Backyard Mushroom Ingestions: No Gastrointestinal Decontamination—No Effect

Abstract Treating the unintentional “backyard” mushroom ingestion continues to be controversial. A review of pediatric “backyard” mushroom ingestions was conducted. A Regional Poison Information Center (RPIC) conducted a retrospective review of all mushroom ingestions in children younger than 6 year...

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Bibliographic Details
Published in:The Journal of emergency medicine 2007-11, Vol.33 (4), p.381-383
Main Authors: Mrvos, Rita, BSN, CSPI, Swanson-Biearman, Brenda, BSN, MPH, Krenzelok, Edward P., PHARMD, FACT, ABAT
Format: Article
Language:English
Subjects:
Child, Preschool
decontamination
Emergency
Female
Humans
identification
Infant
Male
mushroom
Mushroom Poisoning - epidemiology
Mushroom Poisoning - therapy
poisonous
Retrospective Studies
toxicity
Treatment Outcome
United States - epidemiology
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Summary:Abstract Treating the unintentional “backyard” mushroom ingestion continues to be controversial. A review of pediatric “backyard” mushroom ingestions was conducted. A Regional Poison Information Center (RPIC) conducted a retrospective review of all mushroom ingestions in children younger than 6 years of age. Data were extracted from the RPIC electronic record system for the years 2000–2003. All exposures that involved “backyard” mushroom ingestions with no gastrointestinal decontamination were included. There were 322 mushroom exposures in children younger than 6 years of age reviewed. The mean age reported was 2.1 years (SD ± 1.18). All exposures with a definitive outcome had a 24-h follow-up post-exposure to make this determination. There was no effect in 256 cases (79.5%); minor effect in 6 (1.9%); judged as nontoxic, expect no effect in 20 (6.2%); minimal clinical effects possible in 31 (9.6%); and unrelated effect in 9 (2.8%). It was concluded that “backyard” mushrooms do not present a toxicity hazard in unintentional pediatric exposures and require no gastrointestinal decontamination.
ISSN:0736-4679
2352-5029
DOI:10.1016/j.jemermed.2007.03.002