• Roberto Velasco, Miriam Palacios, Nerea Salmón, Yordana Acedo, Laura Del Arco, Beatriz Azcunaga, Santiago Mintegi, and Intoxication Working Group of Spanish Society of Pediatric Emergencies.
• aDepartment of Pediatrics, Rio Hortega Teaching Hospital, Valladolid bDepartment of Pediatrics, Clinical Complex of Navarra, Pamplona cPediatric Emergencies Department, Cruces University Hospital, Barakaldo, Spain.
• Eur J Emerg Med. 2014 Jun 1;21(3):195-8.

Introduction And ObjectivesThe aim of this study is to analyze the impact of the actions carried out by the Intoxications Working Group (IWG) of Spanish Society of Pediatric Emergencies in the management of acute pediatric intoxications in Spain, specifically the publishing of a Handbook in 2004 or the creation of the Toxicologic Surveillance System in 2009.Patients And MethodsGastrointestinal decontamination procedures were analyzed in three periods of time in Pediatric Emergency Departments (PEDs) included in the IWG: group A (2001-2002, 17 PED, 2157 episodes), group B (2008-2009, 22 PED, 612 episodes), and group C (2009-2011, 42 PED, 400 episodes). These periods were chosen because the main actions of the IWG were developed in the time in-between them.ResultsOf the 3169 episodes included, a gastrointestinal decontamination procedure was performed in 1031. The use of ipecac syrup decreased from 22.8% in group A to 0 in group C and the performance of a gastric lavage decreased from 29.1% in group A to 26% in group C (NS), although on splitting yearly patients of group C, it decreased to 14.7% in 2011.ConclusionRecommendations developed and spread by a Working Group have approached the management of acute pediatric intoxications in Spain to international guidelines on the basis of scientific evidence.

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