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Pediatric exposure to laundry detergent pods

机译:小儿暴露于洗衣粉盒

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OBJECTIVE: Laundry detergent pods are a new product in the US marketplace. This study investigates the epidemiologic characteristics and outcomes of laundry detergent pod exposures among young children in the United States. METHODS: Using data from the National Poison Data System, exposures to laundry detergent pods among children younger than 6 years of age during 2012-2013 were investigated. RESULTS: There were 17 230 children younger than 6 years exposed to laundry detergent pods in 2012-2013. From March 2012 to April 2013, the monthly number of exposures increased by 645.3%, followed by a 25.1% decrease from April to December 2013. Children younger than 3 years accounted for 73.5% of cases. The major route of exposure was ingestion, accounting for 79.7% of cases. Among exposed children, 4.4% were hospitalized and 7.5% experienced a moderate or major medical outcome. A spectrum of clinical effects from minor to serious was seen with ingestion and ocular exposures. There were 102 patients (0.6%) exposed to a detergent pod via ingestion, aspiration, or a combination of routes, including ingestion, who required tracheal intubation. There was 1 confirmed death. CONCLUSIONS: Laundry detergent pods pose a serious poisoning risk to young children. This nationwide study underscores the need for increased efforts to prevent exposure of young children to these products, which may include improvements in product packaging and labeling, development of a voluntary product safety standard, and public education. Product constituent reformulation is another potential strategy to mitigate the severity of clinical effects of laundry detergent pod exposure.
机译:目的:洗衣粉盒是美国市场上的新产品。这项研究调查了美国幼儿洗衣粉荚暴露的流行病学特征和结果。方法:使用来自国家毒物数据系统的数据,调查了2012-2013年间6岁以下儿童接触洗衣粉盒的情况。结果:2012-2013年间,有17 230名6岁以下的儿童暴露于洗衣粉盒中。从2012年3月到2013年4月,每月的暴露量增加了645.3%,随后从2013年4月到2013年12月减少了25.1%。3岁以下的儿童占病例的73.5%。接触的主要途径是摄入,占病例的79.7%。在接触的儿童中,有4.4%住院,有7.5%经历了中度或重度医疗结果。食入和眼睛接触可观察到从轻到重的一系列临床效果。有102名(0.6%)患者通过食管,吸管或多种途径(包括食入)接触了清洁剂荚,需要进行气管插管。确认有1人死亡。结论:洗衣粉盒对幼儿构成严重的中毒风险。这项全国性的研究强调,需要加大力度以防止幼儿接触这些产品,其中可能包括改善产品包装和标签,制定自愿性产品安全标准以及进行公众教育。产品成分的重新制定是减轻洗衣粉盒暴露的临床影响的严重性的另一种潜在策略。

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