Citation

García-Algar O, Papaseit E, Velasco M, López N, Martinez L, Luaces C, Vall O. An. Pediatr. 2011; 74(6): 413.e1-4139.

Vernacular Title

Consulta en urgencias de pediatria por intoxicacion aguda por drogas de abuso.

Affiliation

Unitat de Recerca Infància i Entorn (URIE), Servicio de Pediatría, Hospital del Mar, Parc de Salut Mar, Barcelona, Retic SAMID, Instituto de Salud Carlos III, Madrid, España.

Copyright

(Copyright © 2011, Asociacion Espanola de Pediatria, Publisher Elsevier Publishing)

DOI

10.1016/j.anpedi.2011.01.016

PMID

21419735

Abstract

INTRODUCTION: Documented cases show that acute drugs of abuse intoxication in children usually is the Fritz clinical evidence of a chronic exposure. MATERIAL AND METHODS: Published clinical reports of drugs of abuse acute poisonings in children are reviewed, above all those with an underlying chronic exposure to the same or another substance. Biological matrices and exposure biomarkers useful in toxicology analysis in Paediatrics are reviewed. RESULTS: In toxicology, biomarkers refer to original parental substances and its metabolites and matrices refer to body substances where biomarkers are detected. In these matrices acute and chronic (previous days, weeks or months) exposures can be detected. Hair analysis has become the gold standard of drugs of abuse chronic exposure. CONCLUSIONS: Recomendation includes to confirm previous chronic exposure to drugs of abuse by hair analysis of children and their parents. This protocol must be applied in all cases with suspicion of acute drugs of abuse intoxication, parental consumption and/or children living in a risk environment.

Language: es