The effect of educational programs on parents’ knowledge, behavior, and practices regarding aluminum phosphide poisoning and its first-aid measures

Abstract Background Aluminum phosphide is an excellent insecticide available as a chalky white or brown tablet. Aluminum phosphide is traded in the Egyptian market as tablets under the brand name celphos. To date, no specific antidotes for aluminum phosphide poisoning have been identified. Managemen...

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Main Authors: Mabrouka Attia Ali Nada, Ahmed Kamal Eldin Elsayed Elfeky, Hamida Ahmed Mustafa Darweesh, Farida Khalil Ibrahim Mohamed, Loujain Saud Sharif, Faten Shawky Kandil, Fatma Ahmed Elsobky, Samah Abdallah Mohamed Amer
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-024-05231-x
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author Mabrouka Attia Ali Nada
Ahmed Kamal Eldin Elsayed Elfeky
Hamida Ahmed Mustafa Darweesh
Farida Khalil Ibrahim Mohamed
Loujain Saud Sharif
Faten Shawky Kandil
Fatma Ahmed Elsobky
Samah Abdallah Mohamed Amer
author_facet Mabrouka Attia Ali Nada
Ahmed Kamal Eldin Elsayed Elfeky
Hamida Ahmed Mustafa Darweesh
Farida Khalil Ibrahim Mohamed
Loujain Saud Sharif
Faten Shawky Kandil
Fatma Ahmed Elsobky
Samah Abdallah Mohamed Amer
author_sort Mabrouka Attia Ali Nada
collection DOAJ
description Abstract Background Aluminum phosphide is an excellent insecticide available as a chalky white or brown tablet. Aluminum phosphide is traded in the Egyptian market as tablets under the brand name celphos. To date, no specific antidotes for aluminum phosphide poisoning have been identified. Management is primarily supportive, to control toxic symptoms and prevent the anticipated consequences. Therefore, educating parents about first aid management is of utmost importance. This study aimed to evaluate the knowledge, behavior, and practices of parents concerning aluminum phosphide poisoning and its first-aid measures. Methods This study used a quasi-experimental research design and was conducted in the inpatient clinical toxicology department ward of Menoufia University Hospital between June 2022 and May 2023. Children (n = 98) who met the inclusion criteria (aged between 0 and 18 years and who experienced accidental or suicidal aluminum phosphide poisoning) were recruited from the inpatient clinical toxicology department ward, intensive care unit in the emergency department, and critical care unit of Menoufia University Hospital. Four questionnaires were used to collect data for this study: (1) sociodemographics, poisoning data, physical examination, and laboratory investigations; (2) knowledge of parents; (3) practice of parents; and (4) behavior response scales. Results This study analyzed 98 cases of acute ALP poisoning, predominantly affecting females (67.3%) aged 16–18 years, with most incidents occurring in summer (51.1%) and rural areas (80.6%). Suicidal ingestion accounted for 86.7% of cases, and delays in hospital arrival were noted in 65.3%. Clinical findings included vomiting (76.6%), dyspnea (77.5%), and cardiogenic shock (84.8%). ECG abnormalities were found in 82.7% of patients, and metabolic acidosis was present in 82.3% of patients. An educational program significantly improved the knowledge and first-aid practices of the participants regarding ALP poisoning, highlighting the need for enhanced awareness and intervention strategies. Conclusions Community awareness programs, such as first-aid education initiatives, can positively influence the knowledge, practices, and behaviors of mothers in terms of providing first aid for aluminum phosphide toxicity.
