Use of urine drug screening in the emergency department of a paediatric hospital

Bosch, Núria Ferrer; Sánchez, Lidia Martínez; Maza, Victoria Trenchs Sainz de la; Rodríguez, J. Velasco; González, Elsa García; Cubells, Carles Luaces

doi:10.1016/j.anpede.2017.01.009

Cited by 1 publication

(1 citation statement)

References 13 publications

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“…A standard urine drug screen is not usually necessary to diagnose or treat an acute opioid overdose; however, it may be required to identify polyingestions, determine placement in a treatment program and identify an unknown exposure, especially in younger children or assist with legal proceedings in pediatric cases of child neglect. [56][57][58] Although physicians often obtain standard urine drug screens in the workup of suspected opioid ingestion, they have a significant false negative rate. A negative urine drug screen does not exclude the possibility of opioid toxicity.…”

Section: Hypothermiamentioning

confidence: 99%

Acute opioid overdose in pediatric patients

Sandelich,

Hooley,

Hsu

et al. 2024

JACEP Open

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Recent increases in pediatric and adolescent opioid fatalities mandate an urgent need for early consideration of possible opioid exposure and specific diagnostic and management strategies and interventions tailored to these unique populations. In contrast to adults, pediatric methods of exposure include accidental ingestions, prescription misuse, and household exposure. Early recognition, appropriate diagnostic evaluation, along with specialized treatment for opioid toxicity in this demographic are discussed. A key focus is on Naloxone, an essential medication for opioid intoxication, addressing its unique challenges in pediatric use. Unique pediatric considerations include recognition of accidental ingestions in our youngest population, critical social aspects including home safety and intentional exposure, and harm reduction strategies, mainly through Naloxone distribution and education on safe medication practices. It calls for a multifaceted approach, including creating pediatric‐specific guidelines, to combat the opioid crisis among children and to work to lower morbidity and mortality from opioid overdoses.

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Section: Hypothermiamentioning

confidence: 99%