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Self-identification of nonpharmaceutical fentanyl exposure following heroin overdose

Published on Jan 2, 2018in Clinical Toxicology4.40
· DOI :10.1080/15563650.2017.1339889
Matthew K. Griswold3
Estimated H-index: 3
(UMMS: University of Massachusetts Medical School),
Peter R. Chai10
Estimated H-index: 10
(Brigham and Women's Hospital)
+ 5 AuthorsKavita M. Babu18
Estimated H-index: 18
(UMMS: University of Massachusetts Medical School)
Abstract
AbstractObjective: To compare user self-identification of nonpharmaceutical fentanyl exposure with confirmatory urine drug testing in emergency department (ED) patients presenting after heroin overdose.Methods: This was a cross-sectional study of adult ED patients who presented after a heroin overdose requiring naloxone administration. Participants provided verbal consent after which they were asked a series of questions regarding their knowledge, attitudes and beliefs toward heroin and nonpharmaceutical fentanyl. Participants also provided urine samples, which were analyzed using liquid chromatography coupled to quadrupole time-of-flight mass spectrometry to identify the presence of fentanyl, heroin metabolites, other clandestine opioids, common pharmaceuticals and drugs of abuse.Results: Thirty participants were enrolled in the study period. Ten participants (33%) had never required naloxone for an overdose in the past, 20 participants (67%) reported recent abstinence, and 12 participants (40%) reported...
  • References (18)
  • Citations (15)
References18
Newest
#1Jeremy S. Rogers (University of Texas Health Science Center at Houston)H-Index: 1
#2Seth J. Rehrer (University of Texas Health Science Center at Houston)H-Index: 1
Last.Nathan R. Hoot (University of Texas Health Science Center at Houston)H-Index: 9
view all 3 authors...
Cited By15
Newest
#1Evan Stuart Bradley (UMMS: University of Massachusetts Medical School)H-Index: 1
#2David B. Liss (WashU: Washington University in St. Louis)H-Index: 2
Last.Kavita M. Babu (UMMS: University of Massachusetts Medical School)H-Index: 18
view all 5 authors...
#1Hong K. Kim (UMB: University of Maryland, Baltimore)H-Index: 4
#2Nicholas J. Connors (MUSC: Medical University of South Carolina)H-Index: 3
Last.Maryann Mazer-Amirshahi (Georgetown University)H-Index: 13
view all 3 authors...
#1Sarah G. Mahonski (UMB: University of Maryland, Baltimore)
#2James B. Leonard (UMB: University of Maryland, Baltimore)
Last.Hong K. Kim (UMB: University of Maryland, Baltimore)H-Index: 1
view all 6 authors...
#1George Sam Wang (Anschutz Medical Campus)H-Index: 9
#2Christopher O. Hoyte (Anschutz Medical Campus)H-Index: 7
Last.Christopher Hoyte (Anschutz Medical Campus)H-Index: 1
view all 2 authors...
#1Joseph J. Palamar (NYU: New York University)H-Index: 25
#2A. Salomone (UNITO: University of Turin)H-Index: 12
Last.Babak Tofighi (NYU: New York University)H-Index: 7
view all 6 authors...
#1Taylor A. Ochalek (UVM: University of Vermont)H-Index: 2
#2Maria A. Parker (UVM: University of Vermont)H-Index: 2
Last.Stacey C. Sigmon (UVM: University of Vermont)H-Index: 22
view all 4 authors...
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