Sticky situations: cyanoacrylate exposures reported to a poison control system
| Autor: | Grant Seivard, Lily Qian, F. Lee Cantrell, Shaun D. Carstairs, Mariam Qozi, Cynthia Koh |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Poison Control Centers Adolescent 030232 urology & nephrology Poison control Toxicology California law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors law Adhesives otorhinolaryngologic diseases Humans Medicine Cyanoacrylates Child Aged Retrospective Studies Aged 80 and over business.industry Poisoning technology industry and agriculture Infant 030208 emergency & critical care medicine General Medicine Middle Aged Surgery Treatment Outcome Cyanoacrylate Accidents Child Preschool Emergency medicine Female business Medical literature |
| Zdroj: | Clinical Toxicology. 55:1001-1003 |
| ISSN: | 1556-9519 1556-3650 |
| DOI: | 10.1080/15563650.2017.1327067 |
| Popis: | Cyanoacrylate (Super GlueWe performed a retrospective review of a poison system's database for all cases of single-substance human exposure to cyanoacrylate-containing products from 2005 to 2015. Data collected included age, gender, route of exposure, clinical effects, treatments recommended and medical outcome.There were a total of 893 patients, 505 (56.6%) of which were female. Patient ages ranged from 6 months to 88 years with a median of 11 years. The vast majority of exposures (n = 871, 97.5%) were unintentional, but a small number of exposures (n = 22, 2.5%) were due to intentional misuse (such as trying to stop a bleeding cut) or malicious intent (such as purposefully gluing a person's eyes shut as a prank). Routes of exposure included: ingestion, n = 337 (37.7%); ocular, n = 322 (36.1%); dermatologic, n = 285 (31.9%); inhalation, n = 16 (1.8%); nasal, n = 1 (0.1%); and otic, n = 1 (0.1%); some patients had multiple routes of exposure. Treatments recommended by the poison center included irrigation (n = 411), petroleum jelly (n = 143), mineral oil (n = 131), topical antibiotic ointment (n = 82), peanut butter (n = 6), acetone (n = 4) and WD-40In this case series, the majority of cases occurred in children and most exposures did not result in significant morbidity. Notably, there was wide variation in terms of recommended treatments; further study is needed to determine the optimal treatment method and to standardize poison center recommendations for treating patients with cyanoacrylate exposures. |
| Databáze: | OpenAIRE |
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