Gastrointestinal decontamination in paediatric exploratory ingestions.
OBJECTIVE
To review the effect of treatment changes in paediatric exploratory ingestion at Christchurch Hospital.


METHODS
We carried out a retrospective review of paediatric patients presenting with potentially toxic ingestion during six month periods of 1994, 1996 and 1999.


RESULTS
All three groups were comparable in respect to age and gender. There were minor changes in the range and proportion of substances ingested - with those in the 1999 group more likely to have taken paracetamol. In 1994, 36% of children were treated with syrup of ipecac. By 1996, only 9% were given ipecac, with 49% treated with activated charcoal. By 1999, 12% were treated with activated charcoal, while 88% received no decontamination. There was a lower admission rate in the 1999 group with no overall change in outcome.


CONCLUSIONS
It is rare for paediatric exploratory ingestions to result in significant toxicity. Gastrointestinal decontamination should not be routinely used in these patients as the risk of the procedure may outweigh the risk of the poison exposure.
Christchurch Hospital.
Claire
C
Dillon
Paul
P
Gee
D000082:Acetaminophen / Q000506:poisoning*; D002606:Charcoal / Q000627:therapeutic use; D002675:Child, Preschool; D003666:Decontamination / Q000379:methods; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007486:Ipecac / Q000627:therapeutic use; D008297:Male; D008499:Medical Records; D009520:New Zealand / Q000453:epidemiology; D017063:Outcome Assessment, Health Care; D010939:Plant Poisoning / Q000453:epidemiology / Q000628:therapy; D011041:Poisoning / Q000453:epidemiology / Q000628:therapy; D012189:Retrospective Studies
D002606:Charcoal; D000082:Acetaminophen; D007486:Ipecac