德拉姆斯和DTA数据库:在法国监测与毒品有关的死亡的补充工具
Bruno Revol1, Théo Willeman2, Marc Manceau3
1Addictovigilance Dept, Grenoble-Alpes University Hospital, 38000 Grenoble, France; Inserm U1300, HP2 Lab, Grenoble-Alpes University, 38000 Grenoble, France.
概括
法国的阿片类药物死亡主要与处方甲有关,而不是海洛因. 可卡因死亡率正在上升,特拉马多尔导致大多数止痛药死亡. 纳洛的分配对于预防过量服用至关重要.
科学领域:
- 毒理学 毒理学 毒理学
- 法医科学 法医科学 法医科学
- 公共卫生 公共卫生
背景情况:
- 药物相关死亡 (DRAMES) 和止痛药相关死亡 (DTA) 登记处收集法国涉及药物或非法物质的死亡数据.
- 这些登记册分析了法医毒理学专家进行检查的死亡情况.
研究的目的:
- 分析2013年至2022年期间法国与药物和止痛药有关的死亡趋势.
- 确定导致吸毒者和不吸毒的止痛药使用者的死亡率的主要物质.
主要方法:
- 包括2013年1月至2022年12月在法国与药物和止痛药有关的死亡.
- 评估人口特征,病史,尸检结果和毒理学报告.
主要成果:
- 阿片类药物是使用者中与毒品有关的死亡的主要原因 (DRAMES),处方甲导致的死亡人数超过了海洛因.
- 与可卡因相关的死亡率显著增加.
- 特拉马多尔是医疗使用者 (DTA) 中止痛药相关死亡的主要原因.
结论:
- 法国建议紧急大规模分发纳洛,以防止阿片类药物过量服用,包括在甲使用者中.
- 数据并未表明法国存在阿片类药物危机,但需要持续监测,特别是氧化.
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