The spectrum of accidental childhood XXXX in the Caribbean.

@entity1 @entity4968 @entity7294
OBJECTIVE: To assess @entity4968 in @entity1 in the Caribbean country of Antigua and Barbuda, including the incidence, the types of substances ingested, the age of the @entity1 involved, and the clinical outcomes. The results from Antigua and Barbuda were compared with the results of other reports from the English-speaking Caribbean and from the United States of America. DESIGN AND METHODS: We performed a retrospective review of the charts of all @entity1 less than 13 years old admitted to the @entity1 's Ward at Holberton Hospital in Antigua for @entity4968 between March 1989 and March 1999. Those data were compared with data from earlier reports from Barbados, Guyana, Jamaica, and the United States of America. RESULTS: In Antigua and Barbuda there were 255 hospital admissions for @entity4968 among @entity1 below 13 years old over that 10-year period. Of the 255 ingestions, 115 of them (45%) were in 1-year-old @entity1 , 69 (27%) were in 2-year-old @entity1 , and 26 (10%) were in 3-year-old @entity1 . These proportions in Antigua and Barbuda are similar to the age patterns seen in the other countries with which we made comparisons. In Antigua and Barbuda there was an annual average of 26 hospital admissions for @entity4968 for the roughly 20,000 @entity1 below 13 years of age, for a rate of 1.3 per 1,000. In comparing the patterns of childhood @entity4968 in all the countries we studied, we found that, as economic levels rose, there was a shift in the substances ingested, with @entity7294 and plant ingestions decreasing and chemical and medication ingestions increasing. CONCLUSIONS: There is an increasing variety and complexity of poisonous substances ingested as economic conditions improve. This trend would make the establishment of a poison control center for the English-speaking Caribbean a logical step.
