PDF(Pubmed)
Abstract：
BACKGROUND: Detergent packets are common household products; however, they pose a risk of injuries and poisonings, especially among children. This study examined the epidemiological characteristics of pediatric injuries and poisonings related to all types of detergent packets in Canada using emergency department (ED) data from the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) database.
METHODS: The CHIRPP database was searched for ED visit records for injuries and poisonings related to all types of detergent packets between April 1, 2011 and October 12, 2023 (N = 2,021,814) using variable codes and narratives. Data for individuals aged 17 years and younger were analyzed descriptively. Temporal trends in the number of detergent packet-related injuries and poisonings per 100,000 CHIRPP cases were assessed using Joinpoint regression and annual percent change (APC). A proportion ratio and 95% confidence intervals (CI) were calculated to compare the proportion of detergent packet-related cases in CHIRPP during two 34-months periods, pre-COVID-19 pandemic and after the beginning of the pandemic.
RESULTS: There were 904 detergent packet-related cases among children and youth aged 17 years and younger identified in CHIRPP between April 1, 2011 and October 12, 2023, representing 59.9 cases per 100,000 CHIRPP cases. The majority (86.5%) of cases were among children aged 4 years and younger. Poisonings (58.8%) and eye injuries (30.6%) were the most frequent primary diagnoses. Unintentional ingestion (56.9%) and squeezing/breaking a detergent packet (32.3%) were the most frequent exposure mechanisms. Sixty-five patients (7.2%) were admitted to hospital. The number of detergent packet-related cases per 100,000 CHIRPP cases increased by 5.0% (95% CI 0.8, 10.2) annually between 2012 and 2022. The number of detergent packet-related poisonings per 100,000 CHIRPP cases decreased by 15.3% (95% CI - 22.3, - 10.6) annually between 2015 and 2022, whereas eye injuries showed an average annual percent increase of 16.6% (95% CI 11.2, 23.0) between 2012 and 2022. The proportion of detergent packet-related cases in CHIRPP after the beginning of the pandemic (79.9/100,000 CHIRPP cases) was 1.43 (95% CI 1.20, 1.71) times greater than pre-pandemic (55.7/100,000 CHIRPP cases).
CONCLUSIONS: Detergent packet-related injuries and poisonings are a persisting issue. Continued surveillance and prevention efforts are needed to reduce detergent packet-related injuries and poisonings in Canada, particularly among children and youth.
METHODS: The CHIRPP database was searched for ED visit records for injuries and poisonings related to all types of detergent packets between April 1, 2011 and October 12, 2023 (N = 2,021,814) using variable codes and narratives. Data for individuals aged 17 years and younger were analyzed descriptively. Temporal trends in the number of detergent packet-related injuries and poisonings per 100,000 CHIRPP cases were assessed using Joinpoint regression and annual percent change (APC). A proportion ratio and 95% confidence intervals (CI) were calculated to compare the proportion of detergent packet-related cases in CHIRPP during two 34-months periods, pre-COVID-19 pandemic and after the beginning of the pandemic.
RESULTS: There were 904 detergent packet-related cases among children and youth aged 17 years and younger identified in CHIRPP between April 1, 2011 and October 12, 2023, representing 59.9 cases per 100,000 CHIRPP cases. The majority (86.5%) of cases were among children aged 4 years and younger. Poisonings (58.8%) and eye injuries (30.6%) were the most frequent primary diagnoses. Unintentional ingestion (56.9%) and squeezing/breaking a detergent packet (32.3%) were the most frequent exposure mechanisms. Sixty-five patients (7.2%) were admitted to hospital. The number of detergent packet-related cases per 100,000 CHIRPP cases increased by 5.0% (95% CI 0.8, 10.2) annually between 2012 and 2022. The number of detergent packet-related poisonings per 100,000 CHIRPP cases decreased by 15.3% (95% CI - 22.3, - 10.6) annually between 2015 and 2022, whereas eye injuries showed an average annual percent increase of 16.6% (95% CI 11.2, 23.0) between 2012 and 2022. The proportion of detergent packet-related cases in CHIRPP after the beginning of the pandemic (79.9/100,000 CHIRPP cases) was 1.43 (95% CI 1.20, 1.71) times greater than pre-pandemic (55.7/100,000 CHIRPP cases).
