Abstract

RODRIGUEZ, Susana; MALLET, Javier  and  LABORDE, Amalia. Intoxicación aguda por diazinón en niños. Arch. Pediatr. Urug. [online]. 2007, vol.78, n.1, pp.011-014. ISSN 1688-1249.

Summary The clinical presentation and therapeutic measures of phosphates poisoning has been well described. However, the clinical course and the therapeutic requirements of specific P agents in Pediatric patients have not. Diazinon is the most frequent phosphate involved in severe poisoning children in our country. The aim of this study was to describe the clinical presentation and therapeutic measures of Diazinon poisoning. Acute cases that required antidote treatment were selected from the PCC files between 2000 and 2004. Eighteen cases met the criteria. Average age was 4,5 years old (DS 3,3). Five cases were by dermal exposure and the rest were accidental oral exposure. The results show that the clinical presentation is similar to other phosphates although the beginning of symptoms was sooner. Miosis, pulmonary hypersecretion and emesis were the most frequent clinical features at admission (usually in the first 3 hours after exposure). Serum cholinesterase showed a dramatic decrease within the first 6 hours and started recovery between day 4 and 5. The average dose of atropine was 5.176 mg in oral exposure and reached 42.264 mg in a dermal exposure case. Treatments lasted between 2 and 17 days. Dermal exposures required more atropine and were discharged later.

Keywords : DIAZINON-toxicity; INSECTICIDES, ORGANOPHOSPHATE; POISONING.

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