Intensive Care of Pediatric Poisoning Cases
According to the National Poison Data System (NPDS) of the American Association of Poison Control Centers, in 2014 poisoning in children under the age of 20 accounted for 61% of calls to poison centers in the United States . The proportion of those cases that required referral to a health care facility (HCF) varied. 12.7% of children ≤5 years and only 16.5% of children between 6 and 12 years were managed in an HCF compared to 61.1% of teenagers (13–19 years). The proportion of children described as having a “Major Effect” rose from 0.07% in the under 5 age group to 1.65% in teenagers. The fatality rate was highest in the teen group (0.05%), where more than one half of ingestions are intentional versus the under 5 age group (<0.002%) where 99.5% of exposures are unintentional. The number of pediatric deaths among cases reported to US poison centers was 88. These figures have remained consistent over the past several years.
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