Çocuk acil servislerine gelen akut zehirlenme olaylarının değerlendirilmesi: sistematik derleme
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Date
2020-11-14
Authors
Sarvan, Süreyya
Efe, Emine
İşler, Ayşegül
Journal Title
Journal ISSN
Volume Title
Publisher
Bursa Uludağ Üniversitesi
Abstract
Çocukluk çağı zehirlenmeleri önemli bir halk sağlığı problemidir. Dünya genelinde özellikle gelişmekte olan ülkelerde önlenebilir önemli bir morbidite ve mortalite nedenidir. Bu çalışmada bilimsel literatür, çocukluk çağı zehirlenmelerini değerlendirmek amacı ile sistematik olarak incelenmiştir. Bu araştırma sistematik derleme desenli ve makalelerin doküman analizine dayanan nitel bir araştırmadır. Çalışmanın evrenini 2000-2017 yılları arasında yapılan, "akut zehirlenmeler", “çocuk acil servisi”, “çocukluk dönemi” anahtar kelimeleri ile Medline Complete, AcademicSearch Complete, Science Direct, CINAHL Complete, AcademicOneFile ve Google Akademik gibi veri tabanlarından ulaşılan 3191 makale oluşturmaktadır. Araştırmaya dahil edilme ölçütlerine uyan 24 makale çalışma kapsamında değerlendirilmiştir Çocuk acil servisine akut zehirlenme nedeni ile başvuran çocuklar ile yapılan, 24 retrospektif çalışmaincelenmiştir. Çalışmalarda çocukların yaş aralığının 0-18 olduğu belirlenmiştir. Zehirlenmelerin büyük çoğunluğu kazara gerçekleşmiştir. Zehirlenmeye neden olan maddeler büyük oranda ağız yolu ile alınmıştır. Çalışmalarda, zehirlenmeye neden olan maddelerin ilaçlar, temizlik ürünleri ve kimyasal maddeler olduğu belirlenmiştir. Çalışmaların hepsinde tanı, tedavi ve takip için kapsamlı ve invaziv teknikler kullanılmıştır.Çocukluk çağında zehirlenmeler önemli bir sorun olmasına rağmen önlenebilir ve yönetilebilir bir konudur. Bu nedenle, çocukluk döneminde görülen zehirlenmeleri en aza indirgemek için aileler, devlet yetkilileri, ilaç firmaları, sağlık profesyonelleri ve medya gerekli çabayı göstermelidir. Özellikle birinci basamakta görev yapan sağlık çalışanları erken çocukluk döneminde ebeveyn ve çocuklarla sık olarak bir araya geldikleri için akut zehirlenme konusunda eğitim ve danışmanlık vermelidir
Poisoning in children is an important public health problem. It is a major cause of morbidity and mortality that can be prevented worldwide, especially in developing countries. In this study, the scientific literature has been systematically examined with the aim of evaluating poisoning in childhood. This is a qualitative study with systematic review design based on document analysis of the articles. This systematic review consists of studies done between 2000 and 2017. The population of this study consisted of 3191 articles searched by using databases including Medline Complete, Academic Search Complete, Science Direct, Complete, Academic One File, and Google Academic with the key words “acute poisonings”, "pediatric emergency department", and "childhood". Thus 24 articles based on selection criteria consisted the sample of the study. Twenty-four retrospective studies about children with acute poisoning who presented to the pediatric emergency department were reviewed. Overall, the children's age range was 0-18 years. The vast majority of poisoning occurred by accident. The poisonous substances were taken mostly by ingestion. The responsible agents were drugs, cleaning products, and chemicals. Extensive and invasive techniques were used in almost all of the studies for diagnosis, treatment, and follow-up Although poisoning in childhood is a major problem, most of them are preventable and manageable. Therefore, parents, government officials, drug companies, health professionals, and media should show the necessary effort to reduce poisoning in childhood. In particular, health workers who work in primary health care as they come together frequently with parents and children in early childhood should provide training and counseling on poisoning
Poisoning in children is an important public health problem. It is a major cause of morbidity and mortality that can be prevented worldwide, especially in developing countries. In this study, the scientific literature has been systematically examined with the aim of evaluating poisoning in childhood. This is a qualitative study with systematic review design based on document analysis of the articles. This systematic review consists of studies done between 2000 and 2017. The population of this study consisted of 3191 articles searched by using databases including Medline Complete, Academic Search Complete, Science Direct, Complete, Academic One File, and Google Academic with the key words “acute poisonings”, "pediatric emergency department", and "childhood". Thus 24 articles based on selection criteria consisted the sample of the study. Twenty-four retrospective studies about children with acute poisoning who presented to the pediatric emergency department were reviewed. Overall, the children's age range was 0-18 years. The vast majority of poisoning occurred by accident. The poisonous substances were taken mostly by ingestion. The responsible agents were drugs, cleaning products, and chemicals. Extensive and invasive techniques were used in almost all of the studies for diagnosis, treatment, and follow-up Although poisoning in childhood is a major problem, most of them are preventable and manageable. Therefore, parents, government officials, drug companies, health professionals, and media should show the necessary effort to reduce poisoning in childhood. In particular, health workers who work in primary health care as they come together frequently with parents and children in early childhood should provide training and counseling on poisoning
Description
Keywords
Akut zehirlenmeler, Acute poisoning, Çocuklukdönemi, Çocuk acil servisi, Childhood, Pediatric emergency department
Citation
Sarvan, S. vd. (2020). "Çocuk acil servislerine gelen akut zehirlenme olaylarının değerlendirilmesi: sistematik derleme". Bursa Uludağ Üniversitesi Güncel Pediatri, 18(3), 470-483.