title: [Pesticide poisoning in Moroccan children: epidemiological and prognostic aspects (1990-2008)].
abstract: OBJECTIVE
  The purpose of this paper is to describe the epidemiological profile of<np pagenum="196"/> acute pesticide poisoning in children (APP) treated by the Moroccan Poison Control Center (CAPM) and to analyze death cases in order to determine factors predictive of severity.
  
  
  METHODS
  the study is based on a retrospective study of all cases of APP collected by the CAPM over a period of eighteen years (January 1990 to December 2008). Univariate analysis was performed to identify risk factors.
  
  
  RESULTS
  2,672 cases of childhood poisoning by pesticide were collected. The mean age was 5.6 ± 4.57 years. The sex ratio was 1.12. The cause of poisoning was accidental in 87.1% of cases, followed by attempted suicide (12.1%). Organophosphates were the most frequent poison (50.7%), followed by alpha-chloralose (26.5%). The case fatality rate was 3.3%. Mortality was attributed to organophosphates in 30 cases, followed by inorganic derivatives (7 cases) and carbamates (6 cases). A univariate analysis comparing survivors and groups who died showed that rural origin (p = 0.04), voluntary circumstances (p = 0.001), and the type of chemical class of pesticide (p &lt; 0.001) significantly influence fatal poisoning.
  
  
  CONCLUSIONS
  Acute pesticide poisoning among children is a reality in Morocco. Preventive measures may be needed.
authors: Service de Pharmaco-Toxiocolgie, Laboratoire central d'analyses médicales, CHU Hassan II de Fés, 18500 Fés-Maroc.
authors: Sanae
authors: S
authors: Achour
authors: Asmae
authors: A
authors: Khattabi
authors: Naïma
authors: N
authors: Rhalem
authors: Lahcen
authors: L
authors: Ouammi
authors: Abdelrhani
authors: A
authors: Mokhtari
authors: Abdelmajid
authors: A
authors: Soulaymani
authors: Rachida Soulaymani
authors: RS
authors: Bencheikh
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009018:Morocco / Q000453:epidemiology; D010575:Pesticides / Q000506:poisoning*; D011041:Poisoning / Q000453:epidemiology; D011379:Prognosis; D012189:Retrospective Studies
chemical_list: D010575:Pesticides