چکیده مقاله
Introduction: Poisoning is one of the common causes of referral to emergency departments Opioids, especially methadone, are among the causes of unintentional poisoning in children, leading to a high number of emergency visits in pediatric hospitals This study was conducted to evaluate methadone poisoning, clinical signs in affected children Methods: This descriptive cross sectional study was conducted using a census method on the medical records of 107 children hospitalized due to methadone poisoning at Shahid Motahari Educational and Treatment Center, Urmia Data were collected through a checklist containing demographic information and clinical signs Data analysis was performed using SPSS version 23 with descriptive statistics and frequency percentages Results: The mean age of patients was 52 ± 41 months, with 62 6% in the age range of 13 to 59 months About 59 8% of patients were admitted within 12 hours of poisoning, 57% were male, 81 3% of poisonings were accidental, and 64 5% had ingested methadone syrup Clinical signs included miosis in 72 9%, mydriasis in 4 8%, decreased level of consciousness in 78 5%, seizures in 2 8%, respiratory arrest in 10 3%, bradypnea in 20 5%, cyanosis and oxygen desaturation in 28 9%, aspiration in 4 7%, nausea and vomiting in 41 1% Cardiac signs were normal in 72 9% of cases, while 19 6% had tachycardia Intubation was required in 8 4% of patients Mortality rate was 0 9% one case , and recovery was achieved in 84 1% Naloxone injection was administered in 95 7% of cases Conclusion: Educating parents on preventing accidental methadone consumption, timely referral to treatment centers upon occurrence of poisoning symptoms, and training on proper methadone storage by addiction treatment centers are effective measures in reducing methadone poisoning incidents
کلیدواژهها
نویسندگان
Mahnaz Mohamadpouri
Master of Nursing, Clinical Research Development Unit, Shahid Motahari Educational and Treatment Center, Urmia University of Medical Sciences, Iran
Mahsa Salehzadeh Nobari
Master of Nursing, Clinical Research Development Unit, Shahid Motahari Educational and Treatment Center, Urmia University of Medical Sciences, Iran
Mir Reza Ghaemi
Assistant Professor of Allergy and Clinical immunology, Urmia University of medical sciences, urmia, Iran
Neda Pashaei Yingejeh
Master of Nursing, Clinical Research Development Unit, Shahid Motahari Educational and Treatment Center, Urmia University of Medical Sciences, Iran
Sima Ghanipour Badelbuu
Department of Nursing and Midwifery, Urmia Branch, Islamic Azad University, Urmia, Iran
Horiyeh Rahimi Gholanji
Expert of Nursing, Clinical Research Development Unit, Shahid Motahari Educational and Treatment Center, Urmia University of Medical Sciences, Iran
شیوه ارجاع
Mohamadpouri, Mahnaz and Salehzadeh Nobari, Mahsa and Ghaemi, Mir Reza and Pashaei Yingejeh, Neda and Ghanipour Badelbuu, Sima and Rahimi Gholanji, Horiyeh,1404,Investigation of Clinical Signs of Methadone Poisoning in Children Hospitalized at Shahid Motahari Hospital, Urmia, during the period 2019-,37th International Congress on Pediatrics,Tehran
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مجموعه مقالات سی و هفتمین کنگره بیماری های کودکان17 مهر 1404 · تهران