ABSTRACT

Introduction:

Corrosive substance intake, which has an important place in home accidents, is still an important public health problem in our country. In this study, it was aimed to investigate all aspects of patients who applied to the pediatric emergency department with corrosive substance intake in the last decade.

Methods:

All cases who applied to our pediatric emergency department between January 2009 and December 2018 with the complaint of drinking corrosive substances were included in the study. The demographic, clinical and laboratory data of the patients, and the features of the substance and complications during followup were analyzed retrospectively.

Results:

The median age of 450 cases included in the study was 24 (minimum: 3, maximum: 192) months and 61% (n=275) were male. It was observed that most of the patients (87%) applied by saying that they used items such as bleach, lime remover or sink opener, which are commonly used at home. In addition, the majority of poisonings (94%) were caused by open products that were forgotten by parents, while more than half of these products (53.50%) were non-branded products. In most of the patients (74%), other than drinking corrosive substances, no additional complaints were reported, while redness/swelling (25%), vomiting (17%) and restlessness (10%) were the most common complaints. The most common complication was mouth injury (23%). While 70 (15%) cases were performed endoscopy in total, 44 (10%) of them had esophagus injury. However, the development of esophageal stricture in follow-up occurred only in 2 cases.

Conclusion:

Almost all corrosive substance poisoning in childhood develops as a result of parental negligence. Families need to be more conscious to prevent this situation, which can have serious consequences.

Keywords: Corrosive, abrasives, children, endoscopy

References

Gad SE. Lye. In: Wexler P (ed). Encyclopedia of Toxicology, Volume 2. 3rd ed. London, Elsevier, 2014:123-5.

Temiz A. Caustic Ingestion. In: Baerg J (ed). Pediatric and Neonatal Surgery. London, Intech Open; 2017:127-60.

Yalçın O, Aygün A. Assessment of unavoidable corrosive substance ingestion in children. Middle Black Sea J Health Sci. 2019;5:6-10.

Alser O, Hamouri S, Novotny NM. Esophageal caustic injuries in pediatrics: a sobering global health issue. Asian Cardiovasc Thorac Ann. 2019;27:431-5.

De Lusong MAA, Timbol ABG, Tuazon DJS. Management of esophageal caustic injury. World J Gastrointest Pharmacol Ther. 2017;8:90-8.

de Jong AL, Macdonald R, Ein S, Forte V, Turner A. Corrosive esophagitis in children: a 30-year review. Int J Pediatr Otorhinolaryngol. 2001;57:203-11.

Karaman İ, Koç O, Karaman A, Erdoğan D, Çavuşoğlu YH, et al. Evaluation of 968 children with corrosive substance ingestion. Indian J Crit Care Med. 2015;19:714-8.

Stiff G, Alwafi A, Rees BI, Lari J. Corrosive injuries of the oesophagus and stomach: experience in management at a regional paediatric centre. Ann R Coll Surg Engl. 1996;78:119-23.

Bautista Casasnovas A, Estevez Martinez E, Varela Cives R, Villanueva Jeremias A, Tojo Sierra R, et al. A retrospective analysis of ingestion of caustic substances by children. Ten-year statistics in Galicia. Eur J Pediatr. 1997;156:410-4.

Kutlu T, Çokuğraş F, Erkan T, Aji DY, Tümay GT. Korozif madde içen çocukların değerlendirilmesi. Turk Pediatr Ars. 1998;33:92-8.

Turner A, Robinson P. Respiratory and gastrointestinal complications of caustic ingestion in children. Emerg Med J. 2005;22:359-61.

Kayaalp L, Odabaşı G, Doğangün B, Çavuşoğlu P, Bolat N, ve ark. Endoskopik izlem gerektiren korozif yanıkları olan çocuk ve ergenlerde kazanın meydana gelişşekli ve aile özelliklerinin değerlendirilmesi. Turk Pediatr Ars. 2006;41:24-30.

