Poisonous plants-a new approach for assessing the risk of poisoning in small children

• Published in: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Vol. 62; no. 11; p. 1336
• Main Authors: Hermanns-Clausen, Maren, Andresen-Streichert, Hilke, Pietsch, Jörg, Acquarone, Daniela, Fuchs, Joan, Begemann, Kathrin
• Format: Journal Article
• Language: German
• Published: Germany 01.11.2019
• Subjects: Child, Preschool; Databases, Factual; Germany; Humans; Infant; Plant Poisoning; Plants, Toxic; Poisoning; Risk Assessment; Germany; Exposure; Outdoor plants; Toxicity; Risk assessment; Ingestion
• ISSN: 1437-1588
• DOI: 10.1007/s00103-019-03034-5

Plant poisoning in small children (from 0.5 to <6 years of age) is the third most frequent cause for phone contact with a poison center. For prevention of poisonings, a list of poisonous plants that should not be planted close to playgrounds or other places frequently visited by children was published in 2000 by the Bundesanzeiger. This list has been reevaluated and updated by the "Toxicity of Plants" working group of the Committee of the Assessment of Intoxications at the Federal Institute of Risk Assessment (BfR). Relevant plants were taken from a recent publication. A literature search was conducted in PubMed concerning all plant poisonings in children and the toxic ingredients of plants. Also, monographs and the database POISINDEX were integrated in the evaluation. A classification was made for plants that after oral, dermal, or ocular contact of small quantities could cause severe, moderate, mild, or no intoxications in small children. Based on data of exposure and potentially toxic ingredients of the involved plants, a risk assessment was executed, which diverges from other publications because it concerns the actual basic risk of an intoxication. In total, 251 plants were reevaluated. For 11 plants, there was a high risk, for 32 a moderate, for 115 a mild, and for 93 plants no risk of intoxication could be determined. The new assessment of evaluating a toxicity risk for small children on the basis of exposure data and including the toxicity of ingredients allows for a more realistic assessment of the risk of poisoning with outdoor plants. In this way, infant exposure carrying a high risk of intoxication can be identified.