[Intentional paracetamol intoxication in children].
As paracetamol is widely used and easily available acetaminophen auto-intoxication is frequently seen. In the majority of patients no complications will occur, but in a small group it may lead to liver damage and death. Children are less susceptible to complications than adults. Cornerstone of treatment is the antidote acetylcysteine, administration of which can be based on the Rumack-Matthew nomogram. This nomogram has only been validated in adults, but nevertheless is also used in children. Gastric lavage should not be implemented, active charcoal can be given to a conscious cooperative patient within 1 hour of ingestion of acetaminophen. A multidisciplinary approach to treatment is needed with the collaboration of an emergency physician, paediatrician or internist, pharmacist and also a child psychiatrist.
UMC St Radboud, Nijmegen, the Netherlands. l.bisschops@seh.umcn.nl
Lauke A
LA
Bisschops
Wim A H
WA
Bisschops
Maurice P
MP
Vroegop
Lyonne K
LK
van Rossum
Cees
C
Kramers
D000082:Acetaminophen / Q000009:adverse effects / Q000506:poisoning*; D000111:Acetylcysteine / Q000627:therapeutic use; D018712:Analgesics, Non-Narcotic / Q000009:adverse effects / Q000506:poisoning*; D000931:Antidotes / Q000627:therapeutic use; D002606:Charcoal / Q000627:therapeutic use; D056486:Chemical and Drug Induced Liver Injury; D002648:Child; D062787:Drug Overdose; D006801:Humans
D018712:Analgesics, Non-Narcotic; D000931:Antidotes; D002606:Charcoal; D000082:Acetaminophen; D000111:Acetylcysteine