RT Book, Section A1 Walsh, Michael J. A2 Olson, Kent R. A2 Anderson, Ilene B. A2 Benowitz, Neal L. A2 Blanc, Paul D. A2 Clark, Richard F. A2 Kearney, Thomas E. A2 Kim-Katz, Susan Y. A2 Wu, Alan H. B. SR Print(0) ID 1179991238 T1 DETERGENTS T2 Poisoning & Drug Overdose, 7e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071839792 LK accessmedicine.mhmedical.com/content.aspx?aid=1179991238 RD 2024/04/23 AB Detergents, familiar and indispensable products in the home, are synthetic surface active agents that are chemically classified as anionic, nonionic, or cationic (Table II–23). Most of these products also contain bleaching (chlorine-releasing), bacteriostatic (having a low concentration of a quaternary ammonium compound), or enzymatic agents. Accidental ingestion of detergents by children is very common, but severe toxicity rarely occurs. However, the introduction of concentrated, single-use laundry detergent packets ("pacs" or "pods") in 2012 has resulted in an increase in reported serious ingestions, including some deaths. Overall, laundry detergent packet exposures are more severe than exposures to laundry nonpacket products. In addition, laundry packet exposures are more severe than both dishwasher packet and nonpacket exposures.