Exposure to liquid detergent capsules: A study undertaken by the UK National Poisons Information Service

Objective. To ascertain the reported toxicity of liquid detergent capsules. Methods. Between 1 March 2008 and 30 April 2009 the UK National Poisons Information Service collected prospectively 647 telephone enquiries relating to liquid detergent capsules. Results. The majority of enquiries (96.1%) co...

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Published in:Clinical toxicology (Philadelphia, Pa.) Vol. 50; no. 8; pp. 776 - 780
Main Authors: Williams, Hayley, Bateman, D. Nicholas, Thomas, Simon HL, Thompson, John P, Scott, Robert AH, Vale, J. Allister
Format: Journal Article
Language:English
Published: England Informa Healthcare 01.09.2012
Taylor & Francis
Subjects:
Burn
Burns, Chemical - etiology
Child, Preschool
Conjunctivitis
Detergents - poisoning
Drowsiness
Eye Injuries - chemically induced
Follow-Up Studies
Household Products - poisoning
Humans
Infant
Keratitis
Liquid detergent capsules
Male
Nausea - chemically induced
Poison Control Centers - statistics & numerical data
Poisoning - epidemiology
Poisoning - etiology
Poisoning - prevention & control
Prospective Studies
Skin Diseases - chemically induced
Time Factors
United Kingdom - epidemiology
Vomiting - chemically induced
ISSN:1556-3650, 1556-9519, 1556-9519
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Abstract Objective. To ascertain the reported toxicity of liquid detergent capsules. Methods. Between 1 March 2008 and 30 April 2009 the UK National Poisons Information Service collected prospectively 647 telephone enquiries relating to liquid detergent capsules. Results. The majority of enquiries (96.1%) concerned children of 5 years of age or less. Exposure to these products occurred mainly as a result of ingestion alone (n = 518; 80.1%), with eye contact alone (n = 61; 9.4%), and skin contact alone (n = 7; 1.1%) being less common; multiple routes of exposure were involved in 61 (9.4%) enquiries. Following ocular exposure, conjunctivitis with or without eye pain (n = 61), eye pain alone (n = 11) and keratitis (n = 4) developed; in one case the keratitis persisted for nine days, though recovery occurred in all cases as far as is known. The most common features reported following ingestion alone were nausea and vomiting (n = 143), followed by coughing (n = 21). Eleven children less than 2 years of age also developed drowsiness. A rash occurred in nine patients where ingestion was considered to be the route of exposure, probably due to topical contact with the capsule. Seven children aged 3 or less were exposed via the dermal route alone and developed rash (n = 4), irritation (n = 2), chemical burn (n = 2), and paresthesia (n = 1). Conclusions. Ocular exposure may lead to conjunctivitis and keratitis; recovery is to be expected in all cases within 7-10 days. Ingestion may also result in drowsiness. Greater consumer awareness is required to reduce injury from liquid detergent capsules, particularly that involving the eye. Parents have a vital role to play in ensuring that these products are stored safely at all times.
AbstractList To ascertain the reported toxicity of liquid detergent capsules. Between 1 March 2008 and 30 April 2009 the UK National Poisons Information Service collected prospectively 647 telephone enquiries relating to liquid detergent capsules. The majority of enquiries (96.1%) concerned children of 5 years of age or less. Exposure to these products occurred mainly as a result of ingestion alone (n = 518; 80.1%), with eye contact alone (n = 61; 9.4%), and skin contact alone (n = 7; 1.1%) being less common; multiple routes of exposure were involved in 61 (9.4%) enquiries. Following ocular exposure, conjunctivitis with or without eye pain (n = 61), eye pain alone (n = 11) and keratitis (n = 4) developed; in one case the keratitis persisted for nine days, though recovery occurred in all cases as far as is known. The most common features reported following ingestion alone were nausea and vomiting (n = 143), followed by coughing (n = 21). Eleven children less than 2 years of age also developed drowsiness. A rash occurred in nine patients where ingestion was considered to be the route of exposure, probably due to topical contact with the capsule. Seven children aged 3 or less were exposed via the dermal route alone and developed rash (n = 4), irritation (n = 2), chemical burn (n = 2), and paresthesia (n = 1). Ocular exposure may lead to conjunctivitis and keratitis; recovery is to be expected in all cases within 7-10 days. Ingestion may also result in drowsiness. Greater consumer awareness is required to reduce injury from liquid detergent capsules, particularly that involving the eye. Parents have a vital role to play in ensuring that these products are stored safely at all times.
Objective. To ascertain the reported toxicity of liquid detergent capsules. Methods. Between 1 March 2008 and 30 April 2009 the UK National Poisons Information Service collected prospectively 647 telephone enquiries relating to liquid detergent capsules. Results. The majority of enquiries (96.1%) concerned children of 5 years of age or less. Exposure to these products occurred mainly as a result of ingestion alone (n = 518; 80.1%), with eye contact alone (n = 61; 9.4%), and skin contact alone (n = 7; 1.1%) being less common; multiple routes of exposure were involved in 61 (9.4%) enquiries. Following ocular exposure, conjunctivitis with or without eye pain (n = 61), eye pain alone (n = 11) and keratitis (n = 4) developed; in one case the keratitis persisted for nine days, though recovery occurred in all cases as far as is known. The most common features reported following ingestion alone were nausea and vomiting (n = 143), followed by coughing (n = 21). Eleven children less than 2 years of age also developed drowsiness. A rash occurred in nine patients where ingestion was considered to be the route of exposure, probably due to topical contact with the capsule. Seven children aged 3 or less were exposed via the dermal route alone and developed rash (n = 4), irritation (n = 2), chemical burn (n = 2), and paresthesia (n = 1). Conclusions. Ocular exposure may lead to conjunctivitis and keratitis; recovery is to be expected in all cases within 7-10 days. Ingestion may also result in drowsiness. Greater consumer awareness is required to reduce injury from liquid detergent capsules, particularly that involving the eye. Parents have a vital role to play in ensuring that these products are stored safely at all times.
