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)
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)
#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
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Cited By15
#1Evan Stuart Bradley (UMMS: University of Massachusetts Medical School)H-Index: 1
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#1Sarah G. Mahonski (UMB: University of Maryland, Baltimore)
#2James B. Leonard (UMB: University of Maryland, Baltimore)
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#1Joseph J. Palamar (NYU: New York University)H-Index: 25
#2A. Salomone (UNITO: University of Turin)H-Index: 12
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#1Taylor A. Ochalek (UVM: University of Vermont)H-Index: 2
#2Maria A. Parker (UVM: University of Vermont)H-Index: 2
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