Poisoning in Children and adolescents assisted during the COVID-19 pandemic at the Toxicological Information and Assistance Center in Federal District, Brazil (CIATOX -DF): Descriptive, Cross-sectional, and Analytical study with 1.037 patients
DOI:
https://doi.org/10.33448/rsd-v10i15.21960Keywords:
Intoxication; Children; COVID-19; Federal District.Abstract
Exogenous poisonings are one of the principal accidents involving children and adolescents. The social isolation promoted by the COVID-19 pandemic raises concerns about the possibility of an increase in poisoning among children since most cases of poisoning occur in home environments. Therefore, the present study evaluated exogenous poisonings in children under ten years of age and adolescents aged 11 to 20 years old through data recorded at the Toxicological Information and Assistance Center in the Federal District (CIATOX-DF) from January to September 2020. The results showed a change in the number of notifications, with 1.037 poisonings registered in patients under 20 years of age. Registrations of poisoning by venomous animals, medications, and household cleaning products in children tend to be higher in months of vacation. This study demonstrated poisoning notifications by non-venomous animals in March and April and household cleaning products as the second leading cause of exogenous poisoning, demonstrating a clear temporal association among social isolation, increased use of household cleaning products, and exposure to these products. The multivariate analysis methodology managed to show the significant characteristics of the studied sample, contributing to creating local actions that aim to reduce the number of preventable cases of poisonings.
References
Abdi, H., & Benzécri, J. (1979). Pratique de l’analyse des données. In Linguistique et lexicologie. Dunod.
Abdi, H., & Valentin, D. (2007). Multiple correspondence analysis. In Encyclopedia of measurement and statistics (pp. 651–657). SAGE Publications.
Agência Nacional de Vigilância Sanitária (ANVISA). (2020). Nota técnica no 11/2020. Alerta sobre o aumento da exposição tóxica por produtos de limpeza no Brasil desde o início da pandemia de Coronavírus – Covid- 19. http://buscajuventude.ibict.br:8080/jspui/bitstream/123456789/419/1/ NTn11.2020_SEI.GHBIO.GGMON.DIRE5.ANVISA_13.05.2020.pdf
Amorim, M. L. P., Mello, M. J. G. D., & Siqueira, M. T. D. (2017). Poisoning in children and adolescents notified at a toxicology center in the Northeast of Brazil. Rev. Bras. Saude Mater. Infant., 17(4), 765–772.
Beebe, kenneth R., Peli, R. J., & Seasholtz, M. B. (1998). Chemometrics: a practical guide. Wiley.
Brito, J. G., & Martins, C. B. (2015). Accidental intoxication of the infant-juvenile population in households: profiles of emergency care. Rev Esc Enferm USP, 49(3), 373–380.
Carvalho, M. S., & Strunchiner, C. J. (1992). Análise de correspondência: uma aplicação do método à avaliação de serviços de vacinação. Cad Saúde Pública, 8(3), 287–301.
Correia, P., & Ferreira, M. (2007). Reconhecimento de padrões por métodos não supervisionados: explorando procedimentos quimiométricos para tratamento de dados analíticos. Química Nova, 30(2), 481.
Departamento de Informática do Sistema Único de Saúde [DATASUS], & Informações de Saúde (TABNET). (2020). Intoxicação exógena – notificações registradas no SINAN NET – Distrito Federal. http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sinannet/cnv/IntoxDF.def
Domingos, S. M., Borghesan, N. B., Merino, M. F., & Higarashi, I. H. (2016). Poison-related hospitalizations of children aged 0-14 at a teaching hospital in Southern Brazil, 2006-2011. Epidemiol Serv Saude, 25(2), 343–350.
Everitt, B. S., & Dunn, G. (2001). Applied Multivariate Data Analysis. Arnold.
Farnaghi, F., Manouchehrifar, M., Shojaee, M., Sabzghabaei, A., & Derakhshandeh, N. (2016). An epidemiologic study of pediatric poisoning; a six-month cross-sectional study. Emergency, 4(1), 21–24.
Fukuda, R. C., Silva, L. D. G., & Tacla, M. T. G. M. (2015). Intoxicações exógenas em pediatria. Revista Varia Scientia - Ciências Da Saúde, 1.
