Citation

Flesch F, Rigaux-Barry F, Blanc-Brisset I, Sinno-Tellier S. Journal Europeen des Urgences et de Reanimation 2014; 26(2): 65-71.

Copyright

(Copyright © 2014)

DOI

10.1016/j.jeurea.2014.03.005

PMID

unavailable

Abstract

INTRODUCTION: Poison control and toxicovigilance centres (CAPTV) receive regularly calls for corrosive substances ingestion. Since no French study has been recently conducted on this issue, CAPTV carried out a descriptive study of their cases registered during 1year.

OBJECTIVE: To know the current characteristics of poisoning by corrosive substances: affected population, type of poisoning, circumstances, products, gravity, evolution.

METHODS: We analysed data of the French poison centers' national data system (SICAP). Only cases with abnormal endoscopic examination were selected.

RESULTS: Between 1stApril 2009and 31stMarch 2010, 353patients had oeso-gastric lesions following ingestion of a corrosive substance. Exposure was intentional in 56% of cases. One hundred and four patients had mild endoscopic lesions (grade 1) and 249had lesions with grade ≥2. The bases were involved in 42% of cases, oxidizing substances in 24% and acids in 21% of cases. Eighteen patients died and 60had sequelae. No deceased patient was noted related to accidental exposure; nevertheless, grade 3lesions were observed in 13cases of ingestion of deconditioned products and in 5cases of children younger than 4years old.

CONCLUSION: Toxicovigilance action targeted information on the hazards associated with deconditioning and accessibility to these household products by young children. The evolution of suicide attempts reflects their significant severity. © 2014 Elsevier Masson SAS.

Language: fr

Keywords

human; child; mortality; disease severity; intoxication; article; major clinical study; unclassified drug; priority journal; ethnic group; age distribution; preschool child; poison center; oxidizing agent; ingestion; disease control; Corrosive ingestion; esophagus injury; acid; toxic substance; accidental injury; descriptive research; Endoscopy; digestive tract endoscopy; disease surveillance; stomach lesion; corrosive substance; french language; Poison control and toxicovigilance centers