Literature DB >> 29983684

J L Fortin1,1,1, L Bodson2, M Fontaine3, A Depil-Duval4, P Paulin5, M P Bitar6, F Ravat3, J M Macher7, A Hall8.   

Abstract

Polyamphoteric washing solutions (PWS) have been used for several years, mainly in industries, for cases of chemical ocular or cutaneous splashes by acid or alkali. We collected 37 cases reporting the use of PWS for ocular and cutaneous chemical splashes from several centres. Among the 37 cases, 55.26% resulted from occupational exposure. Among ocular exposures, initial clinical symptoms included pain (20 cases), blepharospasm (4 cases), hyperaemia (15 cases), palpebral oedema (2 cases) and blurred vision (7 cases). Among cutaneous exposures, 2 injuries were classified as deep, and 11 as superficial. Mean (SD) pain (VAS) before PWS was 6,29 +/- 2,74; mean (SD) pain after PWS was 1,47 +/- 1,73. Early application of PWS to the eye or skin reduces the intensity of pain that is associated with chemical damage. Early application of amphoteric solution appears to reduce the incidence of sequelae, provided its pre-hospital and hospital use is early. However, further studies are needed.

Entities:  

Year:  2017        PMID: 29983684      PMCID: PMC6033482     

Source DB:  PubMed          Journal:  Ann Burns Fire Disasters        ISSN: 1592-9558


  8 in total

1.  [Is there a delay in bathing the external eye in the treatment of ammonia eye burns? Comparison of two ophthalmic solutions: physiological serum and Diphotérine].

Authors:  M Gérard; P Josset; V Louis; J M Menerath; J Blomet; H Merle
Journal:  J Fr Ophtalmol       Date:  2000-05       Impact factor: 0.818

Review 2.  Diphoterine for emergent eye/skin chemical splash decontamination: a review.

Authors:  Alan H Hall; Joel Blomet; Laurence Mathieu
Journal:  Vet Hum Toxicol       Date:  2002-08

3.  Diphoterine for alkali chemical splashes to the skin at alumina refineries.

Authors:  A Michael Donoghue
Journal:  Int J Dermatol       Date:  2010-08       Impact factor: 2.736

4.  Acid attacks: A growing problem in the UK.

Authors:  Mark Twoon; Alethea Tan; Peter Dziewulski
Journal:  Burns       Date:  2016-05-17       Impact factor: 2.744

5.  Alkali ocular burns in Martinique (French West Indies) Evaluation of the use of an amphoteric solution as the rinsing product.

Authors:  Harold Merle; Angélique Donnio; Lucas Ayeboua; Franck Michel; Félix Thomas; Jeannine Ketterle; Christian Leonard; Patrice Josset; Max Gerard
Journal:  Burns       Date:  2005-03       Impact factor: 2.744

6.  A prospective, randomized, blind comparison between saline, calcium gluconate and diphoterine for washing skin acid injuries in rats: effects on substance P and beta-endorphin release.

Authors:  M Cavallini; A Casati
Journal:  Eur J Anaesthesiol       Date:  2004-05       Impact factor: 4.330

7.  [Not Available].

Authors:  J L Fortin; M P Bitar; T Marx; J M Macher; T Desmettre; F Ravat; J M Labourey; G Capellier
Journal:  Ann Burns Fire Disasters       Date:  2015-06-30

8.  Exposure to Euphorbia lathyris latex resulting in alkaline chemical injury: a case report.

Authors:  Alexander S Ioannidis; Konstantinos I Papageorgiou; Petros S Andreou
Journal:  J Med Case Rep       Date:  2009-11-10
  8 in total

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