Identification of Substance Abuse Among Children in a Pediatric Emergency Department

Özet

Aim: Illicit substance use is a worldwide important public health problem with increasing substance abuse rates and decreasing starting age.In this study, our aim was to determine the complaints of the patients in pediatric emergency department (PED) admission in order to increaseawareness about substance abuse.Materials and Methods: The data of this cross-sectional study was gathered from those patients admitted to a PED with complaints ofsubstance abuse and patients without a history of substance abuse, but with a positive urine drug test. A screening urine test was used forthe qualitative determination of drug substances. If positive, a quantitative liquid chromatography integrated mass/mass spectrometry testwas ordered for confirmation.Results: A total of 17 patients presented to the emergency department. The most frequent symptoms were unstable cognitive conditions andtachycardia. Laboratory analyses showed high creatine kinase-MB. Synthetic cannabinoids were the most frequently detected substance inurine screening and confirmation tests. Twenty-nine percent of patients were hospitalized and no mortality was observed.Conclusion: The use of illegal substances has increased in teenagers. Emergency department doctors must be informed and trainedregarding substance abuse since patients frequently presented to the emergency department with cognitive malfunctions. Also, it should beremembered that patients may present with symptoms concerning various organ systems.