Injuries from ingestion of wire bristles from grill-cleaning brushes - Providence, Rhode Island, March 2011-June 2012.

Foreign object ingestion is a common reason for visiting an emergency department (ED), particularly for children. In recent years, internal injuries have been reported following unintentional ingestions of wire grill-cleaning brush bristles by both children and adults. A series of six cases from a single hospital system with two EDs during July 2009-November 2010 was reported previously. This report describes a series of six more cases identified at the same hospital system during March 2011-June 2012. The six patients ranged in age from 31 to 64 years; five were men. Like the patients in the previous series (4), all six reported outdoor residential food grilling and use of commercially available wire grill-cleaning brushes. The severity of injury ranged from puncture of the soft tissues of the neck, causing severe pain on swallowing, to perforation of the gastrointestinal tract requiring emergent surgery. Awareness of this potential injury among health-care professionals is critical to facilitate timely diagnosis and treatment. Additionally, awareness among the public, manufacturers who make wire grill-cleaning brushes, and retailers who sell these products can reduce exposures and decrease the likelihood of further occurrences. Before cooking, persons should examine the grill surface carefully for the presence of bristles that might have dislodged from the grill brush and could embed in cooked food. Alternative residential grill-cleaning methods or products might be considered.