Abstract
Background: There had been reports of adolescents using hand sanitizers to obtain alcohol and ending up in emergency departments with alcohol poisoning.
Objective: This study aimed to describe the pattern of adolescent ingestions of hand sanitizers reported to a statewide poison center system.
Subjects: Our study subjects included patients aged 13–19 years who reported hand sanitizer ingestions as reported to Texas poison centers during 2000–2013.
Materials and methods: The distribution of the ingestions was determined for various demographic and clinical factors.
Results: Of 385 total cases, 61% of the patients were male, and the mean age was 15.3 years. The ingestion reason was unintentional (61%), intentional abuse/misuse (18%), and malicious (10%). Ingestion site was most frequently reported to be the patient’s own residence (53%), followed by school (35%). About 77% of the patients were managed on site. The medical outcome was serious (moderate effect or unable to follow-potentially toxic) in 5% of the cases. The most frequently reported adverse clinical effects were vomiting (5%), abdominal pain (4%), nausea (4%), throat irritation (4%), and drowsiness (2%).
Conclusion: Adolescents who ingested hand sanitizers were more likely to be male and younger. One-third of the ingestions occurred at school, suggesting that school personnel might be made aware of the potential problem of hand sanitizer ingestions by adolescents. Nevertheless, despite the potential for serious outcomes from adolescent hand sanitizer ingestion, most of the ingestions reported to poison centers are not likely to be serious and can be successfully managed outside of a healthcare facility.
Acknowledgments
There was no study sponsor or unique source of support.
Conflict of interest statement
The author is aware of no conflict of interest.
References
1. Leikin JB, Paloucek FP, editors. Poisoning and toxicology compendium with symptoms index. Hudson, OH, USA: Lexi-Comp Inc., 1998;266–8.Suche in Google Scholar
2. Gormley NJ, Bronstein AC, Rasimas JJ, Pao M, Wratney AT, et al. The rising incidence of intentional ingestion of ethanol-containing hand sanitizers. Crit Care Med 2012;40:290–4.Suche in Google Scholar
3. Schneir A, Clark RF. Death from ingestion of an ethanol-based hand sanitizer in the emergency department waiting room. Clin Toxicol (Phila) 2012;50:711–2.Suche in Google Scholar
4. Forrester MB. Potential toxicity of hand sanitizers. TX Public Health J 2010;62:27.Suche in Google Scholar
5. Miller M, Borys D, Morgan D. Alcohol-based hand sanitizers and unintended pediatric exposures: a retrospective review. Clin Pediatr (Phila) 2009;48:429–31.Suche in Google Scholar
6. Alsop JA, Daubert GP. A two-year review of pediatric liquid hand sanitizer ingestions. Clin Toxicol (Phila) 2008;46:605.Suche in Google Scholar
7. Darracq MA, Ghafouri N, Pesce A, Cantrell FL. Significant hand sanitizer intoxication following crude extraction method with in vitro ethanol concentration analysis. Clin Toxicol (Phila) 2012;50:711.Suche in Google Scholar
8. Herbert JX, Cassidy N, Tracey JA. The need for prevention of intentional ingestion of alcohol hand gels in Irish hospitals. Clin Toxicol (Phila) 2009;47:481.Suche in Google Scholar
9. Bookstaver PB, Norris LB, Michels JE. Ingestion of hand sanitizer by a hospitalized patient with a history of alcohol abuse. Am J Health Syst Pharm 2008;65:2203–4.Suche in Google Scholar
10. Roche KM, Barko IR, McDonagh J, Bayer MJ, Sangalli B. Hand sanitizer abuse. Clin Toxicol (Phila) 2006;44:633–4.Suche in Google Scholar
11. Gorman A. A troubling trend in teens drinking hand sanitizer. Los Angeles Times April 24, 2012. Available at: http://www.latimes.com/news/local/la-me-hand-sanitizer-20120424,0,4801404.story.Suche in Google Scholar
12. Mowry JB, Spyker DA, Cantilena LR, Bailey JE, Ford M. 2012 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 30th Annual Report. Clin Toxicol (Phila) 2013;51:949–1229.Suche in Google Scholar
13. Forrester MB. Changes in Texas poison center call patterns in response to H1N1 influenza outbreak. TX Public Health J 2012;64:14–8.Suche in Google Scholar
14. Eronen AK, Mustonen H, Hoppu K. Pandemic hand hygiene recommendations increased inquiries related to alcoholic hand sanitizers in children under 6 years. Clin Toxicol (Phila) 2011;49:237.Suche in Google Scholar
15. Thrane EV, Skjerdal JW, Ziesler T, Borgeraas J. Pandemic flu increases risk of poisonings in children. Clin Toxicol (Phila) 2010;48:265.Suche in Google Scholar
16. Forrester MB. Adolescent synthetic cannabinoid exposures reported to Texas poison centers. Pediatr Emerg Care 2012;28:985–9.Suche in Google Scholar
17. Forrester MB. Adolescent synthetic cathinone exposures reported to Texas poison centers. Pediatr Emerg Care 2013;29:151–5.Suche in Google Scholar
©2015 by De Gruyter
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- 10.1515/ijamh-2015-frontmatter1
- Editorial
- Pregnant, even when you did not want to be pregnant
- Original articles
- How adolescents learn about risk perception and behavior in regards to alcohol use in light of social learning theory: a qualitative study in Bogotá, Colombia
- An assessment of basic nutrition knowledge of adolescents with eating disorders and their parents
- More than a break: the impact of a social-pedagogical intervention during young persons’ long-term hospital admission – a qualitative study
- Effect of external classroom noise on schoolchildren’s reading and mathematics performance: correlation of noise levels and gender
- Physical self-esteem – a ten-year follow-up study from early adolescence to early adulthood
- Street hawking among in-school adolescents in a south-western town in Nigeria: pattern, determinants and effects on school performance
- Outcome of adolescents with eating disorders from an adolescent medicine service at a large children’s hospital
- Female adolescents’ perspective about reproductive health education needs: a mixed methods study with explanatory sequential design
- Study of menstrual patterns in adolescent girls with disabilities in a residential institution
- Characteristics of hand sanitizer ingestions by adolescents reported to poison centers
- Health care providers and adolescents’ perspectives towards adolescents’ health education needs: a need assessment based on comparative approach
- Determinants of abortion decisions among Ghanaian university students
- Predictors of peer victimization among Peruvian adolescents in the young lives cohort
- Risk of eating disorders among university students in Bangladesh
- Short Communication
- Nutrition and physical activity during the transition from adolescence to adulthood: further research is warranted
- Letter
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