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Liquid Mosquito Repellent Ingestion in Children

  • Mounika V. Reddy
  • Saptharishi L. Ganesan
  • Karthik Narayanan
  • Muralidharan JayashreeEmail author
  • Sunit C. Singhi
  • Karthi Nallasamy
  • Arun Bansal
  • Arun K. Baranwal
Original Article

Abstract

Objectives

Hydrocarbons are a common cause of accidental poisoning in children, with kerosene being the most implicated agent in rural parts of India. However, lately, liquid mosquito repellent ingestion is emerging as an important cause of hydrocarbon (kerosene) poisoning in urban households.

Methods

This is a retrospective case series over a 5-y period (January 2013 – December 2017) of children with accidental liquid mosquito repellent ingestion presenting to the pediatric emergency. Epidemiology, clinical profile, management and outcomes are discussed.

Results

Twenty-three children with median (IQR) age of 24 (18.8–32) mo presented after mean (SD) interval of 6 (3) h from ingestion. Majority (20, 87%) were seen during summer months (March–June) and all were from urban background. Sixteen (70%) had mild-moderate acute respiratory distress syndrome (ARDS) requiring supplemental oxygen with or without positive airway pressure for a mean (SD) duration of 3.3 (1.9) d. All except one survived.

Conclusions

Children with accidental liquid mosquito repellent ingestion had predominant aspiration pneumonitis due to hydrocarbon content rather than neurological complications attributable to synthetic pyrethroids. Ensuring child-proof containers, appropriate storage, regulatory surveillance and parental awareness are must for prevention.

Keywords

Aspiration pneumonitis Hydrocarbons Poisoning Mosquito repellent Pyrethroids 

Notes

Authors’ Contribution

SLG and KN conceived the study. MVR, SLG and KN undertook data collection and entry. MVR analyzed the data. JM supervised data collection and analysis, including quality control. MVR, SLG and KN drafted the first draft of the manuscript, and JM contributed substantially to its revision. AB, AKB, KN, SCS contributed to supervision of data collection and quality control. JM takes responsibility for the paper as a whole. The final copy of the manuscript has been approved by all the authors. JM is the guarantor for this paper.

Compliance with Ethical Standards

Conflict of Interest

None.

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Copyright information

© Dr. K C Chaudhuri Foundation 2019

Authors and Affiliations

  1. 1.Department of PediatricsSt John’s Medical College HospitalBengaluruIndia
  2. 2.Children’s Hospital - London Health Sciences Center, Schulich School of MedicineWestern UniversityLondonCanada
  3. 3.Department of Pediatric Intensive CareRainbow Children’s HospitalChennaiIndia
  4. 4.Division of Pediatric Critical Care, Advanced Pediatrics CentrePostgraduate Institute of Medical Education and Research (PGIMER)ChandigarhIndia
  5. 5.Department of PediatricsMedanta, The MedicityGurugramIndia

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