Accidental ingestion of foreign bodies/harmful materials in children from Bahrain:A retrospective cohort study

作     者：Hasan M Isa Shaikha A Aldoseri Aysha S Abduljabbar Khaled A Alsulaiti 

作者机构：Department of PediatricsSalmaniya Medical ComplexManama 26671Bahrain Department of PediatricsArabian Gulf UniversityManama 26671Bahrain Department of RadiologySalmaniya Medical ComplexManama 26671Bahrain 

出 版 物：《世界临床儿科杂志》 (World Journal of Clinical Pediatrics)

年 卷 期：2023年第12卷第4期

页      面：205-219页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Pediatric Accidental ingestion Foreign body Caustic Complication Bahrain 

摘      要：BACKGROUND Children like to discover their environment by putting substances in their *** behavior puts them at risk of accidentally ingesting foreign bodies(FBs)or harmful materials,which can cause serious *** To study the clinical characteristics,diagnosis,complications,management,and outcomes of accidental ingestion of FBs,caustics,and medications in *** We conducted a retrospective cohort study of all children admitted for accidental ingestion to the Department of Pediatrics,Salmaniya Medical Complex,Bahrain,between 2011 and *** data,type of FB/harmful material ingested,and investigations used for diagnosis and management were *** patients were divided into three groups based on the type of ingested material(FBs,caustics,and medications).The three groups were compared based on patient demographics,socioeconomic status(SES),symptoms,ingestion scenario,endoscopic and surgical complications,management,and *** FB anatomical location was categorized as the esophagus,stomach,and bowel and compared with respect to *** Fisher’s exact,Pearson’s χ^(2),Mann-Whitney U,and Kruskal-Wallis tests were used for *** A total of 161 accidental ingestion episodes were documented in 153 *** children were boys(n=85,55.6%),with a median age of 2.8(interquartile range:1.8-4.4)*** participants ingested FBs(n=108,70.6%),31(20.3%)ingested caustics,and the remaining 14(9.2%)ingested *** with caustic ingestion were younger at the time of presentation(P0.001)and were more symptomatic(n=26/31,89.7%)than those who ingested medications(n=8/14,57.1%)or FBs(n=52/108,48.6%)(P0.001).The caustic group had more vomiting(P0.001)and coughing(P=0.029)than the other *** FB ingestions were asymptomatic(n=55/108,51.4%).In terms of FB location,most esophageal FBs were symptomatic(n=14/16,87.5%),whereas most gastric(n=34/56,60.7%)and intestinal FBs(n=19/32,59.4%)were asymptomati