alexa Unsuspected Exposure to Drugs of Abuse in Children | OMICS International | Abstract
ISSN: 2165-7548

Emergency Medicine: Open Access
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Research Article

Unsuspected Exposure to Drugs of Abuse in Children

Manzano C1, Torres F1, Roman L1, Hernández M1, Villalbí A3, Civit E4 and Garcia-Algar O1,2*

1Paediatric Unit, Hospital del Mar, Barcelona, Spain

2Unitat de Recerca Infància i Entorn (URIE), Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Barcelona, Spain

3Centre d’Atenció Primaria Raval Sud, Barcelona, Spain

4Unitat de Recerca en Farmacologia, Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Barcelona, Spain

*Corresponding Author:
Oscar Garcia-Algar
Paediatric Unit, Hospital del Mar, Pº Marítimo 25-29
08003 Barcelona, Spain
Tel: +34932483551
Fax: +34932483254
E-mail: [email protected]

Received Date: August 08, 2014; Accepted Date: August 23, 2014; Published Date: August 30, 2014

Citation: Manzano C, Torres F, Roman L, Hernández M, Villalbí A, et al. (2014) Unsuspected Exposure to Drugs of Abuse in Children. Emergency Med 4:210. doi:10.4172/2165-7548.1000210

Copyright: 2014 Manzano C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: In the last decade, the consumption of drugs of abuse has been steady for most of substances, with a significant increase in the consumption of cannabis and cocaine. The aim of the study was to investigate the prevalence of unsuspected exposure to drugs of abuse (cocaine, cannabis, amphetamines, opiates, MDMA) in children attending to an urban paediatric emergency department without signs or symptoms suggestive of exposure. Methods: Hair samples were collected from children between 10 and 14 years of age attending the Paediatric Emergency Department of Hospital del Mar in Barcelona during months of January to April 2014. Intervention was developed based on a brief advice and motivational interview for children. We analyzed the presence of drugs of abuse in hair samples by validated methodologies in liquid chromatography-mass spectrometry. Data were compared to previous studies in the same scenario. Results: From 114 hair samples we obtain 15 positive results (13.5%) for any drugs of abuse, 5 positive results (4.38%) for cocaine (concentration range 0.8-3.97 ng/mg of hair), and 8 positive results for cannabis (7%) (Concentration range 0.10-1.11 ng/mg of hair), 1 positive result for MDMA (0.8%) (0.66 ng/mg of hair) and 1 positive result for amphetamines (0.8%) (1.10 ng/mg of hair). Conclusions: The most important result of this investigation is the maintained and unsuspected high prevalence of paediatric exposure to drugs of abuse in children from low socioeconomic environment in a Mediterranean city during more than a decade. These figures justify the implementation of bio analytical screening protocols; follow up schedules, and preventive strategies. In order to prevent the exposure and consumption of drugs of abuse in children, we recommend interventions of public health and social services to raise consumer awareness of the risks occurring to children, and to push for avoiding consumption in places where adults interact with children.

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