Identification of polysubstance abuse in the parturient
| Autor: | David J. Birnbach, Deborah J. Stein, A. Kim, I. M. Browne, Daniel M. Thys |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Substance-Related Disorders Medical laboratory Prenatal care Immunologic Tests Cocaine-Related Disorders Pregnancy Medicine Humans Prospective Studies Psychiatry Prospective cohort study Reagent Strips biology business.industry Obstetrics Prenatal Care medicine.disease biology.organism_classification Opioid-Related Disorders Pregnancy Complications Substance Abuse Detection Anesthesiology and Pain Medicine Polysubstance dependence Concomitant Gestation Female Cannabis business |
| Zdroj: | British journal of anaesthesia. 87(3) |
| ISSN: | 0007-0912 |
| Popis: | Illicit drugs are widely used by inner city patients and their use by pregnant women has increased in recent years. The aim of this study was to determine the prevalence of polysubstance abuse among parturients at our institution who received no prenatal care ('unbooked') and to determine the accuracy of the Ontrak TesTcup an in vitro immunodiagnostic assay. We prospectively analysed urine from 50 'unbooked' parturients and found that 26 (52%) tested positive for cocaine. Of these, six patients (23%) were also positive for morphine. All TesTcup results were confirmed by the hospital laboratory using alternate chemical methods. When comparing TesTcup to the hospital laboratory, there were no false positive or negative results. Given the high frequency of concomitant opioid abuse in cocaine-abusing parturients, anyone suspected of cocaine abuse should be tested for other illicit substances. TesTcup is a clinically accurate test that allows the rapid assessment of several drugs of abuse, which may impact on anaesthetic care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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