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Pattern of hospital admissions of children with poisoning in the Sudano-Sahelian North eastern Nigeria.
Niger J Clin Pract. 2007 Jun; 10(2):111-5.NJ

Abstract

OBJECTIVE

Poisoning is a major problem in the paediatric population. In view of the paucity of literature on the subject matter in the northeastern part of Nigeria, this retrospective study was undertaken to describe the epidemiological features of accidental poisoning in children less than 13 years old who were admitted to the Emergency Paediatrics Unit (EPU) of the University of Maiduguri Teaching Hospital (UMTH), Maiduguri. The specific objectives included the determination of the age range most vulnerable, the principal agents of poisoning, the annual pattern of occurrence, the commonly administered home remedy and the examination of the need for preventive strategies in this part of the country.

PATIENTS AND METHODS

Data were extracted from the medical records of 113 patients with accidental poisoning during the period January 1984 to December 2003.

RESULTS

One hundred and thirteen (0.74%) out of 15,196 children were admitted for accidental poisoning. Their ages ranged from 6 months to 12 years. Children aged 0 to 2 years accounted for 80 (70%) cases. There were 69 males and 44 females with a male: female ratio of 1.6:1. Fifty-nine (98.3%) out of 60 children were from low social background. Kerosene and food poisoning (Manihot esculenta) accounted for 89 (78.8%) and 19 (16.8%) of all cases of poisoning respectively. Respiratory symptoms dominated the clinical presentation in 71 (62.8%) cases. Seven patients had severely low bicarbonate levels. Home remedies were administered to 50 (44.3%) out of 113 patients. These remedies consisted of milk in 49 (92.5%) and palm oil (oil from Elais guineensis) in 17 (32.1%) cases. The mean duration of hospital stay was 0.66 (1.67) days. Severe neurological sequelae was recorded in one patient. There was no death. The highest frequency of admission was recorded during the hot and dry months of March to June.

CONCLUSION

Kerosene is the commonest cause of childhood poisoning in Northeastern Nigeria and children aged 0 to 2 years are the most vulnerable age group. The highest frequency of admission coincides with the period of the hot and dry months of March to June. Education and improvement in the standards of living of the people are the key challenges for the regional governments of Northeastern Nigeria towards achieving poison control.

Authors+Show Affiliations

Department of Paediatrics, University of Maiduguri Teaching Hospital, Maiduguri.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17902501

Citation

Oguche, S, et al. "Pattern of Hospital Admissions of Children With Poisoning in the Sudano-Sahelian North Eastern Nigeria." Nigerian Journal of Clinical Practice, vol. 10, no. 2, 2007, pp. 111-5.
Oguche S, Bukbuk DN, Watila IM. Pattern of hospital admissions of children with poisoning in the Sudano-Sahelian North eastern Nigeria. Niger J Clin Pract. 2007;10(2):111-5.
Oguche, S., Bukbuk, D. N., & Watila, I. M. (2007). Pattern of hospital admissions of children with poisoning in the Sudano-Sahelian North eastern Nigeria. Nigerian Journal of Clinical Practice, 10(2), 111-5.
Oguche S, Bukbuk DN, Watila IM. Pattern of Hospital Admissions of Children With Poisoning in the Sudano-Sahelian North Eastern Nigeria. Niger J Clin Pract. 2007;10(2):111-5. PubMed PMID: 17902501.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pattern of hospital admissions of children with poisoning in the Sudano-Sahelian North eastern Nigeria. AU - Oguche,S, AU - Bukbuk,D N, AU - Watila,I M, PY - 2007/10/2/pubmed PY - 2007/11/14/medline PY - 2007/10/2/entrez SP - 111 EP - 5 JF - Nigerian journal of clinical practice JO - Niger J Clin Pract VL - 10 IS - 2 N2 - OBJECTIVE: Poisoning is a major problem in the paediatric population. In view of the paucity of literature on the subject matter in the northeastern part of Nigeria, this retrospective study was undertaken to describe the epidemiological features of accidental poisoning in children less than 13 years old who were admitted to the Emergency Paediatrics Unit (EPU) of the University of Maiduguri Teaching Hospital (UMTH), Maiduguri. The specific objectives included the determination of the age range most vulnerable, the principal agents of poisoning, the annual pattern of occurrence, the commonly administered home remedy and the examination of the need for preventive strategies in this part of the country. PATIENTS AND METHODS: Data were extracted from the medical records of 113 patients with accidental poisoning during the period January 1984 to December 2003. RESULTS: One hundred and thirteen (0.74%) out of 15,196 children were admitted for accidental poisoning. Their ages ranged from 6 months to 12 years. Children aged 0 to 2 years accounted for 80 (70%) cases. There were 69 males and 44 females with a male: female ratio of 1.6:1. Fifty-nine (98.3%) out of 60 children were from low social background. Kerosene and food poisoning (Manihot esculenta) accounted for 89 (78.8%) and 19 (16.8%) of all cases of poisoning respectively. Respiratory symptoms dominated the clinical presentation in 71 (62.8%) cases. Seven patients had severely low bicarbonate levels. Home remedies were administered to 50 (44.3%) out of 113 patients. These remedies consisted of milk in 49 (92.5%) and palm oil (oil from Elais guineensis) in 17 (32.1%) cases. The mean duration of hospital stay was 0.66 (1.67) days. Severe neurological sequelae was recorded in one patient. There was no death. The highest frequency of admission was recorded during the hot and dry months of March to June. CONCLUSION: Kerosene is the commonest cause of childhood poisoning in Northeastern Nigeria and children aged 0 to 2 years are the most vulnerable age group. The highest frequency of admission coincides with the period of the hot and dry months of March to June. Education and improvement in the standards of living of the people are the key challenges for the regional governments of Northeastern Nigeria towards achieving poison control. SN - 1119-3077 UR - https://wwww.unboundmedicine.com/medline/citation/17902501/Pattern_of_hospital_admissions_of_children_with_poisoning_in_the_Sudano_Sahelian_North_eastern_Nigeria_ L2 - https://medlineplus.gov/poisoning.html DB - PRIME DP - Unbound Medicine ER -