Empleo de carbón activado en el tratamiento de las intoxicaciones pediátricas en atención primaria y en el domicilio: Propuesta de actuación

• Luz Taboada Castro ^[1] ; José Luis Conejo Menor ^[2] ; M. R. Martínez Arrieta ^[2] ; E. Cabrero López ^[3] ; M. S. Gallego Campillo ^[3] ; Guillermo Álvarez Calatayud ^[1]
  1. [1] Hospital San Rafael

     Hospital San Rafael

     Barcelona, España

     
  2. [2] Instituto Nacional de Toxicología y Ciencias Forenses

     Instituto Nacional de Toxicología y Ciencias Forenses

     Las Rozas de Madrid, España

     
  3. [3] Pediatra de E.A.P. Centro de Salud Goya

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• Localización: Acta pediátrica española, ISSN 0001-6640, Vol. 64, Nº. 4, 2006, págs. 151-158
• Idioma: español
• Texto completo no disponible (Saber más ...)
• Resumen

  • Introduction: The main objectives of present study are to know the opinion of parents and pediatricians concerning to the prevention and treatment of intoxications and to check in which situations the activated charcoal is used in Primary Care and at home in order to evaluate the results. Material and methods: Two polls were accomplished in Area 2 of the IMSALUD in Madrid in order to appraise the knowledge and behaviour in presence of the intoxication one among the parents and the other among the pediatricians. Moreover, the San Rafael Hospital of Madrid showed the incidence of intoxications in addition to the examination of the calls received from Spanish Toxicology National Institute. These data were treated through the statistical program SPSS 10.0. Results: The majority of the 212 inquired parents would take four different ways of behaving of a possible intoxication: they would call to the Emergency Department (150/212); they would contact to the Spanish Toxicology National Institute by telephone (96/212); they would visit the nearest doctor's office (21/212); they would call their doctor (18/212). In relation to the 47 inquired pediatricians, we can verify that the majority of them are qualified for the treatment of the intoxication in children with the proviso that they don't have the necessary resources for it. The 83% of the doctors considerer the activated charcoal should be employed in Primary Care; however, only the 29% of them approve the drug in domicilary use. Conclusions: Since the majority of intoxications occur at home, the use of the activated charcoal during the first shocking hour would bring many advantages as the minor hospitable expense and significance of being a precocious treatment. Therefore, the parents should take an active role since they could make use of this treatment, just embracing the preventive measures recommended by the professional and sanitary authorities: well getting in touch to the Toxicology Institutes well phoning their doctor in order to letting know the ingested substance. Once the toxicity is confirmed, the parents could treat their children with the activated charcoal at home. Finally, we suggest providing a previous training to the parents for the use of this treatment.