Citation

Watson WA, Litovitz TL, Belson MG, Funk Wolkin AB, Patel M, Schier JG, Reid NE, Kilbourne E, Rubin C. Toxicol. Appl. Pharmacol. 2005; 207(2 Suppl 1): 604-610.

Affiliation

American Association of Poison Control Centers, 3201 New Mexico Ave NW, Suite 330, Washington, DC 20016, USA.

Copyright

(Copyright © 2005, Elsevier Publishing)

DOI

10.1016/j.taap.2005.02.036

PMID

16023159

Abstract

The Toxic Exposure Surveillance System (TESS) is a uniform data set of US poison centers cases. Categories of information include the patient, the caller, the exposure, the substance(s), clinical toxicity, treatment, and medical outcome. The TESS database was initiated in 1985, and provides a baseline of more than 36.2 million cases through 2003. The database has been utilized for a number of safety evaluations. Consideration of the strengths and limitations of TESS data must be incorporated into data interpretation. Real-time toxicovigilance was initiated in 2003 with continuous uploading of new cases from all poison centers to a central database. Real-time toxicovigilance utilizing general and specific approaches is systematically run against TESS, further increasing the potential utility of poison center experiences as a means of early identification of potential public health threats.