Document Detail


Laundry detergent "pod" ingestions: a case series and discussion of recent literature.
MedLine Citation:
PMID:  23736069     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVES: The objectives of this study were to present and explore the clinical presentation of the increasingly common pediatric exposure to the widely available single-use laundry packets or "laundry pods."
METHODS: This is a case report of 4 pediatric patients with significant toxicity due to laundry pod detergent exposure and a review of the available literature including abstract-only publications.
RESULTS: An unexpectedly severe clinical pattern was noted; 3 of the 4 children required intubation for management, airway injury was noted in 1 of them, and 2 of them had hospital courses of at least 1 week. The literature suggests that laundry pod exposures are associated with increased morbidity compared to traditional laundry detergent exposures. To date, no specific contaminant or component has been identified as being responsible for the injury, although some evidence points to the surfactant component.
CONCLUSIONS: A different approach to the triage and management of pediatric exposures to laundry detergent pod ingestions is required compared with nonpod ingestions. Although the exact cause is not known, practitioners should be vigilant for rapid onset of neurological impairment and inability to protect the airway in addition to its caustic effects.
Authors:
Michael C Beuhler; Payal K Gala; Heather A Wolfe; Peter A Meaney; Fred M Henretig
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  29     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-06-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  743-7     Citation Subset:  IM    
Affiliation:
From the *Carolinas Poison Center, Carolinas Medical Center, Charlotte, NC; Departments of †Pediatrics and ‡Anesthesia and Critical Care, The Children's Hospital of Philadelphia; §Perelman School of Medicine, University of Pennsylvania; and ∥Division of Emergency Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA.
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