Report Period 1/1/2004 through 12/31/2004 - three hundred sixty-six days Poison Center Activity Report 2004 This report is provided as a service of the Maryland Poison Center. If you have additional questions, please contact Bruce D. Anderson, PharmD, DABAT, Director at [email protected] or by phone at 410-563-5580. This report contains the following subreports containing statistical information on the nature of the calls managed by the Poison Center during the reporting period: Definitions: Patient flow: referes to where patients were managed (e.g., were they referred to the emergency room, were they managed at home, etc.) HCF: Health Care Facility Outcomes: outcomes have specific definitions. Minor effects involve exposures where some symptoms has occured, but the symptom(s) are not serious, not life threatening, and resolve quickly with minimal intervention (e.g., nausea, vomiting, skin irritation) Moderate effects involve more serious or long lasting symtoms or effects that require some specific intervention (e.g., vomiting that results in the need for rehydration with IV fluids). Major effects involve serious, life-threatening exposures that require life-saving treatment (e.g., intubation and ventilation) or involve effects that are permanent or disfiguring (e.g., permanent scarring after a cautic exposure). 1. Call by Call Type (including information call sub types). 2. Patient Age Groups by Gender. 3. Patient Flow - Human Exposures - Children 5 and Under. 4. Patient Flow - Human Exposures - Children 6 to 19 Years of Age. 5. Patient Flow - Human Exposures - Adults 20 Years of Older. 6. Reason for Exposure - Human Exposures - All Age Groups 7. Reason for Exposure by Age Groups - Human Exposures. 8. Outcomes by Patient Management Sites. 9. Management Site by Referral Pattern (includes medical outcome evaluation). 10 Medical Outcome (Verified Human Exposures Only). 11. Medical Outcome by Age Group (Verified Human Exposures Only). 12. Incidence by Generic Substance(s) in Children 5 and Under - Top 10 Generic Categories & Top 10 Generic Substances - Drug Related. 13. Incidence by Generic Substance(s) in Children 5 and Under - Top 10 Generic Categories & Top 10 Generic Substances - Non-Drug Related. 14.Incidence by Generic Substance(s) in Children 6 to 19 Years - Top 10 Generic Categories & Top 10 Generic Substances - Drug Related. 15. Incidence by Generic Substance(s) in Children 6 to 19 Years - Top 10 Generic Categories & Top 10 Generic Substances - Non-Drug Related. 16. Incidence by Generic Substance(s) in Adults 20 Years and Older - Top 10 Generic Categories & Top 10 Generic Substances - Drug Related. 17. Incidence by Generic Substance(s) in Adults 20 Years ond Older - Top 10 Generic Categories & Top 10 Generic Substances - Non-Drug Related. 18. Routes of Exposure - Human Exposures 19. Treatments provided. Counties Included in Report Maryland-MD County County#/FIP BALTIMORE (CITY) 24510 Maryland-MD 1 Total Counties: 1 Thursday, July 28, 2005 Report Period 1/1/2004 through 12/31/2004 - three hundred sixty-six days Page 2 of 45 3:34 pm Visual Dotlab-Enterprise/WBM Software Calls by Call Type Exposures 5,667 % 44.72 Human Exposures 5,348 % 42.21 Confirmed Exposure 5,344 % 42.18 Confirmed Nonexposure 4 % 0.03 Animal Exposures 319 % 2.52 Confirmed Exposure 319 % 2.52 Information Calls 7,004 % 55.28 Drug Information 1,883 % 14.86 3.77% 71 Adverse effects (no known exposure) 0.42% 8 Brand/generic name clarifications 0.05% 1 Compatibility of parenteral medications 0.16% 3 Compounding 0.32% 6 Contraindications 0.16% 3 Dietary supplement, herbal, and homeopathic 4.51% 85 Dosage 0.69% 13 Dosage form/formulation 0.27% 5 Drug use during breast-feeding 10.67% 201 Drug-drug interactions 0.64% 12 Drug-food interactions 0.21% 4 Foreign drug 0.64% 12 Generic substitution 7.28% 137 Indications/therapeutic use 0.42% 8 Medication administration 0.11% 2 Medication availability 0.11% 2 Medication disposal 2.50% 47 Pharmacokinetics 1.33% 25 Pharmacology 0.58% 11 Regulatory 0.74% 14 Stability/storage 0.64% 12 Therapeutic drug monitoring 63.78% 1,201 Other Drug ID 3,838 % 30.29 40.91% 1,570 Public - Drug sometimes involved in abuse 24.88% 955 Public - Drug not known to be abused 3.54% 136 Public - Unknown abuse potential 6.18% 237 Public - Unable to identify 1.22% 47 Health Prof - Drug sometimes involved in abuse 3.39% 130 Health Prof - Drug not known to be abused 0.21% 8 Health Prof - Unknown abuse potential 0.47% 18 Health Prof - Unable to identify 5.73% 220 Law Enfrcmnt - Drug sometimes involved in abuse 3.15% 121 Law Enfrcmnt - Drug not known to be abused 0.78% 30 Law Enfrcmnt - Unknown abuse potential 0.83% 32 Law Enfrcmnt - Unable to identify 8.70% 334 Other Environmental Info 34 % 0.27 2.94% 1 Air quality 5.88% 2 Carbon