Universität zu Köln

Hermanns-Clausen, Maren, Koch, Ingrid, Pietsch, Joerg, Andresen-Streichert, Hilke and Begemann, Kathrin (2019). Accidental intoxication by outdoor and garden plants. Data from two German poison centres. Bundesgesundheitsblatt-Gesund., 62 (1). S. 73 - 84. NEW YORK: SPRINGER. ISSN 1437-1588

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Abstract

Background and objectivesAccidental exposure of children to plants occurs often and results in numerous calls to poison centres.The aim of this study was to identify outdoor plants that led to moderate or severe poisoning after accidental exposure and to identify patterns of paediatric plant exposures.Materials and methodsHuman exposure data on accidental exposures provided by two German poison centres were retrospectively evaluated regarding the number and the routes of exposure. Special attention was turned to the kind and severity of symptoms. Based on these data amodified Litovitz factor was calculated.ResultsOut of 42,344 confirmed exposures to 227 plant species, 39,346 (93%) were asymptomatic, 2415 (5.7%) experienced minor, 580 (1.3%) moderate and 3 (0.007%) severe symptoms. Twenty-sixplant genera were responsible for 70% of all exposures. Only eight of these plants (Arum spec., Laburnum anagyroides, Narcissus spec., Phaseolus vulgaris/coccineus, Prunus laurocerasus, Sambucus spec., Taxus baccata, Thuja spec.) led to at least moderate symptoms. Accidental exposure of children aged 0.5-5years was mainly by oral ingestion (98%) and involved mostly fruits (60%).ConclusionsExposure data collected by poison centres are very useful for hazard identification of outdoor plants. The data give acomprehensive overview of observed symptoms, which offers valuable instruments for use in clinical practice.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hermanns-Clausen, Maren UNSPECIFIED UNSPECIFIED UNSPECIFIED Koch, Ingrid UNSPECIFIED UNSPECIFIED UNSPECIFIED Pietsch, Joerg UNSPECIFIED UNSPECIFIED UNSPECIFIED Andresen-Streichert, Hilke UNSPECIFIED UNSPECIFIED UNSPECIFIED Begemann, Kathrin UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-140698
DOI:	10.1007/s00103-018-2853-5
Journal or Publication Title:	Bundesgesundheitsblatt-Gesund.
Volume:	62
Number:	1
Page Range:	S. 73 - 84
Date:	2019
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1437-1588
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EXPOSURES Multiple languages Public, Environmental & Occupational Health Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14069