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Dettol Poisoning: Clinical Features and Management


Affiliations
1 Department of Pediatrics, Amrita Institute of Medical Sciences, Edappally, Cochin 682 026 Kerala, India
     

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Dettol is a common household disinfectant and is freely available in certain countries such as UK, India and Hong Kong. It is common cause of suicidal poisoning in Hong Kong. However literature regarding incidence and case profile in other parts of the world is lacking. It has a corrosive action on the gastrointestinal tract and a depressant action on the central nervous system. Almost all the mortality in patients with Dettol poisoning is related to aspiration. Patients with Dettol poisoning have been observed to develop sudden upper airway obstruction which can require emergent endotracheal intubation. It has been observed predominantly in patients who are at high risk of aspiration in spite of the fact that other clinical signs of aspiration may be absent. This complication can be of delayed onset and should be anticipated. Treatment otherwise is mainly supportive. Prognosis is very good in patients who have not aspirated.

Keywords

Dettol, Chlorxylenol, Poisoning, Stridor.
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  • Chan TY, Lau MS, Critchley JA. Serious complications associated with Dettol poisoning. Q J Med 1993; 86(11):735-738.
  • Meek D, Gabriel R, Piercy DM. Fatal self-poisoning with Dettol. Postgrad Med J 1977; 53(618):229-231.
  • Chan TY, Critchley JA. The spectrum of poisonings in Hong Kong: an overview. Vet Hum Toxicol 1994; 36(2):135-137.
  • Joynt GM, Ho KM, Gomersall CD. Delayed upper airway obstruction. A life-threatening complication of Dettol poisoning. Anaesthesia 1997; 52(3):261-263.
  • Chan TY, Sung JJ, Critchley JA. Chemical gastrooesophagitis, upper gastrointestinal haemorrhage and gastroscopic findings following Dettol poisoning. Hum Exp Toxicol 1995; 14(1):18-19.
  • Chan TY, Critchley JA, Lau JT. The risk of aspiration in Dettol poisoning: a retrospective cohort study. Hum Exp Toxicol 1995; 14(2):190-191.
  • Chan TY, Critchley JA. Pulmonary aspiration following Dettol poisoning: the scope for prevention. Hum Exp Toxicol 1996; 15(10):843-846.
  • Joubert P, Hundt H, Du TP. Severe Dettol (chloroxylenol and terpineol) poisoning. Br Med J 1978; 1(6117):890.
  • Chan TY, Critchley JA. Is chloroxylenol nephrotoxic like phenol? A study of patients with DETTOL poisoning. Vet Hum Toxicol 1994; 36(3):250-251.
  • Khan JS, Wilson MC, Taylor TV. A case of Dettol addiction. Br Med J 1979; 1(6166):791-792.
  • Archer LN. Upper airways obstruction after Dettol ingestion. Br Med J 1979; 2(6181):19-20.
  • Singh M. Accidental poisoning. Medical emergencies in children. 3 ed. New Delhi: Sagar Publications; 2000. 501-525.
  • Graham CA. Stridor after ingestion of dettol and domestos. Eur J Emerg Med 2004; 11(1):52-54.

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  • Dettol Poisoning: Clinical Features and Management

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Authors

Sharath Kumar
Department of Pediatrics, Amrita Institute of Medical Sciences, Edappally, Cochin 682 026 Kerala, India

Abstract


Dettol is a common household disinfectant and is freely available in certain countries such as UK, India and Hong Kong. It is common cause of suicidal poisoning in Hong Kong. However literature regarding incidence and case profile in other parts of the world is lacking. It has a corrosive action on the gastrointestinal tract and a depressant action on the central nervous system. Almost all the mortality in patients with Dettol poisoning is related to aspiration. Patients with Dettol poisoning have been observed to develop sudden upper airway obstruction which can require emergent endotracheal intubation. It has been observed predominantly in patients who are at high risk of aspiration in spite of the fact that other clinical signs of aspiration may be absent. This complication can be of delayed onset and should be anticipated. Treatment otherwise is mainly supportive. Prognosis is very good in patients who have not aspirated.

Keywords


Dettol, Chlorxylenol, Poisoning, Stridor.

References