Substance Abuse Warning Network: Pilot Results In Poisoned Patients | 18084
Journal of Addiction Research & Therapy
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The sociomedical phenomenon of drug abuse remains among the most critical issues facing our society today.
The present study reports the pilot results of Drug Abuse Warning Network in Loghman-Hakim hospital-Tehran.
After taking history of 1850 patients who were chosen randomly to be interviewed and screened for drug of abuse in the
emergency department during 12 months,16 substances include morphine, methadone, bupernorphine, oxycodone, tramadol,
propoxyphene, amphetamine, methamphetamine, 3, 4- ethylenedioxymethamphetamine, cocaine, ketamine, phencyclidine,
tetrahydrocanabinol, benzodiazepines, ethanol and barbiturates were evaluated using urine screening immunoassay kits in
Totally 1850 patients were chosen randomly to be interviewed and screened for drug of abuse in the emergency
department. Of whom 1258 (68%) including 739 (58.7%) women accepted to enter the study. The mean age was 2811 (range
12-88). Totally 945 (75.1%) patients had deliberately poisoned themselves, while substance intoxication was the cause of
admission in 194 (15.4%) patients. Taken all minimum substance abusers together, opioid abusers were 397 patients (31.6%),
of whom 144 cases (11.4%) were hidden abusers that were revealed by lab tests. Stimulant abusers were 123 patients (9.8%)
with 49(3.9%) hidden abusers, hallucinogen 22 (1.7%) patients abusers with 15 (1.2%) hidden abusers, sedative abusers 337
cases (26.8%) with 145 hidden abuse (11.5%) and alcohol abusers were 76 patients (0.6%).
There are noticeable amount of hidden abusers in the community which need suitable and instant intervention.
Nasim Zamani completed her specialty in Forensic Medicine/Toxicology and fellowship in Clinical Toxicology in Tehran and Shahid Behehsti University of Medical Sciences. She has won the fellowship grant of the year 2013 of APAMT. She is now the Assistant Professor of the biggest toxicology center in Iran and one of the leaders of the toxicology pilot studies in this country.
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