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COVID‐19 pandemic and methanol poisoning outbreak in Iranian children and adolescents: A data linkage study

Background During the first wave of COVID‐19, many Iranians were poisoned by ingesting hand sanitizers and/or alcoholic beverages to avoid viral infection. To assess whether the COVID‐19 pandemic resulted in an increased prevalence of accidental hand sanitizer/alcoholic beverage exposure in children...

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Published in:Alcoholism, clinical and experimental research clinical and experimental research, 2021-09, Vol.45 (9), p.1853-1863
Main Authors: Mahdavi, Seyed Amirhosein, Kolahi, Ali‐Asghar, Akhgari, Maryam, Gheshlaghi, Farzad, Gholami, Narges, Moshiri, Mohammad, Mohtasham, Neda, Ebrahimi, Sara, Ziaeefar, Pardis, McDonald, Rebecca, Tas, Basak, Kazemifar, Amir Mohammad, Amirabadizadeh, Alireza, Ghadirzadeh, Mohammadreza, Jamshidi, Farkhondeh, Dadpour, Bita, Mirtorabi, Seyed Davood, Farnaghi, Fariba, Zamani, Nasim, Hassanian‐Moghaddam, Hossein
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Language:English
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Summary:Background During the first wave of COVID‐19, many Iranians were poisoned by ingesting hand sanitizers and/or alcoholic beverages to avoid viral infection. To assess whether the COVID‐19 pandemic resulted in an increased prevalence of accidental hand sanitizer/alcoholic beverage exposure in children and adolescents, we compared pediatric hospitalization rates during COVID‐19 and the previous year. For poisoning admissions during COVID‐19, we also evaluated the cause by age and clinical outcomes. Methods This retrospective data linkage study evaluated data from the Legal Medicine Organization (reporting mortalities) and hospitalization data from nine toxicology referral centers for alcohol‐poisoned patients (age 0 to 18 years) for the study period (February 23 to June 22, 2020) and the pre‐COVID‐19 reference period (same dates in 2019). Results Hospitalization rates due to ethanol and methanol exposure were significantly higher in 2020 (n = 375) than 2019 (n = 202; OR [95% CI] 1.9 [1.6, 2.2], p 
ISSN:0145-6008
1530-0277
DOI:10.1111/acer.14680