Exposure to Drugs of Abuse in Children and Adolescents Investigated by Hair Analysis.

IF 2.6 3区 医学 Q2 BIOCHEMICAL RESEARCH METHODS
Clara Cestonaro, Claudio Terranova, Massimo Carollo, Alessia Russo, Anna Aprile, Donata Favretto
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Abstract

Hair testing is a very effective method for drug use investigation. The finding of drugs of abuse in children hair may reflect environmental exposure, accidental ingestion, passive inhalation, intentional administration, and, in case of neonates and infants, in-utero and breast exposure. Despite its increasing use, interpretation of children hair analysis remains difficult, cut-off values used in adults cannot be applied, and no reference ranges for different age groups currently exist. To contribute to the identification of a reference framework for hair analysis in children and adolescents, a comparison of data gathered from different geographical areas could be useful. With this view, this study shows the results of hair analysis of children and adolescents who underwent testing for clinical purposes in a hospital setting in north-east Italy. Cocaine represents the most frequently detected drug in all age groups (overall, 94 positives). The highest number and ratio of cocaine positivity was found among children aged 1-3 years (21 out of 32 children; 65.6%) and the highest concentration among infants within 1 year. The results suggest that exposure to drugs of abuse represents a nonnegligible problem particularly in infants and toddlers, which requires special attention in clinical and social setting. In view of the multiple possible ways of exposure, it is essential to perform a case-by-case evaluation and to collect as much information as possible to frame the case and to implement the most effective child protection measures.

用毛发分析调查儿童和青少年药物滥用暴露情况。
毛发检测是一种非常有效的药物使用调查方法。儿童头发中药物滥用的发现可能反映了环境暴露、意外摄入、被动吸入、故意给药,以及在新生儿和婴儿的情况下,子宫和乳房暴露。尽管越来越多地使用,但对儿童头发分析的解释仍然很困难,成年人使用的临界值不能适用,目前没有不同年龄组的参考范围。为了有助于确定儿童和青少年头发分析的参考框架,比较从不同地理区域收集的数据可能是有用的。根据这一观点,这项研究显示了在意大利东北部的一家医院进行临床目的测试的儿童和青少年的头发分析结果。可卡因是所有年龄组中最常检测到的毒品(总共94例阳性)。1-3岁儿童中可卡因阳性的人数和比例最高(32名儿童中有21名;65.6%), 1岁以内婴幼儿发病率最高。结果表明,暴露于药物滥用是一个不可忽视的问题,特别是在婴幼儿中,这需要在临床和社会环境中特别注意。鉴于有多种可能的接触方式,必须进行个案评估,并收集尽可能多的信息,以确定情况,并实施最有效的儿童保护措施。
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来源期刊
Drug Testing and Analysis
Drug Testing and Analysis BIOCHEMICAL RESEARCH METHODS-CHEMISTRY, ANALYTICAL
CiteScore
5.90
自引率
24.10%
发文量
191
审稿时长
2.3 months
期刊介绍: As the incidence of drugs escalates in 21st century living, their detection and analysis have become increasingly important. Sport, the workplace, crime investigation, homeland security, the pharmaceutical industry and the environment are just some of the high profile arenas in which analytical testing has provided an important investigative tool for uncovering the presence of extraneous substances. In addition to the usual publishing fare of primary research articles, case reports and letters, Drug Testing and Analysis offers a unique combination of; ‘How to’ material such as ‘Tutorials’ and ‘Reviews’, Speculative pieces (‘Commentaries’ and ‘Perspectives'', providing a broader scientific and social context to the aspects of analytical testing), ‘Annual banned substance reviews’ (delivering a critical evaluation of the methods used in the characterization of established and newly outlawed compounds). Rather than focus on the application of a single technique, Drug Testing and Analysis employs a unique multidisciplinary approach to the field of controversial compound determination. Papers discussing chromatography, mass spectrometry, immunological approaches, 1D/2D gel electrophoresis, to name just a few select methods, are welcomed where their application is related to any of the six key topics listed below.
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