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与摄入大麻制品相关的儿童中毒

Pediatric Poisonings Associated With Ingestion of Marijuana Products.

作者信息

Hammig Bart, Jones Ches, Haldeman Sydney

机构信息

Public Health Program, University of Arkansas, Fayetteville, Arkansas.

出版信息

J Emerg Med. 2023 Feb;64(2):181-185. doi: 10.1016/j.jemermed.2022.12.025. Epub 2023 Feb 21.

Abstract

BACKGROUND

Rapid changes in marijuana legislation have resulted in a wider array of products containing tetrahydrocannabinol (THC) to be legally manufactured and sold, such as edibles in the form of gummy candies and cookies. These products may be enticing to young children who mistake them for typical snack foods.

OBJECTIVE

Our aim was to describe emergency department (ED) visits due to unintentional ingestion of cannabis products among children aged birth to 11 years old in the United States.

METHODS

Using the 2019-2020 National Electronic Injury Surveillance System, U.S. ED records for poisoning events related to ingestion of THC were examined. Descriptive epidemiologic analyses were conducted to provide national estimates of the pediatric visits.

RESULTS

An estimated 1245 pediatric patient visits related to unintentional marijuana poisoning occurred. Most poisonings involved edible marijuana products and most patients were admitted to the hospital.

CONCLUSIONS

Cannabis edibles present a challenge with regard to prevention of poisonings among the pediatric population. Legislation or company policies pertaining to packaging and manufacturing are needed to limit the attraction of toddlers and young children, as well reliance on parents and caregivers for safe storage of the products. Continued and expanded public health education campaigns are warranted.

摘要

背景

大麻立法的迅速变化导致了更多含有四氢大麻酚(THC)的产品合法生产和销售,比如软糖和饼干形式的可食用产品。这些产品可能会吸引年幼的孩子,他们会将其误认为是普通的零食。

目的

我们的目的是描述美国11岁及以下儿童因意外摄入大麻产品而到急诊科就诊的情况。

方法

利用2019 - 2020年国家电子伤害监测系统,对美国急诊科与摄入THC相关的中毒事件记录进行了检查。进行了描述性流行病学分析,以提供儿科就诊情况的全国估计数。

结果

估计发生了1245例与意外大麻中毒相关的儿科患者就诊。大多数中毒涉及可食用大麻产品,大多数患者被收治入院。

结论

大麻可食用产品在预防儿科人群中毒方面构成挑战。需要有关包装和生产的立法或公司政策,以减少对幼儿的吸引力,并减少对家长和照顾者安全储存产品的依赖。有必要持续开展并扩大公共卫生教育活动。

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