芬太尼在2019年至2023年的儿科死后人口中的患病率
Brianna L Peterson1, Kari M Midthun1
1NMS Labs, Horsham, Pennsylvania, USA.
Journal of forensic sciences
|August 12, 2024
概括
非法制造的芬太尼是儿童过量死亡的主要原因之一. 这项研究发现,儿科死后病例中的芬太尼阳性率上升,幼儿受影响最大. 进行全面的毒理学测试至关重要.
科学领域:
- 法医毒理学 法医毒理学
- 儿科病理学 儿科病理学
- 公共卫生 公共卫生
背景情况:
- 非法制造的芬太尼 (IMF) 是所有年龄段药物过量死亡的主要原因.
- 儿科人口对芬太尼暴露非常敏感,但对这一人口群的数据很少.
- 有限的病例报告存在关于芬太尼在儿科过量死亡事件中的参与.
研究的目的:
- 确定芬太尼在儿科患者 (0-12岁) 中的患病率和特征.
- 分析2019年至2023年间死后儿科病例中的芬太尼尔阳性率的趋势.
- 为了调查并发性药物使用,并根据病史类别区分毒理学发现.
主要方法:
- 从2019年到2023年对死后病例的回顾性分析.
- 对0至12岁的死者进行芬太尼存在的检查.
- 将病例分类为可能的医疗干预,与怀孕/分娩相关的,以及无意中/故意的暴露.
主要成果:
- 儿科死后病例中的芬太尼阳性率在2019年至2023年期间从2.6%增加到6.2%.
- 0-4岁的年龄组,特别是1岁的孩子,患病率最高.
- 常见的同时存在的物质包括米达佐拉姆,甲基胺和IMF的标记物,如西拉.
结论:
- 在儿童死后病例中,芬太尼尔检测量有所增加.
- 幼儿代表了特别容易暴露于芬太尼的子组.
- 加强和全面的毒理学查对于儿科死后调查至关重要.
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