Historique
Article de Périodique
A 10-year review of cannabis exposure in children under 3-years of age: do we need a more global approach? (2017)
Auteur(s) :
CLAUDET, I. ;
LE BRETON, M. ;
BREHIN, C. ;
FRANCHITTO, N.
Année :
2017
Page(s) :
553-556
Langue(s) :
Anglais
Refs biblio. :
13
Domaine :
Drogues illicites / Illicit drugs
Discipline :
PRO (Produits, mode d'action, méthode de dépistage / Substances, action mode, screening methods)
Thésaurus géographique
FRANCE
Thésaurus mots-clés
URGENCE
;
ENFANT
;
CANNABIS
;
PEDIATRIE
;
INTOXICATION
;
EVOLUTION
;
ETUDE RETROSPECTIVE
;
TOXICOLOGIE
;
TETRAHYDROCANNABINOL
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 <12) and were admitted to a pediatric intensive care unit for 12-24 h. All of them had ingested hashish (resin). The majority (70%) of children suffering from neurological impairment were admitted in the last year, of whom three required assisted ventilation. There were no cases with major outcomes and no deaths. Parents were not assessed regarding their cannabis consumption.
Affiliation :
Pediatric Emergency Department, Children hospital, CHU Toulouse, Toulouse, France