{"id":839,"date":"2024-09-25T21:58:26","date_gmt":"2024-09-25T19:58:26","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/une-etude-revele-les-sources-dintoxication-aux-opioides-chez-les-enfants\/"},"modified":"2024-09-25T21:58:29","modified_gmt":"2024-09-25T19:58:29","slug":"une-etude-revele-les-sources-dintoxication-aux-opioides-chez-les-enfants","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/une-etude-revele-les-sources-dintoxication-aux-opioides-chez-les-enfants\/","title":{"rendered":"Une \u00e9tude r\u00e9v\u00e8le les sources d\u2019intoxication aux opio\u00efdes chez les enfants"},"content":{"rendered":"
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Un analg\u00e9sique pour chien, le pilulier d’un grand-parent, voire un mouchoir jet\u00e9 : une \u00e9tude de Rutgers Health r\u00e9v\u00e8le qu’ils sont tous des sources potentielles d’intoxication aux opio\u00efdes pour les jeunes enfants.<\/p>\n

Des chercheurs du Centre antipoison du New Jersey ont examin\u00e9 230 cas d’exposition aux opio\u00efdes chez des enfants \u00e2g\u00e9s de 1 mois \u00e0 6 ans sur une p\u00e9riode de cinq ans. Leurs conclusions Journal de p\u00e9diatrie<\/i> montrer comment les enfants acc\u00e8dent \u00e0 ces drogues dangereuses.<\/p>\n

\u00ab Nous le constatons dans notre pratique clinique \u00bb, a d\u00e9clar\u00e9 Diane Calello, directrice m\u00e9dicale du centre antipoison et auteure principale de l’\u00e9tude. \u00ab J’ai vu trop d’enfants dans ma pratique \u00e0 l’h\u00f4pital universitaire qui ont \u00e9t\u00e9 gravement empoisonn\u00e9s parce qu’ils avaient des opio\u00efdes chez eux. \u00bb<\/p>\n

Une \u00e9crasante majorit\u00e9 des expositions (97 %) \u00e9taient involontaires. Plus de 91 % se sont produites au domicile de l’enfant et 84,3 % ont entra\u00een\u00e9 l’admission de l’enfant dans un \u00e9tablissement de sant\u00e9.<\/p>\n

Bien que de nombreux cas impliquaient un enfant ayant acc\u00e8s aux m\u00e9dicaments d’un parent, l’\u00e9tude a r\u00e9v\u00e9l\u00e9 plusieurs sources d’exposition inattendues. Les m\u00e9dicaments des grands-parents \u00e9taient impliqu\u00e9s dans 17,4 % des cas, ce qui met en \u00e9vidence ce que les chercheurs d\u00e9crivent comme un facteur de risque souvent n\u00e9glig\u00e9 : l’exposition \u00e0 des personnes \u00e2g\u00e9es qui peuvent ne pas \u00eatre aussi vigilantes que les parents quant \u00e0 la s\u00e9curit\u00e9 de leurs m\u00e9dicaments.<\/p>\n

Un autre risque important est li\u00e9 aux m\u00e9dicaments pour animaux de compagnie, qui sont en cause dans 4,3 % des cas. Les enfants ont parfois eu acc\u00e8s directement \u00e0 ces opio\u00efdes et parfois \u00e0 des m\u00e9dicaments pour animaux de compagnie qui avaient \u00e9t\u00e9 m\u00e9lang\u00e9s \u00e0 de la nourriture, comme du beurre de cacahu\u00e8te, puis laiss\u00e9s de c\u00f4t\u00e9.<\/p>\n

Les enfants de 2 ans et moins repr\u00e9sentent 80 % de toutes les expositions. Les enfants de cette tranche d’\u00e2ge sont particuli\u00e8rement expos\u00e9s en raison de leur comportement exploratoire et de leur incapacit\u00e9 \u00e0 distinguer les substances s\u00fbres des substances dangereuses.<\/p>\n

L’\u00e9tude a tir\u00e9 des donn\u00e9es des rapports adress\u00e9s au centre antipoison du New Jersey entre janvier 2018 et d\u00e9cembre 2022. Les chercheurs ont extrait et analys\u00e9 manuellement les informations de la base de donn\u00e9es du centre, en se concentrant sur les expositions \u00e0 un seul opio\u00efde chez les jeunes enfants.<\/p>\n

Si les comprim\u00e9s d\u2019opio\u00efdes sur ordonnance sont la source de danger la plus courante, l\u2019\u00e9tude a r\u00e9v\u00e9l\u00e9 d\u2019autres sc\u00e9narios. Les enfants ont eu acc\u00e8s \u00e0 des patchs de fentanyl usag\u00e9s, \u00e0 des accessoires de consommation de drogues illicites et m\u00eame \u00e0 des r\u00e9sidus d\u2019opio\u00efdes laiss\u00e9s sur des objets jet\u00e9s, comme du papier de soie et des boules de coton.<\/p>\n

L\u2019\u00e9tude souligne l\u2019importance d\u2019un stockage et d\u2019une \u00e9limination appropri\u00e9s des m\u00e9dicaments, a d\u00e9clar\u00e9 Calello.<\/p>\n

\u00ab Un seul comprim\u00e9 d’opio\u00efde peut tuer un enfant de deux ans \u00bb, a-t-elle d\u00e9clar\u00e9. \u00ab Et pourtant, un parent qui prend ce comprim\u00e9 d’opio\u00efde tous les jours ne se rend peut-\u00eatre pas compte que, m\u00eame s’il lui est tr\u00e8s familier, il est mortel. \u00bb<\/p>\n

Les auteurs de l\u2019\u00e9tude estiment qu\u2019il est n\u00e9cessaire de sensibiliser davantage les parents aux dangers des opio\u00efdes \u00e0 la maison. Calello sugg\u00e8re d\u2019inclure les grands-parents et toute personne susceptible d\u2019apporter des m\u00e9dicaments dans un foyer o\u00f9 des enfants sont pr\u00e9sents.<\/p>\n

Une solution potentielle consiste \u00e0 accro\u00eetre l\u2019acc\u00e8s des parents et des soignants \u00e0 la naloxone, un m\u00e9dicament qui peut inverser les surdoses d\u2019opio\u00efdes, a d\u00e9clar\u00e9 Calello.<\/p>\n

\u00ab J’ai vu plusieurs cas de jeunes enfants o\u00f9 je pensais que si cette m\u00e8re ou ce p\u00e8re avait eu de la naloxone avec eux, ils auraient pu la leur donner, et cet enfant aurait peut-\u00eatre eu un meilleur r\u00e9sultat \u00bb, a-t-elle d\u00e9clar\u00e9.<\/p>\n

L\u2019\u00e9quipe charg\u00e9e de l\u2019\u00e9tude se pr\u00e9pare \u00e0 publier des donn\u00e9es sur l\u2019exposition des enfants aux opio\u00efdes dans tout le pays. Ces chiffres montrent une exposition accrue des enfants aux opio\u00efdes illicites et aux m\u00e9dicaments destin\u00e9s \u00e0 traiter la d\u00e9pendance aux opio\u00efdes.<\/p>\n

Calello a ajout\u00e9 qu\u2019elle esp\u00e8re \u00e9tudier les effets d\u2019une distribution plus large de naloxone aupr\u00e8s des parents.<\/p>\n

\u00ab Ce serait une bonne nouvelle \u00bb, a-t-elle d\u00e9clar\u00e9. \u00ab Cela pourrait faire une grande diff\u00e9rence. \u00bb<\/p>\n

<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

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