monoxide - no known patient(s) 2.94% 1 Clarification of media reports of environmental contamination 2.94% 1 General questions about contamination of air and/or soil 2.94% 1 HAZMAT planning Thursday, July 28, 2005 Report Period 1/1/2004 through 12/31/2004 - three hundred sixty-six days Page 3 of 45 3:34 pm Visual Dotlab-Enterprise/WBM Software 41.18% 14 Mercury thermometer cleanup 5.88% 2 Pesticide application by a professional pest control operator 5.88% 2 Pesticides (other) 2.94% 1 Safe disposal of chemicals 2.94% 1 Water purity/contamination 23.53% 8 Other Medical Information 73 % 0.58 39.73% 29 Diagnostic or treatment recommendations for diseases or conditions - non-toxicology 2.74% 2 Disease prevention 1.37% 1 Explanation of disease states 9.59% 7 General first-aid 1.37% 1 Interpretation of non-toxicology laboratory reports 1.37% 1 Rabies - no known patient(s) 43.84% 32 Other Poison Information 1,084 % 8.55 0.18% 2 Analytical toxicology 0.09% 1 Carcinogenicity 2.21% 24 Food poisoning - no known patient(s) 4.98% 54 Food preparation/handling practices 35.06% 380 General toxicity 0.09% 1 Mutagenicity 2.68% 29 Plant toxicity 3.60% 39 Safe use of household products 0.28% 3 Toxicology information for legal use/litigation 50.83% 551 Other Prevention/Safety 70 % 0.55 51.43% 36 Confirmation of poison center number 1.43% 1 General (non-poison) injury prevention requests 35.71% 25 Poison prevention material requests 5.71% 4 Public education presentation requests 5.71% 4 Other Teratogenicity Info 1 % 0.01 100.00% 1 Teratogenicity Other Information 3 % 0.02 100.00% 3 Other Administrative 5 % 0.04 20.00% 1 Scheduling of poison center rotations 80.00% 4 Other Caller Referral 13 % 0.10 7.69% 1 Immediate referral - drug information 7.69% 1 Immediate referral - medical advice line 7.69% 1 Immediate referral - pharmacy 53.85% 7 Immediate referral - private physician 15.38% 2 Immediate referral - psychiatric crisis line 7.69% 1 Other Grand Total: 12,671 % 100.00 Thursday, July 28, 2005 Report Period 1/1/2004 through 12/31/2004 - three hundred sixty-six days Page 4 of 45 3:34 pm Visual Dotlab-Enterprise/WBM Software Patient Age & Sex Distribution by Age Groupings < 12 Months 252 4.712% Male 125 49.60% Female 127 50.40% 1 Year 783 14.641% Male 424 54.15% Female 359 45.85% 2 Years 737 13.781% Male 355 48.17% Female 382 51.83% 3 Years 317 5.927% Male 182 57.41% Female 135 42.59% 4 Years 165 3.085% Male 94 56.97% Female 71 43.03% 5 Years 98 1.832% Male 58 59.18% Female 40 40.82% Unknown <=5 Years 3 0.056% Male 1 33.33% Female 2 66.67% 6-12 Years 291 5.441% Male 164 56.36% Female 126 43.30% Sex Unknown 1 0.34% 13-19 Years 415 7.760% Male 169 40.72% Female 241 58.07% Pregnant 5 1.20% Unknown Child 19 Years or Less 8 0.150% Male 3 37.50% Female 5 62.50% 20-29 Years 566 10.583% Thursday, July 28, 2005 Report Period 1/1/2004 through 12/31/2004 - three hundred sixty-six days Page 5 of 45 3:34 pm Visual Dotlab-Enterprise/WBM Software 20-29 Years 566 10.583% Male 234 41.34% Female 321 56.71% Pregnant 11 1.94% 30-39 Years 518 9.686% Male 234 45.17% Female 283 54.63% Pregnant 1 0.19% 40-49 Years 509 9.518% Male 219 43.03% Female 289 56.78% Pregnant 1 0.20% 50-59 Years 294 5.497% Male 125 42.52% Female 169 57.48% 60-69 Years 139 2.599% Male 50 35.97% Female 89 64.03% 70-79 Years 105 1.963% Male 35 33.33% Female 70 66.67% 80-89 Years 57 1.066% Male 18 31.58% Female 39 68.42% 90-99 or More Years 8 0.150% Male 2 25.00% Female 6 75.00% Unknown Adult 77 1.440% Male 33 42.86% Female 43 55.84% Pregnant 1 1.30% Unknown Age 6 0.112% Male 3 50.00% Female 3 50.00% Grand Total: 5,348 Thursday, July 28, 2005 Report Period 1/1/2004 through 12/31/2004 - three hundred sixty-six days Page 6 of 45 3:34 pm Visual Dotlab-Enterprise/WBM Software Percentage by Age Categories 16 12 8 4 0 Year Years Years Years Years Years Years Years Years Years Years Years Years Years Years Months1 2 3 4 5 5 = -12 -19 -29 -39 -49 -59 -69 -79 -89 12 < 6 < 13 20 30 40 50 60 70 80 Years or Less Unknown Age or MoreUnknown Years Adult 19 -99 % Unknown 90 Unknown Child Unknown Age Unknown Adult 90-99 or More Years 80-89 Years 70-79 Years 60-69 Years 50-59 Years 40-49 Years 30-39 Years 20-29 Years Unknown Child 19 Years 13-19 Years or Less 6-12 Years Unknown <=5 Years 5 Years 4 Years 3 Years 2 Years 1 Year < 12 Months Visual Dotlab/WBM Software 3 Thursday, July 28, 2005 Report Period 1/1/2004 through 12/31/2004 - three hundred sixty-six days Page 7 of 45 3:34 pm Visual Dotlab-Enterprise/WBM Software Patient Flow Children 5 Years and Under Number Percentage Managed on Site (non-HCF) 2,014 85.52 Female 942 46.77% Male 1,072 53.23% In/enroute to HCF 239 10.15 Treated/evaluated and released 201 8.54 Female 110 54.73% Male 91 45.27% Admitted to critical care unit 15 0.64 Female 7 46.67% Male