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series BMC Pediatrics
spelling doaj-art-cbd5320da5de434b90fc9315d30836b12025-01-26T12:52:58ZengBMCBMC Pediatrics1471-24312024-12-0124111210.1186/s12887-024-05231-xThe effect of educational programs on parents’ knowledge, behavior, and practices regarding aluminum phosphide poisoning and its first-aid measuresMabrouka Attia Ali Nada0Ahmed Kamal Eldin Elsayed Elfeky1Hamida Ahmed Mustafa Darweesh2Farida Khalil Ibrahim Mohamed3Loujain Saud Sharif4Faten Shawky Kandil5Fatma Ahmed Elsobky6Samah Abdallah Mohamed Amer7Pediatric Nursing Department, Menoufia University HospitalsForensic Medicine and Clinical Toxicology Department, Menoufia UniversityNursing Education Department, Faculty of Nursing, Alexandria UniversityCritical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria UniversityDepartment of Psychiatric and Mental Health Nursing, Faculty of Nursing, King Abdulaziz UniversityDepartment of Nursing, College of Applied Medical Science, University of JeddahDepartment of Nursing, College of Applied Medical Science, University of JeddahPediatric Nursing Department, Faculty of Nursing, Benha UniversityAbstract Background Aluminum phosphide is an excellent insecticide available as a chalky white or brown tablet. Aluminum phosphide is traded in the Egyptian market as tablets under the brand name celphos. To date, no specific antidotes for aluminum phosphide poisoning have been identified. Management is primarily supportive, to control toxic symptoms and prevent the anticipated consequences. Therefore, educating parents about first aid management is of utmost importance. This study aimed to evaluate the knowledge, behavior, and practices of parents concerning aluminum phosphide poisoning and its first-aid measures. Methods This study used a quasi-experimental research design and was conducted in the inpatient clinical toxicology department ward of Menoufia University Hospital between June 2022 and May 2023. Children (n = 98) who met the inclusion criteria (aged between 0 and 18 years and who experienced accidental or suicidal aluminum phosphide poisoning) were recruited from the inpatient clinical toxicology department ward, intensive care unit in the emergency department, and critical care unit of Menoufia University Hospital. Four questionnaires were used to collect data for this study: (1) sociodemographics, poisoning data, physical examination, and laboratory investigations; (2) knowledge of parents; (3) practice of parents; and (4) behavior response scales. Results This study analyzed 98 cases of acute ALP poisoning, predominantly affecting females (67.3%) aged 16–18 years, with most incidents occurring in summer (51.1%) and rural areas (80.6%). Suicidal ingestion accounted for 86.7% of cases, and delays in hospital arrival were noted in 65.3%. Clinical findings included vomiting (76.6%), dyspnea (77.5%), and cardiogenic shock (84.8%). ECG abnormalities were found in 82.7% of patients, and metabolic acidosis was present in 82.3% of patients. An educational program significantly improved the knowledge and first-aid practices of the participants regarding ALP poisoning, highlighting the need for enhanced awareness and intervention strategies. Conclusions Community awareness programs, such as first-aid education initiatives, can positively influence the knowledge, practices, and behaviors of mothers in terms of providing first aid for aluminum phosphide toxicity.https://doi.org/10.1186/s12887-024-05231-xAluminum phosphideRice tabletsEducational programsParents’ knowledgeFirst aidPoisoning management practices
spellingShingle Mabrouka Attia Ali Nada
Ahmed Kamal Eldin Elsayed Elfeky
Hamida Ahmed Mustafa Darweesh
Farida Khalil Ibrahim Mohamed
Loujain Saud Sharif
Faten Shawky Kandil
Fatma Ahmed Elsobky
Samah Abdallah Mohamed Amer
The effect of educational programs on parents’ knowledge, behavior, and practices regarding aluminum phosphide poisoning and its first-aid measures
BMC Pediatrics
Aluminum phosphide
Rice tablets
Educational programs
Parents’ knowledge
First aid
Poisoning management practices
title The effect of educational programs on parents’ knowledge, behavior, and practices regarding aluminum phosphide poisoning and its first-aid measures
title_full The effect of educational programs on parents’ knowledge, behavior, and practices regarding aluminum phosphide poisoning and its first-aid measures
title_fullStr The effect of educational programs on parents’ knowledge, behavior, and practices regarding aluminum phosphide poisoning and its first-aid measures
title_full_unstemmed The effect of educational programs on parents’ knowledge, behavior, and practices regarding aluminum phosphide poisoning and its first-aid measures
title_short The effect of educational programs on parents’ knowledge, behavior, and practices regarding aluminum phosphide poisoning and its first-aid measures
title_sort effect of educational programs on parents knowledge behavior and practices regarding aluminum phosphide poisoning and its first aid measures
topic Aluminum phosphide
Rice tablets
Educational programs
Parents’ knowledge
First aid
Poisoning management practices
url https://doi.org/10.1186/s12887-024-05231-x
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