374 Impact of a Working Group on Gastrointestinal Decontamination of Pediatric Emergency in Spain

• Published in: Archives of disease in childhood Vol. 97; no. Suppl 2; p. A110
• Main Authors: Velasco, R, Acedo, Y, Del Arco, L, Salmon, N, Palacios, M
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 01-10-2012; BMJ Publishing Group LTD
• Subjects: Activated charcoal; Charcoal; Comparative Analysis; Comparative studies; Decontamination; Guidelines; Patients
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/archdischild-2012-302724.0374

Introduction In a study conducted in 2001–02 including 17 pediatric emergency departments (PED) in Spain high variability was detected in management of acute pediatric intoxications and, more specifically in the gastrointestinal decontamination. Since that time, the Working Group of Intoxications (WGI) of the Spanish Pediatric Emergencies Society (SEUP) Poison designed and spread in different ways recommendations based on international guidelines based on scientific evidence about the management of these patients. The objective of this study is to analyze the impact of the measures designed by the WGI in the management of acute intoxications in PED. Patients and Methods Comparative study cohort. We analyze the management and, specifically, gastrointestinal decontamination in three time periods in the PED included in the WGI: Group A: 2001–02, 17 PED, 2157 episodes Group B: 2008–09, 37 PED, 612 episodes Group C: 2009–11: 42 PED, 400 episodes Results Of the 3169 episodes recorded, 1031 (32’5%)underwent for a gastrointestinal decontamination procedure (Group A: 34’1%, Group B: 27.8%, Group C: 31.5%) Of the patients who underwent gastrointestinal decontamination, technique used in each group are described in the following table. Abstract 374 Table 1Decontamination technique used in each group TECHNIQUE 2001–2002 N (%) 2001–2008 N (%) 2009 N (%) 2010 N(%) 2011 N (%) p Activated charcoal 697 (94,8) 159 (93,5) 50 (98) 39 (95,1) 32 (96) n.s. Gastric lavage 214 (29,1) 48 (28,2) 16 (31,4) 12 (29,3) 5 (14,7) 0,08 Ipecac syrup 168 (22,8) 3 (1,7) 0 (0) 0 (0) 0 (0) 0,0004 Conclusions Recommendations developed and spread by a Working Group have approached the management of acute pediatric poisonings in Spain to international guidelines based on scientific evidence.