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Paediatric poisoning in rural Sri Lanka: an epidemiological study

BACKGROUND: Acute paediatric poisoning is a common public health concern for both developed and developing countries. The type of agent and underlying cause differ depending on the social, cultural, economic and educational background. The objectives of this study were to identify the incidence and...

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Autores principales: Prasadi, Godakanda Arachchige Maneesha, Mohamed, Fahim, Senarathna, Lalith, Cairns, Rose, Pushpakumara, Pahala Hangidi Gedara Janaka, Dawson, Andrew Hamilton
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282383/
https://www.ncbi.nlm.nih.gov/pubmed/30522467
http://dx.doi.org/10.1186/s12889-018-6259-y
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author Prasadi, Godakanda Arachchige Maneesha
Mohamed, Fahim
Senarathna, Lalith
Cairns, Rose
Pushpakumara, Pahala Hangidi Gedara Janaka
Dawson, Andrew Hamilton
author_facet Prasadi, Godakanda Arachchige Maneesha
Mohamed, Fahim
Senarathna, Lalith
Cairns, Rose
Pushpakumara, Pahala Hangidi Gedara Janaka
Dawson, Andrew Hamilton
author_sort Prasadi, Godakanda Arachchige Maneesha
collection PubMed
description BACKGROUND: Acute paediatric poisoning is a common public health concern for both developed and developing countries. The type of agent and underlying cause differ depending on the social, cultural, economic and educational background. The objectives of this study were to identify the incidence and pattern of paediatric poisoning in a rural district in Sri Lanka and establish whether tertiary referral hospital data are a useful surrogate for estimating district level epidemiology of paediatric poisoning. METHODS: A subset of epidemiological data were obtained from March 2011 to February 2013 from a randomized controlled trial (SLCTR/2010/008) conducted in 45 hospitals in Kurunegala district. RESULTS: The age adjusted annual incidence of all cause of acute poisoning in children aged 1 to 12 years in the study area was 60.4 per 100,000. The incidence of poisoning of younger age group (1 to 6 years; 76 per 100,000) was significantly higher than older age group (7 to 12 years; 41 per 100,000) (p = 0.0001) in Kurunegala district. The annual incidence rate of paediatric admissions due to deliberate self-poisoning is 18 per 100,000 population. This study also established that admission data from primary hospitals provided the most accurate epidemiological information on paediatric poisoning. CONCLUSIONS: In rural districts of Sri Lanka, acute paediatric poisoning cases were less frequent and less severe compared to adult poisoning cases (426–446 per 100,000 population). The incidence of poisoning was significantly higher among young children with compared to old children. In this study, deliberate self-poisoning among older children was more frequently seen than in other comparable countries. Because most of the admissions are directed to and managed by primary hospitals, data from referral hospitals alone cannot be used to represent the true incidence of acute poisoning within a district. The data set from all the primary hospitals (n = 44) yielded more accurate poisoning incidence amongst a paediatric population.
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spelling pubmed-62823832018-12-14 Paediatric poisoning in rural Sri Lanka: an epidemiological study Prasadi, Godakanda Arachchige Maneesha Mohamed, Fahim Senarathna, Lalith Cairns, Rose Pushpakumara, Pahala Hangidi Gedara Janaka Dawson, Andrew Hamilton BMC Public Health Research Article BACKGROUND: Acute paediatric poisoning is a common public health concern for both developed and developing countries. The type of agent and underlying cause differ depending on the social, cultural, economic and educational background. The objectives of this study were to identify the incidence and pattern of paediatric poisoning in a rural district in Sri Lanka and establish whether tertiary referral hospital data are a useful surrogate for estimating district level epidemiology of paediatric poisoning. METHODS: A subset of epidemiological data were obtained from March 2011 to February 2013 from a randomized controlled trial (SLCTR/2010/008) conducted in 45 hospitals in Kurunegala district. RESULTS: The age adjusted annual incidence of all cause of acute poisoning in children aged 1 to 12 years in the study area was 60.4 per 100,000. The incidence of poisoning of younger age group (1 to 6 years; 76 per 100,000) was significantly higher than older age group (7 to 12 years; 41 per 100,000) (p = 0.0001) in Kurunegala district. The annual incidence rate of paediatric admissions due to deliberate self-poisoning is 18 per 100,000 population. This study also established that admission data from primary hospitals provided the most accurate epidemiological information on paediatric poisoning. CONCLUSIONS: In rural districts of Sri Lanka, acute paediatric poisoning cases were less frequent and less severe compared to adult poisoning cases (426–446 per 100,000 population). The incidence of poisoning was significantly higher among young children with compared to old children. In this study, deliberate self-poisoning among older children was more frequently seen than in other comparable countries. Because most of the admissions are directed to and managed by primary hospitals, data from referral hospitals alone cannot be used to represent the true incidence of acute poisoning within a district. The data set from all the primary hospitals (n = 44) yielded more accurate poisoning incidence amongst a paediatric population. BioMed Central 2018-12-06 /pmc/articles/PMC6282383/ /pubmed/30522467 http://dx.doi.org/10.1186/s12889-018-6259-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Prasadi, Godakanda Arachchige Maneesha
Mohamed, Fahim
Senarathna, Lalith
Cairns, Rose
Pushpakumara, Pahala Hangidi Gedara Janaka
Dawson, Andrew Hamilton
Paediatric poisoning in rural Sri Lanka: an epidemiological study
title Paediatric poisoning in rural Sri Lanka: an epidemiological study
title_full Paediatric poisoning in rural Sri Lanka: an epidemiological study
title_fullStr Paediatric poisoning in rural Sri Lanka: an epidemiological study
title_full_unstemmed Paediatric poisoning in rural Sri Lanka: an epidemiological study
title_short Paediatric poisoning in rural Sri Lanka: an epidemiological study
title_sort paediatric poisoning in rural sri lanka: an epidemiological study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282383/
https://www.ncbi.nlm.nih.gov/pubmed/30522467
http://dx.doi.org/10.1186/s12889-018-6259-y
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