title: Upper aerodigestive injuries from detergent ingestion in children.
abstract: To describe the clinical presentations and management of detergent pod ingestion at a tertiary children's hospital.
  
  
  
  Case series.
  
  
  
  A retrospective chart review of children diagnosed with detergent pod ingestion from June 2010 and March 2015.
  
  
  
  Nine cases of detergent pod ingestion were included over a 5-year period. The average age was 26.3 months (range, 11-43 months). Eight (89%) of the cases were female. The patients had ingested laundry detergent pods (n = 7) and dishwasher detergent pods (n = 2). The majority of patients (67%) had more than one clinical manifestation from ingestion. Presenting symptoms included emesis (78%), respiratory symptoms (56%), throat pain (22%), drooling (33%), and foaming at the mouth (33%). The management of patients depended on the severity of their symptoms and included admission to an overnight observation unit (n = 5), discharge to home directly from the emergency department (n = 2), and admission to the hospital (n = 2). Two (22%) children underwent esophagogastroduodenoscopy. One child (11%) required intubation from bilateral vocal fold immobility.
  
  
  
  Injuries to the upper aerodigestive tract after detergent ingestion range from mild gastrointestinal symptoms to respiratory compromise. The majority of children improve with observation alone; however, clinicians should maintain a low threshold for endoscopic evaluation in cases of severe symptoms and airway involvement.
  
  
  
  4. Laryngoscope, 2016 127:509-512, 2017.
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, Utah, U.S.A.
authors.forename: Phayvanh P
authors.initials: PP
authors.lastname: Sjogren
authors.affiliation: Pediatric Surgery, Department of General Surgery, University of Utah School of Medicine, Salt Lake City, Utah, U.S.A.
authors.forename: David E
authors.initials: DE
authors.lastname: Skarda
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, Utah, U.S.A.
authors.forename: Albert H
authors.initials: AH
authors.lastname: Park
mesh_terms: D002675:Child, Preschool; D003902:Detergents / Q000633:toxicity*; D004066:Digestive System Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D004435:Eating; D016145:Endoscopy, Digestive System; D005260:Female; D006760:Hospitalization; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D008297:Male; D012120:Respiration Disorders / Q000139:chemically induced / Q000175:diagnosis / Q000628:therapy; D012140:Respiratory Tract Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D014826:Vocal Cord Paralysis / Q000139:chemically induced / Q000175:diagnosis / Q000628:therapy; D014839:Vomiting / Q000139:chemically induced
chemical_list: D003902:Detergents
keywords: Detergent; capsule; dishwasher; ingestion; laundry; pod