围绕儿童致命阿片类药物中毒的情况,2004-2020年
Julie R Gaither1,2, Sarah McCollum1, Kirsten Bechtel1
1Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut.
Pediatrics
|November 1, 2024
概括
致命的儿科阿片类药物中毒往往与照顾者物质使用和虐待儿童有关,主要发生在家中. 对受影响的家庭来说,干预和纳洛的获取是至关重要的.
科学领域:
- 公共卫生 公共卫生
- 毒理学 毒理学 毒理学
- 儿科 儿科 儿科
背景情况:
- 了解导致儿科致命阿片类药物中毒的因素是有限的.
- 儿童阿片类药物死亡人数包括处方阿片类药物,海洛因和非法芬太尼的死亡人数.
研究的目的:
- 通过检查儿童,家庭和家庭因素,对儿童 (0-17岁) 的阿片类药物死亡情况进行描述.
- 通过使用国家数据,确定围绕小儿阿片类药物中毒死亡的情况.
主要方法:
- 从2004年至2020年使用了来自国家死亡审查案例报告系统 (NFR-CRS) 的数据.
- 分析了1696例儿科阿片类药物中毒死亡病例,按年龄组 (0-4,5-9,10-14,15-17岁) 分层.
主要成果:
- 大多数中毒 (65.3%) 发生在孩子的家中;处方阿片类药物涉及91.8%的死亡.
- 与非阿片类药物共同中毒发生在43.2%的病例中.
- 显著的百分比的死者有药物使用史 (照顾者或儿童) 和/或以前的虐待儿童,特别是在年轻和年长的年龄组.
结论:
- 虐待儿童和吸毒 (照顾者或儿童) 是致命的儿科阿片类药物中毒的普遍因素.
- 为所有家庭推针对阿片类药物处方,储存,处置和滥用的干预措施.
- 对于有虐待和/或吸毒史的家庭,迫切需要普遍获得纳洛.
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