Evaluation of seizure incidence in poisoned children hospitalized in Tabriz children hospital and determinating the type of toxin during 1396-97

Abstract

Background: One of the causes of pediatrics seizure is poisoning with drugs, opioids and different toxins and seizures associated with poisoning in this age group can lead to significant clinical symptoms such as seizures, so the continuous supervision of health authorities and physicians is needed to adopt strategies for preventing and management of poisoning in children. Objective: The purpose of this study was evaluating the incidence of seizures among children hospitalized in Pediatric Hospital in Tabriz due to poisoning and identification of toxin type, during the year of 1397. Methods and Materials: The present study as a prospective cross-sectional investigation was done during one year. The demographic data, disease and poisoning agent dependent features were documented in the questionnaires. Results: In the current work, 45 children with seizures due to ingestion of drugs, pesticides, opioids, hydrocarbons and corrosive agents and alcohols were studied. The study consisted of 57.8% boys and 42.2% girls with average age of 4.2±2.8. The majority of cases were from rural areas. The most number of seizures were related to drugs (57.8%) and opioids (22.2%), respectively and the least number was occurred due to corrosive agents and alcohols (2.2%). The parents of the poisoned children had lower level of education, especially under diploma and the type of recorded seizures were tonic/clonic (88.9%), status epilepticus (6.7%), tonic (2.2%) and myoclonic (2.2%) in poisoned children. Conclusion: The results of this study demonstrated that poisoning and seizures associated with poisoning in age group of 3-6 years old is the highest and drugs are the main reason.