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Arch Pediatr Adolesc Med. 1995 Dec;149(12):1362-4.

Comparison of cocaine and opiate exposures between young urban and suburban children.

Author information

1
Department of Pediatrics, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Medical Center, USA.

Abstract

OBJECTIVE:

To determine the prevalence of cocaine and opiate metabolites in the urine of young urban and suburban children.

DESIGN:

Survey.

SETTING:

Urban and suburban emergency departments and private pediatric practices.

PATIENTS:

A convenience sample of 1469 children between 1 and 60 months of age who required a urinalysis for investigation of the chief complaint.

INTERVENTION:

None.

MAIN OUTCOME MEASURES:

Urine was screened for benzoylecogonine and opiates using an enzyme-multiplied immunoassay technique and a fluorescence-polarization immunoassay, both with a sensitivity of 50 ng/mL.

RESULTS:

Benzoylecogonine was identified in the urine of 45 children (3.1%) (95% CI, 2.2% to 3.9%) and opiates in the urine of 38 children (2.6%) (95% CI, 1.8% to 3.4%). No difference was observed between urban and suburban health care facilities in the percentage of patients whose urine tested positive for benzoylecgonine (29 of 1011 vs 16 of 458, P = .6) or opiates (28 of 1011 vs 10 of 458, P = .6).

CONCLUSION:

Exposure to illicit drugs, as reflected by urinary metabolites, is similar for urban and suburban children.

[Indexed for MEDLINE]

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