Nederlands Tijdschrift Kindergeneeskunde 2012

The Dutch Pediatric Surveillance System (NSCK) Alcohol intoxication and the ‘Alcoholpoliclinic’; new approaches in adolescent alcohol intoxication; clinical pediatric experience and research combined.

Authors: N. Van der Lely, E. van Zanten, J.J. Van Hoof.

Monitoring alcohol related hospital admissions in the Netherlands is part of the Dutch Pediatric Surveillance System (NSCK). This unique and effective signaling system collects information on several predetermined diseases, disorders or symptoms in Dutch general and academic hospitals. Nearly all the Dutch pediatricians participate (92%). Adolescent alcohol use was included in 2007, and ever since it has been one of the leading topics of the system.

When a patient under the age of 18 is admitted because of alcohol related problems, the pediatrician in charge reports the case. Questionnaires are distributed to the pediatricians by mail or they can download them from the website. The questionnaire consists of four parts, exploring (1) previous alcohol use circumstances and hospital treatment, (2) patient characteristics, (3) alcohol use patterns, and (4) control variables.

Misuse of alcohol has become a pediatric health care issue during the last decade. In clinical practice, patients are first treated in an acute care setting. After sobering up, follow-up treatment starts in an outpatient department; the ‘alcoholpoliclinic’. To cope with the increasing numbers of underage patients with alcohol intoxication, special programs have been developed to improve follow-up treatment of these patients.

Research in this field is being done on epidemiology, risk factors and consequences that should be cleared up further. In particular, concerns about brain damage in young adolescents are a topic of interest. The main goals of  both the NSCK screening and the alcohol policlinic programs are behavioral changes and prevention of new events.


Op de landelijke bijeenkomst van de verenigign voor kinderartsen, werd een symposium georganiseerd voor het NSCK ((Nederlands Signalerings Centrum voor Kindergeneeskunde). Alcoholintoxicatie is al jaren de meest geregistreerde aandoening binnen het systeem. Het doel van de registratie is het aantal jongeren te registeren, maar ook om andere kenmerken te onderzoeke zoals: algemeen alcoholgebruik, leeftijd, geslacht, plaats waar de alcohol gedronken en gekocht wordt, gelijktijdig drugsgebruik en de rol van de ouders.