Document Detail

The rising incidence of intentional ingestion of ethanol-containing hand sanitizers.
MedLine Citation:
PMID:  21926580     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe a case of intentional ingestion of hand sanitizer in our hospital and to review published cases and those reported to the American Association of Poison Control Centers' National Poison Data System.
DESIGN: A case report, a literature review of published cases, and a query of the National Poison Data System.
SETTING: Medical intensive care unit.
PATIENT: Seventeen-yr-old male 37-kg with an intentional ingestion of a hand sanitizer product into his gastrostomy tube.
INTERVENTIONS: Intubation, ventilation, and hemodialysis.
MEASUREMENTS AND MAIN RESULTS: Incidence and outcome of reported cases of unintentional and intentional ethanol containing-hand sanitizer ingestion in the United States from 2005 through 2009. A literature search found 14 detailed case reports of intentional alcohol-based hand sanitizer ingestions with one death. From 2005 to 2009, the National Poison Data System received reports of 68,712 exposures to 96 ethanol-based hand sanitizers. The number of new cases increased by an average of 1,894 (95% confidence interval [CI] 1266-2521) cases per year (p =.002). In 2005, the rate of exposures, per year, per million U.S. residents was 33.7 (95% CI 28.4-39.1); from 2005 to 2009, this rate increased on average by 5.87 per year (95% CI 3.70-8.04; p = .003). In 2005, the rate of intentional exposures, per year, per million U.S. residents, was 0.68 (95% CI 0.17-1.20); from 2005 to 2009, this rate increased on average by 0.32 per year (95% CI 0.11-0.53; p = .02).
CONCLUSIONS: The number of new cases per year of intentional hand sanitizer ingestion significantly increased during this 5-yr period. Although the majority of cases of hand sanitizer ingestion have a favorable outcome, 288 moderate and 12 major medical outcomes were reported in this National Poison Data System cohort. Increased awareness of the risks associated with intentional ingestion is warranted, particularly among healthcare providers caring for persons with a history of substance abuse, risk-taking behavior, or suicidal ideation.
Nicole J Gormley; Alvin C Bronstein; Joseph J Rasimas; Maryland Pao; Angela T Wratney; Junfeng Sun; Howard A Austin; Anthony F Suffredini
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, N.I.H., Intramural; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Critical care medicine     Volume:  40     ISSN:  1530-0293     ISO Abbreviation:  Crit. Care Med.     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-19     Completed Date:  2012-02-15     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  290-4     Citation Subset:  AIM; IM    
Critical Care Medicine Department, Clinical Center, Bethesda, MD, USA.
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MeSH Terms
Aged, 80 and over
Disinfectants / adverse effects*
Enteral Nutrition
Ethanol / blood,  poisoning*
Hand Disinfection
Middle Aged
Grant Support
Reg. No./Substance:
0/Disinfectants; 64-17-5/Ethanol

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