1. Agents Involved and Severity of Acute Ocular Exposure Reported at a Poison Control Center
- Author
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Adrien Buisset, E. Puskarczyk, Alexis Descatha, Gaël Le Roux, Philippe Gohier, Stéphanie Leruez, Centre Antipoison et Toxicovigilance du Grand Ouest (Angers) (CAPTV Angers), Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM)-PRES Université Nantes Angers Le Mans (UNAM), Service d'ophtalmologie [Angers], Université d'Angers (UA)-Centre Hospitalier Universitaire d'Angers (CHU Angers), Centre de Recherche Clinique [GH Saint-Joseph, Paris], Université Paris Descartes - Paris 5 (UPD5)-GH Saint-Joseph, Centre antipoison et de toxicovigilance (Nancy) (CAPTV Nancy), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Institut de recherche en santé, environnement et travail (Irset), Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Centres antipoison et de toxicovigilance (CAPTV Angers), Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )-Institut National de la Santé et de la Recherche Médicale (INSERM)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université d'Angers (UA), and Bodin, Julie
- Subjects
Adult ,medicine.medical_specialty ,Poison Control Centers ,Adolescent ,Injury control ,Epidemiology ,Accident prevention ,household products ,Poison control ,macromolecular substances ,Suicide prevention ,poison center ,Occupational safety and health ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,detergent ,Injury prevention ,medicine ,Humans ,childhood accident ,030212 general & internal medicine ,Child ,Retrospective Studies ,business.industry ,chemical eye burns ,Human factors and ergonomics ,occupational injuries ,Middle Aged ,Poison control center ,[STAT] Statistics [stat] ,3. Good health ,[STAT]Statistics [stat] ,Ophthalmology ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,Emergency medicine ,030221 ophthalmology & optometry ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,business - Abstract
International audience; Purpose - The aim was to identify severity factors useful in the initial management of patients with acute ocular exposure while considering both categories of products involved and circumstances of exposure. Methods - A retrospective study over a one-year period that included patients who benefited from the poison center services for eye exposure to a chemical substance. Results - Within a year, 1582 patients were identified. The sex ratio (M/F) was 0.8. The mean age was 28.5 ± 20.3 years. Among children, those under 4 years represented the most significant age category (n = 277; 50.1%). Exposure to chemicals were mild (n = 1342, 84.8%). Adults over 65 years appeared to be more likely to have severe ocular damage (OR: 4.75; [2.26; 9.98]). Unintentional exposures were the most frequent (n = 1548; 97.8%). Ocular exposure primarily occurred at home (n = 937; 59.2%), and at the workplace (n = 396; 25%) which was associated with a higher risk of severe injury (OR: 2.93 [2.16; 3.97]). Cleaning products accounted for 31.2% of exposure cases (n = 457). Exposure to disinfectants is a risk factor of more severe injuries (OR: 1.48 [1.002; 2.19] = .0472) whereas pH and severity of injuries were not statistically significant. Conclusions - Our study showed the very wide variety of products involved in ocular exposures. Clinicians should pay attention to factors associated with severe injury, including young and old age, work-related injury, substances such as disinfectants, in addition to previously known factors such as acids and bases.
- Published
- 2020
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