Assessment of Unavoidable Corrosive Substance Ingestion in Children

Year 2019, Volume: 5 Issue: 1, 6 - 10, 28.04.2019

Onur Yalçın , Ali Aygün

https://doi.org/10.19127/mbsjohs.526836

Cited By: 1

Abstract

Objective:
Corrosive substances are agents which ease our lives, but they can also make children’s’
lives completely difficult as a result of contact with gastrointestinal tract,
respiratory tract and skin. Examinations and treatments of patients
hospitalized in our clinic with the complaint of corrosive substance ingestion
were examined.

Methods:
The records of 45 patients who were hospitalized in
our clinic between May 2017 and December 2018 were examined retrospectively. The
patients’ ages, genders, ingested corrosive substance, admission and discharge inflammatory
markers were examined according to diagnosis and treatment type.

Results:
Of the 45 cases, 24 (53,3%) were male, while 21
(46,7%) were female. The youngest case was 9 months old, the oldest case was
168 months and average age of the cases was 24,7 months. The substances the
cases were exposed to were bleacher in 20 patients (44,4%), dishwasher
detergent in 11 patients (24,4%), rinse aid in 5 patients (11,1%), drain cleaner
in 4 patients (8,9%), washing machine detergent in 3 patients (6,7%), decalcifier
in 1 patient (2,2%) and surface cleaner (sodium hypochlorite) in 1 patient (2,2%).
Endoscopy was performed on two patients with clinical symptoms who ingested
drain cleaner. Statistically significant difference was found between the
hospitalization and discharge white blood cell count×10³/uL (WBC), lymphocyte count×10³/Ul (LYM),
platelet count ×10³/uL
(PLT), red blood
cell width (RDW,%),
mean platelet volume (MPV),
neutrophil/lymphocyte ratio (NLR),
platelet/lymphocyte ratio (PLR)
values of the patients (p<0.05).

Conclusion:
With precautions taken to prevent the ingestion of
corrosive substances, a significant cause of morbidity and mortality can be
prevented significantly. It is important to raise awareness in families on this
issue. 

Keywords

Child, corrosive substances, esophageal stricture

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