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Auteur I. CLAUDET
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A 10-year review of cannabis exposure in children under 3-years of age: do we need a more global approach? / I. CLAUDET ; M. LE BRETON ; C. BREHIN ; N. FRANCHITTO in European Journal of Pediatrics, Vol.176, n°4 (April 2017)
Titre : A 10-year review of cannabis exposure in children under 3-years of age: do we need a more global approach? Type de document : Périodique Auteurs : I. CLAUDET ; M. LE BRETON ; C. BREHIN ; N. FRANCHITTO Année de publication : 2017 Article en page(s) : 553-556 Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
URGENCE ; ENFANT ; CANNABIS ; PEDIATRIE ; INTOXICATION ; EVOLUTION ; ETUDE RETROSPECTIVE ; TOXICOLOGIE ; TETRAHYDROCANNABINOL
Discipline : PRO Produits, mode d'action, méthode de dépistage / Substances, action mode, screening methods Résumé : Pediatricians working in an emergency environment are confronted with children admitted to emergency departments for intoxication on a daily basis. We carried out a retrospective cohort study of children admitted to a pediatric emergency department due to unintentional cannabis exposure over a 10-year period from 2004 to 2014. Twenty-nine children under the age of 3 were admitted with a positive cannabis urine test. Eighty-seven percent of intoxications occurred at the family home. Resin was the main form of ingested cannabis (69%). The mean age was 16.5 +/- 5.2 months, and mean weight was 11.1 +/- 2.1 Kg. Sixty percent of admissions occurred between 2012 and 2014. More severe presentations, based on Poisoning Severity Score, occurred over the past 2 years. Four children experienced seizures before admission. Ten children (34%) had a decreased level of consciousness (GCS Domaine : Drogues illicites / Illicit drugs Refs biblio. : 13 Affiliation : Pediatric Emergency Department, Children hospital, CHU Toulouse, Toulouse, France Permalink :
in European Journal of Pediatrics > Vol.176, n°4 (April 2017) . - 553-556[article]Unintentional cannabis intoxication in toddlers / I. CLAUDET ; S. MOUVIER ; M. LABADIE ; C. MANIN ; A. P. MICHARD-LENOIR ; D. EYER ; D. DUFOUR ; MARIE-JEANNE STUDY GROUP in Pediatrics, Vol.140, n°3 (September 2017)
Titre : Unintentional cannabis intoxication in toddlers Type de document : Périodique Auteurs : I. CLAUDET ; S. MOUVIER ; M. LABADIE ; C. MANIN ; A. P. MICHARD-LENOIR ; D. EYER ; D. DUFOUR ; MARIE-JEANNE STUDY GROUP Année de publication : 2017 Article en page(s) : e20170017 ; 11 p. Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
ENFANT ; ETUDE RETROSPECTIVE ; CANNABIS ; INTOXICATION ; EVOLUTION ; ENFANT D'USAGER ; GEOGRAPHIE ; SYMPTOME ; COMPARAISON ; TETRAHYDROCANNABINOL ; COMA
Discipline : EPI Epidémiologie / Epidemiology Résumé : BACKGROUND AND OBJECTIVES: In France, cannabis consumption is illegal. The health impact of its increasing use and higher tetrahydrocannabinol (THC) concentrations is still poorly documented, particularly that of unintentional pediatric intoxications. We sought to evaluate the French national trend of admissions for unintentional cannabis intoxication in children over an 11-year period (2004-2014).
METHODS: A retrospective, national, multicenter, observational study of a pediatric cohort. All children aged RESULTS: Twenty-four PEDs participated in our study; 235 children were included, and 71% of the patients were 18 months old or younger. Annual admissions increased by a factor of 13. Hashish resin was the main form ingested (72%). During the study period, the evolution was characterized by a national increase in intoxications, younger intoxicated children (1.28 ± 0.4 vs 1.7 ± 0.7 years, P = .005), and more comas (n = 38) (P = .05, odds ratio 3.5 [1.02-11.8]). Compared with other intoxications, other PED admissions, and the same age population, cannabis-related admissions were greater. There was a potential link between the increased incidence of comas and increased THC concentration in resin seized in France over the period.
CONCLUSIONS: Children are collateral victims of changing trends in cannabis use and a prevailing THC concentration. Intoxicated children are more frequent, are younger, and have intoxications that are more severe. This raises a real issue of public health.
Domaine : Drogues illicites / Illicit drugs Refs biblio. : 44 Affiliation : Service d'Accueil des Urgences Pédiatriques, Hôpital des Enfants, Centre Hospitalier Universitaire de Toulouse and Inserm, UMR 1027, Université Paul Sabatier Toulouse III, Toulouse, France Lien : https://doi.org/10.1542/peds.2017-0017 URL : http://www.magicmaman.com/de-plus-en-plus-d-enfants-intoxiques-au-cannabis-en-france,3552749.asp Permalink :
in Pediatrics > Vol.140, n°3 (September 2017) . - e20170017 ; 11 p.[article]