Study finds, Household Cleaning Products Poisoning in a Pedi
Infants are often poisoned with household cleaning agents(HCPs). Certain HCPs are poisonous and can lead to serious consequences. In the pediatric emergency department, researchers evaluated HCP poisonings (PED).

This was a retrospective study of patients aged under 18 years with HCP poisoning admitted to the largest PED.

--The records over a 10-year period from 103 children admitted to the PED because of HCP poisoning(70 boys and 33 girls), mean age 3.54 years(standard deviation [SD] = 3.15 years) were evaluated.

--Most poisonings were unintentional(99%, n = 102) and occurred at home(96%, n = 99).

--The HCPs included alkaline(74 %, n = 76), acidic(25%, n = 26), and neutral(1%, n = 1) agents. Most were orally ingested(86%, n = 89).

--Panendoscopy was performed in 25 patients(24%), and the endoscopic(Zargar) grade was used to determine the severity of injury.

--Medications(steroids, antibiotics, or antacids) were prescribed. Alkaline HCP ingestion induced severe esophageal injury and esophageal stricture.

--5 patients exhibited esophageal strictures and required balloon dilation. On multivariate analysis, alkaline HCP ingestion, severe esophageal caustic injury(Zargar grade more than 3), and medications(steroids, antibiotics, and antacids) were associated with esophageal stricture.

Included were the ingestion of alkaline HCP and the severe oestophageal caustic damage (Zargar grade above 3). The drug (steroids, antibiotics, or antacids) was tended by physicians to decrease the danger of oesophageal stricture in patients with serious oesophageal injuries.