Evidence map›Paper›PMID 38555100›Full record

SynthesisBMJ paediatrics open2024

Systematic review of clinical manifestations, management and outcome following accidental ingestion of liquid mosquito repellent vaporiser in children.

Babar Naeem, Junaid Saleem, Agha Syed Ali Haider Naqvi, Sidra Kausar, Aqdas Arshad, Kantash Kumar, Aashar Khalid, Parkash Kumar

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in BMJ paediatrics open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Babar NaeemAllama Iqbal Medical College, Lahore, Pakistan babar_naeem@hotmail.com.ORCID http://orcid.org/0000-0002-5479-8746
Junaid SaleemFederal Medical and Dental College, Islamabad, Pakistan.ORCID http://orcid.org/0009-0000-9209-8831
Agha Syed Ali Haider NaqviPakistan Institute of Medical Sciences, Islamabad, Pakistan.
Sidra KausarPakistan Institute of Medical Sciences, Islamabad, Pakistan.
Aqdas ArshadMohi-ud-Din Islamic Medical College, Mirpur, Azad Kashmir, Pakistan.
Kantash KumarDow Medical College, Karachi, Pakistan.
Aashar KhalidFederal Medical and Dental College, Islamabad, Pakistan.
Parkash KumarLiaquat National Hospital and Medical College, Karachi, Pakistan.
Federal Medical Centre · NGPakistan Institute of Medical Sciences · PKAllama Iqbal Medical College · PKDow University of Health Sciences · PKLiaquat National Hospital · PKMohi-ud-Din Islamic University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPyrethroid-based mosquito repellents are widely used to control mosquito-borne diseases. Liquid mosquito-repellent vaporisers are effective modes of pyrethroid delivery but can also pose significant health risks if ingested or used improperly.

objectiveThis systematic review was performed to assess the demographic distribution, clinical presentation, management strategies and outcomes in children resulting from accidental ingestion of liquid mosquito repellent vaporiser.

methodsThe study adheres to the reporting standards outlined in the PRISMA Statement for Systematic Reviews and was prospectively registered with PROSPERO (record # CRD42023413937) to enhance transparency and minimise reporting bias. A comprehensive search was conducted on PubMed, Scopus and Google Scholar using specific MeSH terms related to insecticides, mosquito repellents, pyrethroids, ingestion, poisoning, toxicity and prevention. The reference lists of the included studies were also reviewed for additional relevant articles. The inclusion criteria involved studies published in peer-reviewed journals between 2000 and 2023 that focused on children under 18 years old with a history of mosquito-repellent ingestion based on primary data.

resultsTwelve studies met the inclusion criteria; these were primarily case reports from India, China and the UAE. Male children were predominantly affected, and symptoms included vomiting, convulsions, cough and respiratory distress. Management primarily involved supportive and symptomatic measures, including atropine for salivation and antiepileptic drugs for seizures. Respiratory support was provided for respiratory complications.

conclusionDespite the known risks and diverse presentations of pyrethroid poisoning caused by liquid mosquito repellent vaporiser in children, the limited substantial evidence in the literature underscores the urgent need for comprehensive research to refine management approaches and enhance preventive measures.

Indexed as

Insect RepellentsChildChild, PreschoolHumansInfantNebulizers and VaporizersPyrethrinsInsect RepellentsPyrethrinsAnalgesiaCaregiversEpidemiologyToxicology

Identifiers

PMID38555100
PMCPMC10982783
OpenAlexW4393333886

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.