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Evolving Trends and Treatment Advances in Pediatric Poisoning
Erica L. Liebelt, MD;
Catherine D. DeAngelis, MD, MPH
JAMA. 1999;282:1113-1115.
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INTRODUCTION
More than 1 million children younger than 6 years experience toxic exposures annually, making poisoning a major and persistent cause of injury-related morbidity in children in the United States. In the 1940s, childhood poisonings were responsible for an estimated 500 deaths per year and were attributed primarily to household products. Fortunately, significant advances have been made in the prevention and treatment of pediatric poisoning in the past 5 decades, although many epidemiological issues have persisted. This article reviews evolving trends in pediatric poisoning by focusing on epidemiological, prevention, and treatment issues.
Epidemiological Issues
The inception of the American Association of Poison Control Center's national database in 1983 (Toxic Exposure Surveillance System) made the recording of human toxic exposures, fatalities, and statistical trends in poisoning epidemiology possible. Children younger than 6 years have persistently accounted for 50% to 60% of these exposures.1 Cosmetics and . . . [Full Text of this Article]
Poison Prevention
Treatment Advances
Gastrointestinal Decontamination Antidotal Therapy and Other Treatment Advances
Author Affiliations: Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md.
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