Serious mushroom poisonings in California requiring hospital admission, 1990 through 1994.

Serious mushroom poisonings in California requiring hospital admission, 1990 through 1994.
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1990 年至 1994 年,加利福尼亚州发生严重蘑菇中毒事件,需要入院治疗。

DOI:
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发表时间:
1996
期刊:
Western Journal of Medicine
影响因子:
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通讯作者:
Richard Kreutzer
Richard Kreutzer
中科院分区:
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文献类型:
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作者:
Jeffrey Jacobs;J. Behren;Richard Kreutzer

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狩猎和食用野生蘑菇是一种越来越受欢迎的业余爱好,也是美国某些群体的生存手段。食用野生蘑菇对于具有必要专业知识的人来说相对安全。然而,每年都有不知情的人因食用有毒蘑菇而死亡或患病的悲剧发生。我们强调,可能有脆弱的亚群,应该成为公共服务公告和蘑菇教育的目标。因此,我们回顾了加州从1990年到1994年的出院数据库,以确定需要住院的“严重”蘑菇暴露的人口统计学特征和结果。5岁以下儿童因“严重”中毒入院的比例较高。因此,应提醒家长在有野生蘑菇的地区监督儿童的必要性。我们没有发现证据表明中毒率在不同种族或民族之间有显著差异,但这一发现可能受到这些群体在生病后未能寻求护理的限制。我们简要讨论的症状和治疗的情况下,可能致命的摄入鹅膏毒肽的蘑菇。
Hunting and consuming wild mushrooms is an increasingly popular avocation, as well as a means of subsistence for certain groups in the United States. Consuming wild mushrooms is relatively safe for persons with the necessary expert knowledge. Each year, however, tragic deaths or illnesses occur when unsuspecting persons ingest toxic mushrooms. We conjectured that there may be vulnerable subgroups that should be targeted for public service announcements and education about mushrooms. Therefore, we reviewed California's hospital discharge database from 1990 through 1994 to ascertain demographic characteristics and outcomes of "serious" mushroom exposures requiring a hospital admission. Children younger than 5 years have a higher rate of hospital admission for "serious" poisonings. Therefore, parents should be reminded of the need for supervising children in areas with wild mushrooms. We did not find evidence that poisoning rates differed significantly between ethnic or racial groups, but this finding may be limited by a failure of these groups to seek care after becoming ill. We discuss briefly the symptoms and treatment of cases of possibly lethal ingestion of amatoxin-containing species of mushrooms.