Iron poisoning in young children: association with the birth of a sibling.
نویسندگان
چکیده
BACKGROUND Iron is a leading cause of death due to poisoning in young children. Because perinatal iron therapy is common, the presence of these tablets, which have a candylike appearence, in the home may pose a hazard to a mother's other young children. We explored the association between iron poisoning in young children and the birth of a sibling. METHODS We conducted a population-based case-control study linking health care databases in Ontario. Health care records for the mothers of children less than 3 years of age admitted to hospital with iron poisoning between Apr. 1, 1991, and Mar. 31, 2000, were compared with those for the mothers of age- and sex-matched control children without iron poisoning. RESULTS We studied records for 40 children admitted to hospital for iron poisoning. Seventeen cases (42%) occurred within a year (before or after) a sibling's birth. Children whose mothers had given birth to a sibling were almost twice as likely as children whose mothers had not given birth to a sibling to be admitted for iron poisoning within 6 months of birth (adjusted odds ratio [OR] 1.9, 95% confidence interval [CI] 0.9 to 3.9). The postpartum year was associated with a consistently elevated risk, including an almost 4-fold increase in the risk of iron poisoning during the first postpartum month (adjusted OR 3.6, 95% CI 0.8 to 16.5). INTERPRETATION Pregnancy is a major risk factor for iron poisoning in young children, and the period immediately after delivery is associated with the greatest risk. Almost half of all hospital admissions for iron poisoning in young children could be prevented by keeping iron supplements safely out of reach in the year before and after the birth of a sibling.
منابع مشابه
Changes of Epidemiological Indices of Children Intoxication during a 10-Year Period in Hamedan Province
Background: Unintentional drug intoxication is still a major cause of mortality and morbidity in young children. Method & Materials: In order to study changes of epidemiological indices of children intoxication during a 10-year period in Hamadan Province, all cases admitted to Ghaem Hospital from 1995-1999 were recruited, and compared with all cases admitted to the same hospital from 1990-1...
متن کاملA Hospital-Based Epidemiologic Study on Acute Pediatric Poisonings in Chennai, India
Background: Toxic exposures in childhood are major health concern. In this hospital-based study, we sought to investigate socio-epidemiological factors contributing to acute pediatric poisoning in Chennai, Tamil Nadu, India. Methods: This prospective cross-sectional study was conducted at the Kanchi Kamakoti CHILDS Trust Hospital (KKCTH), a tertiary care hospital for children in Chennai. Child...
متن کاملفراوانی و عوامل مرتبط با مسمومیّت متادون در کودکان زیر 15 سال مراجعه کننده به اورژانس اطفال بیمارستان علی ابن ابیطالب رفسنجان در سال ۱۳۹۲
Background and Objective: Increased methadone prescription in narcotics withdrawal protocols in recent years resulted in a high number of accidental methadone poisoning, especially in children. The aim of the study was to determine the frequency of methadone poisoning and its probable causes in children aged less than 15 years. Materials and Methods: In this cross-sectional study, 97 c...
متن کاملAnemia, Iron Deficiency Anemia and Lead Poisoning in Children with Opioid Toxicity: A Study in North East of Iran
Background: Opium is a new source of lead and considered as a cause of lead poisoning. As anemia and lead poisoning affect growth and behavior negatively, their timely prevention, diagnosis, and treatment are essential. The aim of thi study is evaluation of the prevalence of anemia, iron deficiency anemia, and lead poisoning in children with opioid toxicity. Materials and Methods: In this cr...
متن کاملUnit-dose packaging of iron supplements and reduction of iron poisoning in young children.
BACKGROUND Iron poisoning is a major cause of unintentional poisoning death in young children. The US Food and Drug Administration proclaimed a regulation for unit-dose packaging of iron supplements in 1997. OBJECTIVE To determine whether the requirement for unit-dose packaging of iron supplements decreases the incidence of iron ingestion and the incidence of deaths due to iron poisoning in c...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
دوره 168 12 شماره
صفحات -
تاریخ انتشار 2003