Parental knowledge attitude and practices about chemical and medicinal poisons: A hospital based study from Karachi, Pakistan.


Journal

Injury
ISSN: 1879-0267
Titre abrégé: Injury
Pays: Netherlands
ID NLM: 0226040

Informations de publication

Date de publication:
Aug 2023
Historique:
received: 09 07 2022
revised: 31 10 2022
accepted: 07 11 2022
medline: 14 8 2023
pubmed: 13 8 2023
entrez: 12 8 2023
Statut: ppublish

Résumé

Unintentional poisoning is among the leading cause of death in children less than 20 years age. The incidence of unintentional poisoning in Low-income countries LMICs is four times higher compared to high-income countries (HICs). In Pakistan a 10% (25/211) incidence of unintentional poisonings among 0-15-year-old children has been reported. Most of the poisoning occur because of household chemical and medicines. This study aimed to assess the knowledge, attitude, and practices (KAP) of parents in Karachi regarding poisonous household chemicals and medicines. This KAP study was conducted at Aga Khan University Hospital, Karachi from May to August 2019. A maximum sample of 384 was calculated using a 50% knowledge about household chemicals. Data were collected about parental knowledge, attitude and practices about poisons and chemicals at home and presented as frequency and percentages. Chi-square test of independence (or Fisher's exact test) was used. Data were analyzed using SPSS version 20. A total of 364 parents of 0-16-year-old children completed the survey out of which 229 were mothers and 127 were fathers (eight had missing data). We had 70% of parents that kept chemicals and medicines locked in cabinets and 80% chose to never leave medicines unattended, there are still 20-30% parents that need improvement in the parental knowledge and practices for storing chemicals and medicines. A general lack of knowledge regarding poisoning first aid and emergency response centers was noted. Two-pronged approach for future interventions could be useful; (1) Improving the knowledge and practice among the remaining 20-30% through repeated awareness' sessions for the community. (2) Information regarding PCCS needs to be made readily available to the parents which is a measure useful in cases a child poisoning occurs.

Sections du résumé

BACKGROUND BACKGROUND
Unintentional poisoning is among the leading cause of death in children less than 20 years age. The incidence of unintentional poisoning in Low-income countries LMICs is four times higher compared to high-income countries (HICs). In Pakistan a 10% (25/211) incidence of unintentional poisonings among 0-15-year-old children has been reported. Most of the poisoning occur because of household chemical and medicines. This study aimed to assess the knowledge, attitude, and practices (KAP) of parents in Karachi regarding poisonous household chemicals and medicines.
METHODS METHODS
This KAP study was conducted at Aga Khan University Hospital, Karachi from May to August 2019. A maximum sample of 384 was calculated using a 50% knowledge about household chemicals. Data were collected about parental knowledge, attitude and practices about poisons and chemicals at home and presented as frequency and percentages. Chi-square test of independence (or Fisher's exact test) was used. Data were analyzed using SPSS version 20.
RESULTS RESULTS
A total of 364 parents of 0-16-year-old children completed the survey out of which 229 were mothers and 127 were fathers (eight had missing data). We had 70% of parents that kept chemicals and medicines locked in cabinets and 80% chose to never leave medicines unattended, there are still 20-30% parents that need improvement in the parental knowledge and practices for storing chemicals and medicines. A general lack of knowledge regarding poisoning first aid and emergency response centers was noted.
CONCLUSIONS CONCLUSIONS
Two-pronged approach for future interventions could be useful; (1) Improving the knowledge and practice among the remaining 20-30% through repeated awareness' sessions for the community. (2) Information regarding PCCS needs to be made readily available to the parents which is a measure useful in cases a child poisoning occurs.

Identifiants

pubmed: 37573064
pii: S0020-1383(22)00849-X
doi: 10.1016/j.injury.2022.11.024
pii:
doi:

Substances chimiques

Poisons 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

110481

Informations de copyright

Copyright © 2022. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

Declaration of Competing Interest All the authors declare no conflict of interest.

Auteurs

Feroza Perveen (F)

Department of Pharmacy, Aga Khan University Hospital Karachi, Pakistan.

Naveed Ahmed (N)

Department of Emergency Medicine, Aga Khan University Hospital Karachi, Stadium Road, P.O. Box 3500, Karachi 74800, Pakistan.

Sarwat Masud (S)

Department of Emergency Medicine, Aga Khan University Hospital Karachi, Stadium Road, P.O. Box 3500, Karachi 74800, Pakistan.

Muhammad Umair Ihsan (MU)

Department of Pharmacy, Aga Khan University Hospital Karachi, Pakistan.

Uzma Rahim Khan (UR)

Department of Emergency Medicine, Aga Khan University Hospital Karachi, Stadium Road, P.O. Box 3500, Karachi 74800, Pakistan.

Nadeem Ullah Khan (NU)

Department of Emergency Medicine, Aga Khan University Hospital Karachi, Stadium Road, P.O. Box 3500, Karachi 74800, Pakistan. Electronic address: nadeemullah.khan@aku.edu.

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