CONCLUSIONS: Detergent packet-related injuries and poisonings are a persisting issue. Continued surveillance and prevention efforts are needed to reduce detergent packet-related injuries and poisonings in Canada, particularly among children and youth.
摘要：
背景：洗涤剂包是常见的家用产品；然而，它们有受伤和中毒的危险，尤其是在儿童中。这项研究使用加拿大医院伤害报告和预防计划（CHIRPP）数据库中的急诊科（ED）数据，研究了与加拿大所有类型的洗涤剂包装相关的儿科伤害和中毒的流行病学特征。
方法：使用可变代码和叙述，在CHIRPP数据库中搜索了2011年4月1日至2023年10月12日期间与所有类型洗涤剂包装相关的伤害和中毒的ED访问记录（N=2,021,814）。对17岁及以下个体的数据进行了描述性分析。使用Joinpoint回归和年变化百分比（APC）评估了每100,000例CHIRPP病例中与洗涤剂包装相关的伤害和中毒数量的时间趋势。计算了比例比和95％置信区间（CI），以比较两个34个月期间CHIRPP中与洗涤剂包装相关的病例的比例。在COVID-19大流行之前和大流行开始之后。
结果：在2011年4月1日至2023年10月12日期间，CHIRPP发现的17岁及以下的儿童和青少年中有904例与洗涤剂包装相关的病例，每100,000例CHIRPP病例中有59.9例。大多数病例（86.5％）是4岁及以下的儿童。中毒（58.8％）和眼外伤（30.6％）是最常见的主要诊断。无意摄入（56.9％）和挤压/破坏洗涤剂包（32.3％）是最常见的暴露机制。65名患者（7.2％）入院。在2012年至2022年期间，每100,000个CHIRPP病例中与洗涤剂包装相关的病例数每年增加5.0％（95％CI0.8，10.2）。在2015年至2022年期间，每100,000例CHIRPP病例中与洗涤剂包装相关的中毒数量每年减少15.3％（95％CI-22.3，-10.6），而眼外伤显示平均每年增加16.6％（95％CI11.2，23.0）2012年至2022年。大流行开始后CHIRPP中洗涤剂包相关病例的比例(79.9/100,000CHIRPP病例)是大流行前(55.7/100,000CHIRPP病例)的1.43倍(95%CI1.20,1.71)。
结论：与洗涤剂包相关的损伤和中毒是一个持续存在的问题。加拿大需要继续开展监测和预防工作，以减少与洗涤剂包装相关的伤害和中毒。特别是在儿童和青年中。
方法：使用可变代码和叙述，在CHIRPP数据库中搜索了2011年4月1日至2023年10月12日期间与所有类型洗涤剂包装相关的伤害和中毒的ED访问记录（N=2,021,814）。对17岁及以下个体的数据进行了描述性分析。使用Joinpoint回归和年变化百分比（APC）评估了每100,000例CHIRPP病例中与洗涤剂包装相关的伤害和中毒数量的时间趋势。计算了比例比和95％置信区间（CI），以比较两个34个月期间CHIRPP中与洗涤剂包装相关的病例的比例。在COVID-19大流行之前和大流行开始之后。
结果：在2011年4月1日至2023年10月12日期间，CHIRPP发现的17岁及以下的儿童和青少年中有904例与洗涤剂包装相关的病例，每100,000例CHIRPP病例中有59.9例。大多数病例（86.5％）是4岁及以下的儿童。中毒（58.8％）和眼外伤（30.6％）是最常见的主要诊断。无意摄入（56.9％）和挤压/破坏洗涤剂包（32.3％）是最常见的暴露机制。65名患者（7.2％）入院。在2012年至2022年期间，每100,000个CHIRPP病例中与洗涤剂包装相关的病例数每年增加5.0％（95％CI0.8，10.2）。在2015年至2022年期间，每100,000例CHIRPP病例中与洗涤剂包装相关的中毒数量每年减少15.3％（95％CI-22.3，-10.6），而眼外伤显示平均每年增加16.6％（95％CI11.2，23.0）2012年至2022年。大流行开始后CHIRPP中洗涤剂包相关病例的比例(79.9/100,000CHIRPP病例)是大流行前(55.7/100,000CHIRPP病例)的1.43倍(95%CI1.20,1.71)。
结论：与洗涤剂包相关的损伤和中毒是一个持续存在的问题。加拿大需要继续开展监测和预防工作，以减少与洗涤剂包装相关的伤害和中毒。特别是在儿童和青年中。