To ascertain the reported toxicity of liquid detergent capsules.OBJECTIVETo ascertain the reported toxicity of liquid detergent capsules.Between 1 March 2008 and 30 April 2009 the UK National Poisons Information Service collected prospectively 647 telephone enquiries relating to liquid detergent capsules.METHODSBetween 1 March 2008 and 30 April 2009 the UK National Poisons Information Service collected prospectively 647 telephone enquiries relating to liquid detergent capsules.The majority of enquiries (96.1%) concerned children of 5 years of age or less. Exposure to these products occurred mainly as a result of ingestion alone (n = 518; 80.1%), with eye contact alone (n = 61; 9.4%), and skin contact alone (n = 7; 1.1%) being less common; multiple routes of exposure were involved in 61 (9.4%) enquiries. Following ocular exposure, conjunctivitis with or without eye pain (n = 61), eye pain alone (n = 11) and keratitis (n = 4) developed; in one case the keratitis persisted for nine days, though recovery occurred in all cases as far as is known. The most common features reported following ingestion alone were nausea and vomiting (n = 143), followed by coughing (n = 21). Eleven children less than 2 years of age also developed drowsiness. A rash occurred in nine patients where ingestion was considered to be the route of exposure, probably due to topical contact with the capsule. Seven children aged 3 or less were exposed via the dermal route alone and developed rash (n = 4), irritation (n = 2), chemical burn (n = 2), and paresthesia (n = 1).RESULTSThe majority of enquiries (96.1%) concerned children of 5 years of age or less. Exposure to these products occurred mainly as a result of ingestion alone (n = 518; 80.1%), with eye contact alone (n = 61; 9.4%), and skin contact alone (n = 7; 1.1%) being less common; multiple routes of exposure were involved in 61 (9.4%) enquiries. Following ocular exposure, conjunctivitis with or without eye pain (n = 61), eye pain alone (n = 11) and keratitis (n = 4) developed; in one case the keratitis persisted for nine days, though recovery occurred in all cases as far as is known. The most common features reported following ingestion alone were nausea and vomiting (n = 143), followed by coughing (n = 21). Eleven children less than 2 years of age also developed drowsiness. A rash occurred in nine patients where ingestion was considered to be the route of exposure, probably due to topical contact with the capsule. Seven children aged 3 or less were exposed via the dermal route alone and developed rash (n = 4), irritation (n = 2), chemical burn (n = 2), and paresthesia (n = 1).Ocular exposure may lead to conjunctivitis and keratitis; recovery is to be expected in all cases within 7-10 days. Ingestion may also result in drowsiness. Greater consumer awareness is required to reduce injury from liquid detergent capsules, particularly that involving the eye. Parents have a vital role to play in ensuring that these products are stored safely at all times.CONCLUSIONSOcular exposure may lead to conjunctivitis and keratitis; recovery is to be expected in all cases within 7-10 days. Ingestion may also result in drowsiness. Greater consumer awareness is required to reduce injury from liquid detergent capsules, particularly that involving the eye. Parents have a vital role to play in ensuring that these products are stored safely at all times.
Author Vale, J. Allister
Scott, Robert AH
Thomas, Simon HL
Williams, Hayley
Bateman, D. Nicholas
Thompson, John P
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  givenname: J. Allister
  surname: Vale
  fullname: Vale, J. Allister
  email: allistervale@npis.org, allistervale@npis.org
  organization: NPIS (Birmingham Unit), City Hospital
BackLink https://www.ncbi.nlm.nih.gov/pubmed/22835052$$D View this record in MEDLINE/PubMed
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Snippet Objective. To ascertain the reported toxicity of liquid detergent capsules. Methods. Between 1 March 2008 and 30 April 2009 the UK National Poisons Information...
To ascertain the reported toxicity of liquid detergent capsules. Between 1 March 2008 and 30 April 2009 the UK National Poisons Information Service collected...
To ascertain the reported toxicity of liquid detergent capsules.OBJECTIVETo ascertain the reported toxicity of liquid detergent capsules.Between 1 March 2008...
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SubjectTerms Burn
Burns, Chemical - etiology
Child, Preschool
Conjunctivitis
Detergents - poisoning
Drowsiness
Eye Injuries - chemically induced
Follow-Up Studies
Household Products - poisoning
Humans
Infant
Keratitis
Liquid detergent capsules
Male
Nausea - chemically induced
Poison Control Centers - statistics & numerical data
Poisoning - epidemiology
Poisoning - etiology
Poisoning - prevention & control
Prospective Studies
Skin Diseases - chemically induced
Time Factors
United Kingdom - epidemiology
Vomiting - chemically induced
Title Exposure to liquid detergent capsules: A study undertaken by the UK National Poisons Information Service
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https://www.ncbi.nlm.nih.gov/pubmed/22835052
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Volume 50
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