Geith, S., Ganzert, M., Schmoll, S., Acquarone, D., Deters, M., Sauer, O., Stürer, A., Tutdibi, E., Wagner, R., & Eyer, F. (2018). Intoxications in Children and Adolescents in Germany. Klin Padiatr., 230(4), 205–214.
Gower, J. C. (1966). Some distance properties of latent root and vector methods used in multivariate analysis. Biometrika, 53(3–4), 325–338.
Greenacre, M. (2007). Correspondence Analysis in Practice. Chapman and Hall.
Greenacre, M., & Hastie, T. (1987). The geometric interpretation of correspondence analysis. Journal of the American Statistical Associatino, 82(398), 437–447.
Hair JR, J.F., Black, W.C., Babin, B.J, Anderson, R. E. (2007). Análise Multivariada de Dados. Bookman.
Japan Poison Information Center. (2020). Annual Inquiry Summary 2018. https://www.j-poison-ic.jp/english/annual-inquiry-summary/.
Lebart, L., Morineau, A., Lambert, P., & Pleuvert, P. (1994). Sistema compatible para el análisis de datos. In Manual de referencia. SPAD N: Versión 2.5. Centre International de Statisque et d’Informatique Apliques.
Lourenço, J., Furtado, B. M. A., & Bonfim, C. (2008). Intoxicações exógenas em crianças atendidas em uma unidade de emergência pediátrica. Acta Paul Enferm, 21(2), 282–286.
Oliveira, F. F., & Suchara, E. A. (2014). Epidemiological profile of exogeneous poisoning in children and adolescents from a municipality in the state of Mato Grosso. Rev Paul Pediatr, 32(4), 299–305.
Ramos, C L J, Targa, M. B. M., & Stein, A. T. (2005). Perfil das intoxicações na infância atendidas pelo Centro de Informação Toxicológica do Rio Grande do Sul (CIT/RS), Brasil. Cad. Saúde Pública, 21(4), 1134–1141.
Ramos, Carla Luiza Job, Barros, H. M. T., Stein, A. T., & Costa, J. S. D. da. (2010). Fatores de risco que contribuem para o envenenamento pediátrico. J. Pediatri. (Rio J), 86(5), 435–440.
Secretaria de Vigilância em Saúde, & Ministério da Saúde. (2018). Boletim Epidemiológico: Intoxicações exógenas relacionada ao trabalho no Brasil, 2007-2016. 49, 1–10.
Sharaf, M. A., Illman, D. L., & Kowalski, B. R. (1986). Chemometrics. Wiley.
Siqueira, K. M., Brandão, J. R., Lima, H. F., Garcia, A. C. A., Gratone, F. M., & Brasileiro, M. S. E. (2008). Perfil das intoxicações exógenas infantis atendidas em um hospital especializado da rede pública de Goiânia-GO. Rev. Eletr. Enf., 10(3), 662–672.
Sistema Nacional de Informações Tóxico-Farmacológicas [SINITOX]. (2020). Dados de intoxicação. https://sinitox.icict.fiocruz.br/dados-nacionais.
Vilaca, L., Volpe, F. M., & Ladeira, R. M. (2020). Accidental Poisoning in Children and Adolescents Admitted to a Referral Toxicology Department of a Brazilian Emergency Hospital. Rev Paul Pediatr, 38, e2018096.
Ward, J. H. (1963). Hierarchical grouping to optimize an objective function. Journal of the American Statistical Association, 58(301), 236–244.
Werneck, G. L., & Hasselmann, M. H. (2009). Intoxicações exógenas em crianças menores de seis anos atendidas em hospitais da região metropolitana do Rio de Janeiro. Rev. Assoc. Med. Bras., 55(3), 302–307.
World Health Organization. (2016). World Health Statistics 2020: Monitoring Health for the SDGs, sustainable development goals. World Health Organization, 1.121.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Isabela Lemos Ferrer; Melorie Kern Capovilla Sarubo Baptistella ; Flávia Neri Meira de Oliveira; Alessandra Gelande de Souza; Luiz Carlos da Cunha; Andreia Franco Amoras Magalhães
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.