RT Book, Section A1 Wang, George Sam A1 Rumack, Barry H. A1 Dart, Richard C. A2 Hay Jr., William W. A2 Levin, Myron J. A2 Abzug, Mark J. A2 Bunik, Maya SR Print(0) ID 1172102901 T1 Poisoning T2 Current Diagnosis & Treatment: Pediatrics, 25e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260457827 LK accessmedicine.mhmedical.com/content.aspx?aid=1172102901 RD 2024/03/28 AB Accidental and intentional exposures to toxic substances occur in children of all ages. Children younger than 6 years are primarily involved in accidental exposures, with the peak incidence in 2-year-olds. Of the more than 2 million exposures reported by the American Association of Poison Control Centers’ National Poison Data System in 2017, almost 60% of exposures occurred in those younger than 20 years: 45% in children aged 5 years and younger, 6% aged 6–12 years, and 8% aged 13–19 years. Fortunately, young children’s exposures are typically unintentional and of the low dose or volume type. They can be exposed to intentional poisoning through the actions of parents or caregivers and involvement of child abuse specialists is helpful in these cases (see Chapter 8). Substance abuse and intentional ingestions account for most exposures in the adolescent population. In some locales, small-scale industrial or manufacturing processes may be associated with homes and farms, and exposures to hazardous substances should be considered in the history.