Toxico-Surveillance of Infant and Toddler Poisonings in the United States

Yaron Finkelstein, Janine R. Hutson, Paul M. Wax, Jeffrey Brent

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Infant and toddler poisonings are important to capture and may be challenging to manage. We aim to describe the Toxicology Investigators Consortium (ToxIC) Case Registry as a tool for toxico-surveillance of this problem in the United States. Using the ToxIC Case Registry database of the American College of Medical Toxicology, we identified infant and toddler poisonings over a 15-month period between April 1, 2010 and June 30, 2011 reported to the 31 Registry sites. Of 6,810 poisoning cases reported to the ToxIC registry, 248 (3.6 %) involved children younger than 2 years (51 % males). Fifty-four percent were hospital inpatients, 42 % were in the Emergency Department and 4 % were outpatients. Sixty-three percent were symptomatic. The most common ingested compounds were highly toxic-cardiac drugs (16 %), psychotropics (15 %), recreational drugs, alcohols, and controlled narcotic drugs (13 %), analgesics (9 %), and cleaning compounds (7 %). Fourteen percent of cases involved multiple agents. The ToxIC registry is a potentially useful toxico-surveillance tool to identify and trend clinically significant poisonings in young children, and potentially other populations. These data could be used to target specific preventive interventions.

Original languageEnglish (US)
Pages (from-to)263-266
Number of pages4
JournalJournal of Medical Toxicology
Issue number3
StatePublished - Sep 2012


  • Case registry
  • Infants
  • Poisoning
  • Toxicology

ASJC Scopus subject areas

  • Toxicology
  • Health, Toxicology and Mutagenesis


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