title: [Drugs of abuse acute intoxication in paediatric emergencies].
abstract: Documented cases show that acute drugs of abuse intoxication in children usually is the Fritz clinical evidence of a chronic exposure. 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. 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. Recommendation 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.
authors.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, Spain. 90458@hospitaldelmar.cat
authors.forename: O
authors.initials: O
authors.lastname: García-Algar
authors.forename: E
authors.initials: E
authors.lastname: Papaseit
authors.forename: M
authors.initials: M
authors.lastname: Velasco
authors.forename: N
authors.initials: N
authors.lastname: López
authors.forename: L
authors.initials: L
authors.lastname: Martínez
authors.forename: C
authors.initials: C
authors.lastname: Luaces
authors.forename: O
authors.initials: O
authors.lastname: Vall
mesh_terms: D000208:Acute Disease; D000465:Algorithms; D002648:Child; D002908:Chronic Disease; D004630:Emergencies; D006197:Hair / Q000737:chemistry; D006801:Humans; D013287:Illicit Drugs / Q000032:analysis / Q000506:poisoning*; D011041:Poisoning / Q000097:blood / Q000175:diagnosis / Q000652:urine
chemical_list: D013287:Illicit Drugs