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The role of on-site drug analysis within supervised injecting facilities: A case presentation of an adverse event highlighting need.
Page, Robert; Jauncey, Marianne; Brett, Jonathan; Wood, Will; Roxburgh, Amanda.
Afiliación
  • Page R; Drug and Alcohol Services, South Eastern Sydney Local Health District, Sydney, Australia.
  • Jauncey M; Faculty of Medicine, UNSW Sydney, Sydney, Australia.
  • Brett J; Uniting Medically Supervised Injecting Centre, Sydney, Australia.
  • Wood W; Discipline of Addiction Medicine, the Central Clinical School, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
  • Roxburgh A; National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia.
Drug Alcohol Rev ; 43(6): 1592-1596, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39031451
ABSTRACT

INTRODUCTION:

The Sydney Medically Supervised Injecting Centre provides a safe, non-judgemental space where people can inject pre-obtained substances under the supervision of trained staff. This article describes an unusual incident occurring at the Medically Supervised Injecting Centre in January 2023. CASE PRESENTATION Two regular male clients attending the Medically Supervised Injecting Centre injected a substance they believed to be cocaine. Both clients experienced adverse reactions; one was transported to hospital, while the other became extremely distressed and agitated. Paraphernalia sent for testing returned a result of tiletamine (a dissociative used in veterinary medicine) and no cocaine, 30 h after the incident. DISCUSSION AND

CONCLUSIONS:

Where substances are novel or unknown, adverse events are often unexpected and may be more difficult to prepare for. Substance-induced acute agitation can be alarming and hazardous for people consuming drugs and those around them and may pose challenges for staff. There is a substantial evidence base for the benefits of on-site drug analysis and drug checking in reducing harms related to drug use, and in enhancing drug market monitoring. This incident was successfully managed by Medically Supervised Injecting Centre and hospital staff, with no major consequence, however clinical management could have been improved using point of care drug testing.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Abuso de Sustancias por Vía Intravenosa Límite: Adult / Humans / Male Idioma: En Revista: Drug Alcohol Rev Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Abuso de Sustancias por Vía Intravenosa Límite: Adult / Humans / Male Idioma: En Revista: Drug Alcohol Rev Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia