Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Evaluation of some Abuse Drugs in Patients of an Emergency Hospital


Affiliations
1 Toxicology Unit, Emergency Hospital, Mansoura University, Egypt
     

   Subscribe/Renew Journal


Drugs have played a major role in defining the sub cultural and counter cultural influences in society. The pervasive availability of psychotropic chemicals can cause a direct physiological and psychological change in the body. The present work is aimed to use laboratory based analyses to determine the prevalence and use pattern of some substances of abuse among a group of acute overdosed patients. The study was conducted on patients (n=390) with acute poisoning by some drugs of abuse (Cannabis, benzodiazepines, barbiturates, opiates and ethanol).The patients were from Dakahlia governorate and surrounding governorates. They were admitted to poison unit, emergency hospital, Mansoura University in the period between November 2009 and April 2014. In this study all patients were subjected for detection of drugs of abuse in urine by EMIT system and Gas Chromatography / Mass Spectrometry (GC/MS) for confirmation of the obtained results. The study showed that approximately 75% of patients were encountered in the age group 20-40 years. Cannabis was the first abused drug (37.69%) followed by opioids (27.18%). Female patients were likely to abuse benzodiazepines (57.14%). The study revealed that the percentages of positive urine samples by EMIT were; (27.18%, 14.87%, 11.54% 9.74% and 1.79%), for cannabis, opiates, benzodiazepines, barbiturates and ethanol, respectively and by GC/MS were; 16.15%, 10.25%, 8.97% and 8.46% for cannabis, benzodiazepines, barbiturates and opiates, respectively. Presence of these drugs has a serious effect on man health (mental and physical functioning), consequently his environment.

Keywords

Patients, Drugs, EMIT, GC/MS.
User
Subscription Login to verify subscription
Notifications
Font Size

  • Abu El-Einen, R.G. (2004): Prevalence, screening and assessment of psychoactive substance use among patients presenting to toxicology unit in Mansoura Emergency Hospital. M.D. thesis in Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Mansoura University.
  • Behring Diagnostics Inc. (1996): EMIT® ETS® Plus Ethyl Alcohol Assay. Syva ® and Behring diagnostic products. Cupertino, CA 95014.
  • Bloor, R. (2006): The influence of age and gender on drug use in the United Kingdom-a review. Am.J. Add., 15:201207
  • Brady, K.T. and Randall, C.L. (1999): Gender differences in substances use disorders. Psych. Clin. North Am., 22(2):241-252.
  • Chambers, R.A.; Taylor, J.R. and Potenza, M.N. (2003): Developmental neurocircuitryof motivation in adolescence: a creitical period of addiction vulnerability. Am. J. Psychiatry, 160(6): 1041-52.
  • Chen W.J., Fang, C.C., Shyu, R.S. and Lin, K.C. (2006): Underreporting of illicit drug use by patients at emergency departments as revealed by two tiered urinalysis. Addictive behaviors., 31:2304-2308.
  • Compton, P. and Athanasos, P. (2003): Chronic pain, substance abuse and addiction. The Nursing Clinics of North America, 38:525-538.
  • Eisen, J.S.; Sivilotti, M.L.A.; Boyd, K.U.; Barton, D.G.; Fortier, C.J. and Collier, C.P. (2004): “Screening urine for drugs of abuse in the emergency department: Do test results affect physicians’ patient care decisions?” Can. J. Emerg. Med., 6:104-111.
  • Elekes,Z. and Kovacs, L. (2002): “Old and new drug consumption habits in Hungary, Romania and Moldova”. Eur. Addict. Res., 8:166-169.
  • El-Ghazali, A.M. (2005): Prevalence of drugs of abuse among autopsied cases in Port Said Medicolegal Department. MSc. Thesis in Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Mansoura University.
  • El-Sohly, M.A. (2003): Practical challenges to positive drug tests for marijuana. Clin. Chem., 498:1037-1048.
  • Emara, A.M.A. (1998): Toxicological, biochemical, psychological study on patients with drug abuse. M.D. Thesis of Clinical Toxicology, Faculty of Medicine, Tanta University.
  • Ewida, M.; Faheem, A.; Rakhawy, Y. and Albert, N. (1996): National research on addiction, Arab Republic of Egypt, Ministry of Health. Preliminary report, P.P. 29-32.
  • Farington, D.P. (1989): “Early predictors of adolescent aggression and adult violence”. Violence Vict., 4: 79-100.
  • Fergusson, D.M.; Boden, J.M. and Horwood, L.J. (2008): The developmental antecedents of illicit drug use: Evidence from a 25-year longitudinal study. Drug and Alcohol Dependence, 96:165-177.
  • Fishbain, D.; Cutler, R.B.; Rosomoff, H.L.; Rosomoff, R. and Steele, R. (1999): Validity of self-reported drug use in chronic pain patients. The clinical Journal of Pain, 15:184191.
  • Flaker, V. (2002): “Heroin use in Solvenia-A consequence or a vehicle of social changes”. Eur. Addict. Res., 8:170-176.
  • Guo, J; Hill, K.G. and Hawkins, J.D. (2002): “A developmental analysis of sociodemographic, family and peer effects on adolescent illicit drug initiation”. J. Am. Acad. Child. Adol. Psychi., 41(7): 838-45.
  • Hirabayashi, N.; Wada, K.; Kimura, T.; Hirabayashi, E.; Mishima, S.; Yukioka, T.; Hanaoka, T. and Limori, M. (2004): “Prevalence of substance abuse among patients with physical disease seen in an emergency room in Japan”. Am. J. Addict, 13 (4):398-404.
  • Jaffee, W.B.; Trucco, E.; Levy, S. and Weiss, R.D. (2007): Is this urine really negative? A systematic review of tampering methods in urine drug screening and testing. Journal of Substance abuse treatment, 33:33-42.
  • Johnston, L.D.; O’Malley, P.M. and Bachman, J.G. (2003a): Monitoring the Future National Survey Results on Drug Use, 1975-2002, Vol. I. Secondary School Students (NIH Publication 03-5375). Bethesda, MD: National Institute on Drug Abuse.
  • Johnston, L.D.; O’Malley, P.M. and Bachman, J.G. (2003b): Monitoring the Future National Survey Results on Drug Use, 1975-2002, Vol. II. College Students and Adults Ages 19-40 (NIH Publication 03-5376). Bethesda, MD: National Institute on Drug Abuse.
  • Joranson, D.E.;Ryan, K.M.; Gilson, A.M. and Dahl, J.L. (2000): Trends in medical use and abuse of opioid analgesics. Journal of the American Medical Association, 283, 1710-1714.
  • Kapusta, N. D. ; Plener, P.L.; Schmid, R.; Thau, K.; Walter, H. and Lesch, O.M. (2007): Multiple substance use among young males. Pharmacology, biochemistry and Behavior, 86:306-311.
  • Katz, N. and Fanciullo, G.J. (2002): Role of urine toxicology testing in the management of chronic opioid therapy. The Clinical Journal of pain, 18: S76-S82.
  • Katz, N.; Sherburne, S.; Beach, M. et al. ( (2003): Behavioral monitoring and urine toxicology testing in patients receiving long-term opioid therapy. Anaesthesia and Analgesia, 97:1097-1102.
  • Kaul, P. and Coupey, S.M. (2002): “Clinical evaluation of substance abuse”. Ped. Rev., 23(3): 85-93.
  • Kringsholn, B.; Kaa, E.; Steentoft, A.; Worm, K. and Simonsen, K.W. (1994): “Deaths among drug addicts in Demmarkin, 1987-1991.” Forensic Sci. Int., 67(3): 185-195.
  • Kulig, J.W. (2005): “Tobacco, alcohol, and other drugs: The role of the pediatrician in prevention, identification and management of substance abuse”. Ped., 115(3): 816-821.
  • Licata, S.C and Rowlett, J.K. (2008): Abuse and dependence liability of benzodiazepine-type drugs: GABAA receptor modulation and beyond. Pharmacology, biochemistry and Behavior, 90: 74-89.
  • McCabe, S.E.; Cranford, J.A. and West, B.T. (2008): Trends in prescription drug abuse and dependence, co-occurrence with other substance use disorders, and treatment utilization: results from two national surveys. Addictive behaviors, (33)10:1297-1305.
  • Mcdonald, D.I. (1987): Patterns of alcohol and drug use among adolescents. Chapter 5, Churchill Livingstone, London, Edinburgh, New York, P.P. 29-43.
  • McKay, C.A. (2005): Can the laboratory help me? Toxicology laboratory testing is in the possibly poisoned pediatric patient. Clin. Ped. Emerg. Med., 6:116-122.
  • Mordal, J.; Bramness, J.G; Holm, B. and Morland,J. (2008): Drugs of abuse among acute psychiatric medical admissions: laboratory based identification of prevalence and drug influence. General Hospital Psychiatry, 30(1): 55-60.
  • Maurer, H.H. and Weber, A. (1992): Mass Spectral and GC data of Drugs, poisons, pesticides, pollutants and their metabolites. VCH, Weinheim, New York, Basle, 2nd ed., part 1.
  • Nelson, R.P.; Brown, J.M. and Brown, W.D. (2001): “Improving substance abuse prevention, assessment, and treatment financing for children and adolescents”. Am. Acad. Ped., 108(4): 1025-1029.
  • Rich, J.A. and Grey, C.M. (2005): “Pathways to recurrent trauma among young black men: traumatic stress, substance use and the code of the street”. Am. J. Public Health, 95(5):816-824.
  • Rodham, K.; Hawton, K.; Evans, E. and Weatherall, R. (2005): Ethnic and gender differences in drinking, smoking and drug taking among adolescents in England: a self-report school-based survey of 15 and 16 year old. J. Adolesc., 28:63-73.
  • Russel, J.M.; Newman, S.C. and Bland, R.C. (1994): “Epidemiology of psychiatric disorders in Edmonton”. Drug abuse and dependence. Acta Psychiatry Scand. Suppl., 376:54-62.
  • Schnoll, S.H., (2000): Drug abuse, overdose, and withdrawal Syndromes. In: Textbook of critical care. Grenvik, A; Ayres, S.M; Holbrook, P.R; Shoemaker, W.C; Abraham, E; ellomo, R; Groeger, J.S. (Eds.), 4th ed., W.B. Saunders Company, Philadelphia, PP. 191-200.
  • Soueif, M.I. (1994): Extent and patterns of drug use among students and working classmen in Egypt. The national Center for Social and Criminological Research, 1:221.
  • Swadi, H. (1999): Drug abuse in children and adolescents, an Update. “J.ChildAdol. Psychiatr., 76: 1245-1246.
  • Walker, J.M. and Hohmann, A.G. (2005): Cannabinoid mechanisms of pain suppression. Handbook of experimental Pharmacology, 168:509-554.
  • Zacny, J.; Bigelow, G.; Compton, P.; Foley, K.; Iguchi, M. and Sannerud, C. (2003): College on problems of drug dependence taskforce on prescription opioid non-medical use and abuse: position statement. Drug and Alcohol Dependence, 69:215-232.

