Clinical Study of Incidental Ingestion of Causatic agents in children referred to Children s Hospital in the First Six Months of the Year 2017

Background: One of the most common causes of gastrointestinal tract injuries is accidental ingestion of causatic agents in children, which can lead to serious complications in the gastrointestinal tract and upper respiratory tract. The purpose of this study was to investigate the effects of caustic ingestion, parental behavior, hospitalization time and complications due to it.Methods:This is a retrospective descriptive study carried out in Tabriz Children s Hospital in 2017. Data was collected through the study of patient’s documents referring with causative agent s ingestion complaint. Results: The number of hospitalized patients with the causative ingestion complaint in the first semester of 2017 was about 20, of which 80% were boys and 20% were girls. The highest incidence was 70% at theage of three, which is consistent with the results of similar articles. The type of caustic substance was found in 50% of cases with opal tube, 20% with scum cleaner, 20% sodium safi and 10% insecticide.Symptoms of patients were vomiting, abdominal pain, dysphagia, respiratory distress and decreased consciousness. In 40% of cases, vomiting has been reported with parental stimulation. 30% of the patients had respiratory problems and decreased consciousness who needed intubation and admission to the intensive care unit. The average duration of intubation was about 5 days. Two of the patients, despitedrug therapy, needed surgical intervention, one of which went under jejunostomy. The average length of hospitalization was about 4 days.Discussion: Considering that caustic ingestion is easily prevented, it is recommended that the containers be kept tight and well-kept and kept out of reach of children. Also, the prevention of accidental use of caustic agents must be educated to all the people through the health facilities of the country and the social media.