The rising incidence of intentional ingestion of ethanol-containing hand sanitizers

Nicole J. Gormley; Alvin C. Bronstein; Joseph J. Rasimas; Maryland Pao; Angela T. Wratney; Junfeng Sun; Howard A. Austin; Anthony F. Suffredini

doi:10.1097/ccm.0b013e31822f09c0

October 4, 2011Critical Care MedicineOpen Access

The rising incidence of intentional ingestion of ethanol-containing hand sanitizers

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Key Points

To describe clinical management of severe hand sanitizer poisoning and evaluate national trends and outcomes of intentional ethanol-containing hand sanitizer ingestions.
Reviewed a severe intensive care unit case of intentional ingestion treated with intubation, ventilation, and hemodialysis, alongside 14 published case reports.
Queried the American Association of Poison Control Centers' National Poison Data System for unintentional and intentional exposures to 96 ethanol-based hand sanitizers from 2005 through 2009 in the United States.
Total hand sanitizer exposures numbered 68,712 from 2005 to 2009, with new cases increasing by an average of 1,894 per year (95% CI 1266–2521; p = .002) and population exposure rates increasing by 5.87 per million residents per year (95% CI 3.70–8.04; p = .003).
Intentional exposures increased from 0.68 per million residents in 2005 (95% CI 0.17–1.20) by an average of 0.32 per million each year through 2009 (95% CI 0.11–0.53; p = .02), causing 288 moderate and 12 major adverse medical outcomes.

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Implication

Registry analysis reveals rising intentional ethanol-based hand sanitizer ingestions across the United States, highlighting serious toxicological risks among vulnerable patients.

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Gormley et al. (2011) studied this question.

synapsesocial.com/papers/6ab8976ada564c2c27f9260a https://doi.org/10.1097/ccm.0b013e31822f09c0

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The rising incidence of intentional ingestion of ethanol-containing hand sanitizers

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Discussion

Cite This Study

The rising incidence of intentional ingestion of ethanol-containing hand sanitizers

Key Points

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Implication

Discussion

Cite This Study

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