 were hospitalized due to acute poisoning. Male gender is represented with 50.7% of cases of acute poisoning. In acute drug poisoning the female gender is represented with 51.6% of the cases, as well as in the group of suicide attempts with 55.5%. Accidental poisonings are most common between the ages of 1-4 years of life (64.9%), and the most common poisoning agents are drugs (74%), and household products (24.1%). Alcohol is with its 64.7% the most common poisoning agent at 15-19 years of age, as well as with 71.2% of the cases in the same age group with the intention of poisoning. Intentional poisoning was significantly higher in families in which both parents are unemployed. The most common type of poison the child used to deliberately poison itself was alcohol in 40.3%, and drugs in 35.4% of the cases. Of the total number of poisoned children 62.4% were poisoned deliberately, and 91.3% poisoned themselves single-handedly without the influence of other people. The way through which the toxic substances enter the body was through the mouth in 92.2% of cases.
Conclusion. Acutely poisoned child is often a patient of the pediatric unit. Given the diversity of possible poisoning agents in children, the logical conclusion is that it is a recurring problem for the entire community of the child. Despite of the reduction in the incidence of poisoning in children after certain interventions, the cases of poisoning are still large contributors when it comes to children's injuries