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. 1989 Jul;79(7):853–856. doi: 10.2105/ajph.79.7.853

Accidental ingestions of oral prescription drugs: a multicenter survey.

B J Jacobson 1, A R Rock 1, M S Cohn 1, T Litovitz 1
PMCID: PMC1349665  PMID: 2660604

Abstract

Accidental ingestion of oral prescription drugs by children under age five continues to be a public health problem. A telephone survey of 1,866 ingestion incidents reported to nine poison control centers was conducted in the spring of 1986. Accidental ingestion occurred most often with a two-year-old child (42 per cent) in their own home (82 per cent). Thirty-five per cent of the toxic drugs ingested at home belonged to someone other than the immediate family, most often a grandparent. Toxic drugs were more often out of their usual storage location and in non-child-resistant prescription packaging, a nonprescription container, or in no container. Twenty-two per cent of all child-resistant packages were non-functional. Overall, at least 61 per cent of all medications had no child-resistant barrier at the time of ingestion. Accessible storage locations such as the kitchen counter, table top, or top of a dresser or bedside table greatly increased the risk of accidental ingestion. These results suggest the need for effective child-resistant packaging that is easier for all adults to use.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Basavaraj D. S., Forster D. P. Accidental poisoning in young children. J Epidemiol Community Health. 1982 Mar;36(1):31–34. doi: 10.1136/jech.36.1.31. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Christen H. J., Zink C., Zink A., Korporal J. Accidental poisoning in childhood from the epidemiological viewpoint-An analysis of 323 cases of poisoning in children under eight years of age-. Vet Hum Toxicol. 1981 Oct;23(5):321–327. [PubMed] [Google Scholar]
  3. Craft A. W. Circumstances surrounding deaths from accidental poisoning 1974-80. Arch Dis Child. 1983 Jul;58(7):544–546. doi: 10.1136/adc.58.7.544. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Jackson R. H. Poisoning in childhood. Practitioner. 1983 Sep;227(1383):1451–1457. [PubMed] [Google Scholar]
  5. Jacobsen D., Halvorsen K., Marstrander J., Sunde K., Bakken A. F. Acute poisonings of children in Oslo. A one year prospective study. Acta Paediatr Scand. 1983 Jul;72(4):553–557. doi: 10.1111/j.1651-2227.1983.tb09770.x. [DOI] [PubMed] [Google Scholar]
  6. Litovitz T. L., Martin T. G., Schmitz B. 1986 annual report of the American Association of Poison Control Centers National Data Collection System. Am J Emerg Med. 1987 Sep;5(5):405–445. doi: 10.1016/0735-6757(87)90393-7. [DOI] [PubMed] [Google Scholar]
  7. McIntire M. S., Angle C. R., Grush M. L. How effective is safety packaging? Clin Toxicol. 1976;9(3):419–425. doi: 10.3109/15563657608988140. [DOI] [PubMed] [Google Scholar]
  8. Neutra R., McFarland R. A. Accident epidemiology and the design of the residential environment. Hum Factors. 1972 Oct;14(5):405–420. doi: 10.1177/001872087201400504. [DOI] [PubMed] [Google Scholar]
  9. O'Connor P. J. Epidemiology of accidental poisoning in children. Med J Aust. 1983 Aug 20;2(4):181–183. doi: 10.5694/j.1326-5377.1983.tb122400.x. [DOI] [PubMed] [Google Scholar]
  10. Pearn J., Nixon J., Ansford A., Corcoran A. Accidental poisoning in childhood: five year urban population study with 15 year analysis of fatality. Br Med J (Clin Res Ed) 1984 Jan 7;288(6410):44–46. doi: 10.1136/bmj.288.6410.44. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Polakoff J. M., Lacouture P. G., Lovejoy F. H., Jr The environment away from home as a source of potential poisoning. Am J Dis Child. 1984 Nov;138(11):1014–1017. doi: 10.1001/archpedi.1984.02140490014003. [DOI] [PubMed] [Google Scholar]
  12. Scherz R. G. Safety packaging impact on childhood poisonings in the United States. Vet Hum Toxicol. 1979;21 (Suppl):127–131. [PubMed] [Google Scholar]
  13. Sibert J. R., Newcombe R. G. Accidental ingestion of poisons and child personality. Postgrad Med J. 1977 May;53(619):254–256. doi: 10.1136/pgmj.53.619.254. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Walton W. W. An evaluation of the Poison Prevention Packaging Act. Pediatrics. 1982 Mar;69(3):363–370. [PubMed] [Google Scholar]
  15. Wiseman H. M., Guest K., Murray V. S., Volans G. N. Accidental poisoning in childhood: a multicentre survey. 1. General epidemiology. Hum Toxicol. 1987 Jul;6(4):293–301. doi: 10.1177/096032718700600406. [DOI] [PubMed] [Google Scholar]
  16. Wiseman H. M., Guest K., Murray V. S., Volans G. N. Accidental poisoning in childhood: a multicentre survey. 2. The role of packaging in accidents involving medications. Hum Toxicol. 1987 Jul;6(4):303–314. doi: 10.1177/096032718700600407. [DOI] [PubMed] [Google Scholar]

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