Perfil dos pacientes pediátricos com intoxicações medicamentosas de um hospital de referência em Fortaleza – Ceará

Abstract

Medications, compared to other toxic agents, are the main causes of intoxication in Brazil, and represent the majority of intoxications also in the pediatric population, aged 0 to 17 years, assisted in toxicology services. The objective was to investigate the profile of drug intoxications in the pediatric public attended at a reference hospital in Fortaleza - Ceará. The study was of the descriptive type, with a quantitative approach, where the prevalence of drug intoxications in pediatric patients was evaluated. Data collection was carried out for a period of 5 years, from 2017 to 2021. The study sample had as inclusion criteria pediatric patients, aged 0 to 17 years, who were exposed to drug intoxication during the period of collect. The data needed to carry out the study were collected through the system for recording, monitoring and retrieving data in clinical toxicology, DATATOX. The research was approved by the IJF Ethics Committee. Statistical analysis was performed using the statistical software IBM-SPSS (Statistical Package for the Social Sciences) version 24. Drug poisoning in pediatrics occurred mainly in the age group above 10 years, in girls, with suicide attempts followed by accidental exposures, using antidepressants (20.5%), antipsychotics (17.6%) and/or anticonvulsant (16.8%) being the main route orally and with the outcome of hospital discharge or cure. The factors that were associated with hospitalization for drug intoxication in children were the presence of a chronic disease, age group, residence in inland towns and use of anticonvulsants and antidepressants. Prevention measures should be taken to reduce poisoning in the pediatric public, in addition to professional qualification in treating cases of drug poisoning in children, since these professionals can guide families to reduce occurrences, make referrals and carry out appropriate clinical management , in addition to improving the registration of cases. Psychosocial support for children and family members is also an important measure to prevent poisoning.