Ingestion--associated adverse events necessitating pediatric ICU admissions.

Autor: Hon KL; Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China, ehon@cuhk.edu.hk., Leung TF, Hung CW, Cheung KL, Leung AK
Jazyk: angličtina
Zdroj: Indian journal of pediatrics [Indian J Pediatr] 2009 Mar; Vol. 76 (3), pp. 283-6. Date of Electronic Publication: 2009 Apr 06.
DOI: 10.1007/s12098-009-0054-9
Abstrakt: Objective: To review the pattern of food-associated pediatric intensive care unit (PICU) admissions.
Methods: A retrospective chart review was conducted to analyse the pattern of food-associated PICU admissions at a teaching hospital between January 2004 and May 2007.
Results: Ten cases (7 boys and 3 girls, aged 9 month to 11.7 year) were identified. One girl developed progressive generalized urticarial rash and anaphylactic shock following consumption of bird nest drink. A boy presented with the classic triads of acute onset altered mental state, respiratory depression and small pupils following consumption of a bottle of presumed "green tea", which was subsequently found to contain methadone. In the remaining 8 cases, dried mango, peanut, peanut-shell, fishmeat ball, pork chop, bread and bone were the culprits, impacting in the airway or oesophagus. All but one patient had short ICU stay (Conclusion: Presentations were generally acute, dramatic and unmistaken. The majority of patients made prompt and uneventful recovery and had short PICU stay.
Databáze: MEDLINE
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