Abstract Views: 517

PDF Views: 2




  • Evaluation of some Abuse Drugs in Patients of an Emergency Hospital

Abstract Views: 517  |  PDF Views: 2

Authors

R. A. Mandour
Toxicology Unit, Emergency Hospital, Mansoura University, Egypt

Abstract


Drugs have played a major role in defining the sub cultural and counter cultural influences in society. The pervasive availability of psychotropic chemicals can cause a direct physiological and psychological change in the body. The present work is aimed to use laboratory based analyses to determine the prevalence and use pattern of some substances of abuse among a group of acute overdosed patients. The study was conducted on patients (n=390) with acute poisoning by some drugs of abuse (Cannabis, benzodiazepines, barbiturates, opiates and ethanol).The patients were from Dakahlia governorate and surrounding governorates. They were admitted to poison unit, emergency hospital, Mansoura University in the period between November 2009 and April 2014. In this study all patients were subjected for detection of drugs of abuse in urine by EMIT system and Gas Chromatography / Mass Spectrometry (GC/MS) for confirmation of the obtained results. The study showed that approximately 75% of patients were encountered in the age group 20-40 years. Cannabis was the first abused drug (37.69%) followed by opioids (27.18%). Female patients were likely to abuse benzodiazepines (57.14%). The study revealed that the percentages of positive urine samples by EMIT were; (27.18%, 14.87%, 11.54% 9.74% and 1.79%), for cannabis, opiates, benzodiazepines, barbiturates and ethanol, respectively and by GC/MS were; 16.15%, 10.25%, 8.97% and 8.46% for cannabis, benzodiazepines, barbiturates and opiates, respectively. Presence of these drugs has a serious effect on man health (mental and physical functioning), consequently his environment.

Keywords


Patients, Drugs, EMIT, GC/MS.

References





DOI: https://doi.org/10.22506/ti%2F2016%2Fv23%2Fi1%2F146673