Al-Binali AM, Al-Shehri MA, Abdelmoneim I, Shomrani AS, Al-Fifi SH. Pattern of corrosive ingestion in southwestern Saudi Arabia. Saudi J Gastroenterol. 2009;15:15-7.

Çördük N, Sarıoğlu-Büke A, Bağcı Ş, Acar K, Herek Ö, ve ark. Çocuklarda koroziv madde içiminin ekonomik etkisi ve adli takibi. Çocuk Cerrahisi Dergisi. 2009;23:114-9.

Sayan A, Kayan M, Turan H, Atacan Ö, Özdemir T, ve ark. Koroziv madde içen çocuklarda tanısal endoskopi yapılmasının yatış süresi ve maliyet üzerine etkileri. Çocuk Cerrahisi Dergisi. 2009;23:78-80.

Kaya M, Ozdemir T, Sayan A, Arıkan A. The relationship between clinical findings and esophageal injury severity in children with corrosive agent ingestion. Ulus Travma Acil Cerrahi Derg. 2010;16:537-40.

Küçük F, Balcı S. Korozif madde içen 1-6 yaş grubu çocukların özellikleri ve ailelerin yaptığı ilk uygulamalar. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2011;14:32-9.

Hyder AA, Sugerman DE, Puvanachandra P, Razzak J, El-Sayed H, et al. Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study. Bull World Health Organ. 2009;87:345-52.

Urganci N, Usta M, Kalyoncu D, Demirel E. Corrosive substance ingestion in children. Indian J Pediatr. 2014;81:675-9.

Mahmoud AE, Mohammed EA, Al Husseini R, Bilal SI. Risk factors predicting stricture formation and death in patients with caustic ingestion. Ain-Shams J Forensic Med Clin Toxicol. 2019;32:10-9.

Arıcı MA, Ozdemir D, Oray NC, Buyukdeligoz M, Tuncok Y, et al. Evaluation of caustics and household detergents exposures in an emergency service. Hum Exp Toxicol. 2012;31:533-8.

Cowan T, Foster R, Isbister GK. Acute esophageal injury and strictures following corrosive ingestions in a 27year cohort. Am J Emerg Med. 2017;35:488-92.

Kurowski JA, Kay M. Caustic Ingestions and Foreign Bodies Ingestions in Pediatric Patients. Pediatr Clin North Am. 2017;64:507-24.

Arévalo-Silva C, Eliashar R, Wohlgelernter J, Elidan J, Gross M. Ingestion of caustic substances: a 15-year experience. Laryngoscope. 2006;116:1422-6.

Nuutinen M, Uhari M, Karvali T, Kouvalainen K. Consequences of caustic ingestions in children. Acta Paediatr. 1994;83:1200-5.

Lamireau T, Rebouissoux L, Denis D, Lancelin F, Vergnes P, et al. Accidental caustic ingestion in children: is endoscopy always mandatory? J Pediatr Gastroenterol Nutr. 2001;33:81-4.

Erturk N, Senay Kurturlus S, Alev Suzen A, Hosgor M. Is early esophagoscopy necessary in the pediatric ingested caustic Substances? A retrospective clinical study. Int J Curr Res. 2017;9:54644-8.

Gaudreault P, Parent M, McGuigan MA, Chicoine L, Lovejoy FH Jr. Predictability of esophageal injury from signs and symptoms: a study of caustic ingestion in 378 children. Pediatrics. 1983;71:767-70.

Niedzielski A, Schwartz SG, Partycka-Pietrzyk K, Mielnik-Niedzielska G. Caustic Agents Ingestion in Children: A 51-Year Retrospective Cohort Study. Ear Nose Throat J. 2020;99:52-7.

Uygun İ. Çocuklarda Korozif Madde İçimi: Güncel Bir Değerlendirme ve Tedavi Yaklaşımı. Turkiye Klinikleri Journal of Pediatrics. 2018;27:136-52.

Retrospective Evaluation of Children Who Applied to Emergency Department for Drinking a Corrosive Substance: Ten-year Experience

ABSTRACT

References