Effectiveness of a targeted screening program in identifying infants with positive urine toxicology screening results in a regular neonatal nursery

Horn, Patrick T.; Mendelsohn, Janis; Bowers, Mary I.; Chappen, Margaret; Schreier, J; Spalding, Susan H.; Weyher, Jeri; Berkelhamer, Jay E.

doi:10.1016/s0022-3476(05)81557-4

Cited by 13 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, 18% of the population satisfied the criteria for meconium analysis. This compares well to a 24% screening rate in a similar study in an urban population, which detected 97% of exposed infants [6].…”

Section: Discussionsupporting

confidence: 88%

“…The prevalence of substance abuse in urban perinatal populations has been extensively studied and varies depending upon the method of ascertainment [1,4,5]. Results from epidemiologic studies performed in urban centers with high rates of substance abuse have outlined consistent risk factors associated with subsequent detection of illicit drugs in the urine or meconium of infants [5,6]. No data are available regarding the applicability of these risk factors to more rural populations.…”

Section: Discussionmentioning

confidence: 99%

“…Eight screening criteria were developed using previously recognized risk factors [5,6]. These criteria are listed in Table 1.…”

Section: Methodsmentioning

confidence: 99%

“…Numerous studies have documented risk factors for perinatal substance abuse in large urban settings, where maternal substance abuse rates of 14-44% have been reported [4,5]. Targeted drug screening of infants with risk factors has been demonstrated to identify most exposed infants in areas with a high prevalence of illicit drug use [6].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Targeted Perinatal Drug Screening in a Rural Population

O'Connor

Bondurant

Siddiqui

1997

J Matern Fetal Neonatal Med

View full text Add to dashboard Cite

The objective of this study was to evaluate the efficacy of a risk factor-based drug screening program in a rural perinatal population with a low prevalence of substance abuse. The study was done at a university-based children's hospital in central Missouri. A risk factor-based meconium and infant urine drug screening program was compared to a universal meconium screening program in a newborn population over a 3 month period. Eighteen percent of the 462 deliveries met criteria for drug testing. Of those tested, 11/85 (12.9%) tested positive for marijuana (n 5 8) or cocaine (n 5 3), representing a detection rate of 2.4% of the total population. This compares well to the 2.6% detected in the universal testing protocol. In three patients, meconium analysis detected marijuana exposure, while urine analysis revealed no detectable drug. Risk factor-based meconium drug screening can identify most infants exposed to illicit drugs in rural perinatal populations with low baseline substance abuse rates. Meconium sampling is more likely than urine sampling to identify exposed infants.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

“…Eight screening criteria were developed using previously recognized risk factors [5,6]. These criteria are listed in Table 1.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Targeted Perinatal Drug Screening in a Rural Population

O'Connor

Bondurant

Siddiqui

1997

J Matern Fetal Neonatal Med

View full text Add to dashboard Cite

show abstract

“…Both studies selected cases on the basis of urine screening in high‐risk obstetric groups, therefore detected non‐disclosing drug users. This has been shown to identify 97% of all exposed infants concurrently identified through a universal screen (Horn et al . 1993).…”

Section: Discussionmentioning

confidence: 99%

How great is the risk of abuse in infants born to drug‐using mothers?

Street

Harrington²,

Chiang

et al. 2004

Child

View full text Add to dashboard Cite

show abstract

Targeted perinatal drug screening in a rural population

O’Connor

Bondurant

Siddiqui

1997

J. Matern. Fetal Med.

View full text Add to dashboard Cite

The objective of this study was to evaluate the efficacy of a risk factor‐based drug screening program in a rural perinatal population with a low prevalence of substance abuse. The study was done at a university‐based children's hospital in central Missouri. A risk factor‐based meconium and infant urine drug screening program was compared to a universal meconium screening program in a newborn population over a 3 month period. Eighteen percent of the 462 deliveries met criteria for drug testing. Of those tested, 11/85 (12.9%) tested positive for marijuana (n = 8) or cocaine (n = 3), representing a detection rate of 2.4% of the total population. This compares well to the 2.6% detected in the universal testing protocol. In three patients, meconium analysis detected marijuana exposure, while urine analysis revealed no detectable drug. Risk factor‐based meconium drug screening can identify most infants exposed to illicit drugs in rural perinatal populations with low baseline substance abuse rates. Meconium sampling is more likely than urine sampling to identify exposed infants. J. Matern.‐Fetal Med. 6:108–110, 1997. © 1997 Wiley‐Liss, Inc.

show abstract

Effectiveness of a targeted screening program in identifying infants with positive urine toxicology screening results in a regular neonatal nursery

Cited by 13 publications

References 8 publications

Targeted Perinatal Drug Screening in a Rural Population

Targeted Perinatal Drug Screening in a Rural Population

How great is the risk of abuse in infants born to drug‐using mothers?

Targeted perinatal drug screening in a rural population

Contact Info

Product

Resources

About