Lamp oil poisoning: did the European guideline reduce the number and severity of intoxications?

INTRODUCTION In 1997, a European guideline concerning the viscosity and surface tension of lamp oil was adopted to reduce instances and severity of lamp oil intoxications. In 2005, the Dutch National Poisons Information Centre investigated lamp oil intoxications to determine whether they differed in severity from the intoxications reported before the guideline was adopted. METHODS We compared the data prospectively collected on lamp oil intoxications reported to our center in 2005 and in 1996. RESULTS In 2005 and 1996, respectively 152 and 165 cases were included. The frequency of the symptoms and diagnosed pneumonitis did not differ significantly between those years. In 2005, ingestion of a transparent lamp oil seemed to be associated with a greater risk of serious respiratory symptoms than ingestion of colored oil. CONCLUSION Despite the directive, frequency and severity of symptoms of lamp oil ingestions remain disturbing. Consequently, further actions concerning packaging and labeling of lamp oil, design of oil lamps, education of parents, and additions to the current guideline should be considered.