Assessment of Unavoidable Corrosive Substance Ingestion in Children

Authors : Onur YALÇIN, Ali AYGÜN

Pages : 6-10

Doi:10.19127/mbsjohs.526836

View : 12 | Download : 8

Publication Date : 2019-04-28

Article Type : Research Paper

Abstract :Objective: Corrosive substances are agents which ease our lives, but they can also make children’s’ lives completely difficult as a result of contact with gastrointestinal tract, respiratory tract and skin. Examinations and treatments of patients hospitalized in our clinic with the complaint of corrosive substance ingestion were examined. Methods: The records of 45 patients who were hospitalized in our clinic between May 2017 and December 2018 were examined retrospectively. The patients’ ages, genders, ingested corrosive substance, admission and discharge inflammatory markers were examined according to diagnosis and treatment type. Results: Of the 45 cases, 24 insert ignore into journalissuearticles values(53,3%); were male, while 21 insert ignore into journalissuearticles values(46,7%); were female. The youngest case was 9 months old, the oldest case was 168 months and average age of the cases was 24,7 months. The substances the cases were exposed to were bleacher in 20 patients insert ignore into journalissuearticles values(44,4%);, dishwasher detergent in 11 patients insert ignore into journalissuearticles values(24,4%);, rinse aid in 5 patients insert ignore into journalissuearticles values(11,1%);, drain cleaner in 4 patients insert ignore into journalissuearticles values(8,9%);, washing machine detergent in 3 patients insert ignore into journalissuearticles values(6,7%);, decalcifier in 1 patient insert ignore into journalissuearticles values(2,2%); and surface cleaner insert ignore into journalissuearticles values(sodium hypochlorite); in 1 patient insert ignore into journalissuearticles values(2,2%);. Endoscopy was performed on two patients with clinical symptoms who ingested drain cleaner. Statistically significant difference was found between the hospitalization and discharge white blood cell count ×10 3 /uL insert ignore into journalissuearticles values(WBC);, lymphocyte count×10 3 /Ul insert ignore into journalissuearticles values( LYM);, platelet count ×10 3 /uL insert ignore into journalissuearticles values(PLT);, red blood cell width insert ignore into journalissuearticles values(RDW,%); , mean platelet volume insert ignore into journalissuearticles values(MPV); , neutrophil/lymphocyte ratio insert ignore into journalissuearticles values(NLR); , platelet/lymphocyte ratio insert ignore into journalissuearticles values(PLR); values of the patients insert ignore into journalissuearticles values(p<0.05);. Conclusion: With precautions taken to prevent the ingestion of corrosive substances, a significant cause of morbidity and mortality can be prevented significantly. It is important to raise awareness in families on this issue. 
Keywords : Child, corrosive substances, esophageal stricture