背景技术乙醇中毒非常常见,几种形式的酒精中毒会导致急诊就诊。过量饮酒,当退出时,可能会寻求替代酒精饮料;乙醇的常见来源之一是洗手液,其中含有45-95%的酒精。当酒精使用障碍患者在医院内寻找这些替代产品时,处理他们变得更具挑战性,自COVID-19大流行以来,医疗诊所和医院增加了乙醇基洗手液的使用。案例报告我们报告了一名26岁的酒精依赖男子,患有虚构的疾病,导致急诊科(ED)入院和使用乙醇基洗手液。患者最初报告严重腹痛,尽管药物治疗,但仍持续。最初的实验室检查和影像学检查无统计学意义。病人后来被抓到偷洗手液瓶,在4-6小时内食用它们。COVID-19大流行增加了酒精中毒,尤其是在ED。洗手液,包括乙醇,被滥用时是有毒和危险的,主要是青少年和年轻人。治疗包括葡萄糖测定,葡萄糖输注,和硫胺素灌注。减少酒精中毒的策略包括消除洗手液,使用墙壁固定的消毒剂,和使用消毒湿巾。结论已知患有酒精使用障碍的患者会出现寻求酒精的行为。这份报告强调,医疗保健专业人员应该意识到,乙醇基洗手液的可用性增加,其中一些含有有毒的抗病毒化学剂,可能是酒精依赖者的目标。
BACKGROUND
Ethanol intoxication is very common, and several forms of alcohol intoxication can lead to emergency department visits. Excessive alcohol users, when in withdrawal, might seek replacement alcoholic beverages; one of the common sources of
ethanol is hand sanitizer, which contains 45-95% alcohol. It becomes even more challenging to deal with alcohol use disorder patients when they seek these replacement products inside hospital premises, and medical clinics and hospitals have increased their use of ethanol-based hand sanitizer since the start of the COVID-19 pandemic.
CASE REPORT We report the
case of a 26-year-old man with alcohol dependence presenting with a fictitious illness leading to hospital admission and consumption of
ethanol-based hand sanitizer in the emergency department (ED). The patient initially presented reporting severe abdominal pain that persisted despite medications. The initial laboratory tests and imaging were non-significant. The patient was later caught stealing hand sanitizer bottles, consuming them within 4-6 h. The COVID-19 pandemic has increased alcohol intoxication, especially in EDs. Hand sanitizers, including
ethanol, are toxic and hazardous when misused, mostly by adolescents and young adults. Treatments include glucose determination, dextrose infusion, and thiamine perfusion. Strategies to reduce ethanol intoxication include eliminating hand sanitizers, using wall-fixed sanitizers, and using sanitizer wipes. CONCLUSIONS Patients with alcohol use disorder are known to develop alcohol-seeking behaviors. This report has highlighted that healthcare professionals should be aware that the increased availability of ethanol-based hand sanitizers, some of which contain toxic antiviral chemical agents, may be targeted by individuals with alcohol dependency.