Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias · 2018
Acute street drug poisoning in the patient with human immunodeficiency virus infection: the role of chemsex.
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Perelló Rafael, Aused Mónica, Saubí Narcís, Quirós Carmen, Blanco José Luis, Martínez-Rebollar María, Galicia Miguel, Salgado Emilio, Nogué Santiago
Аннотация
OBJECTIVES: To identify the drugs usually abused in cases of acute poisoning in human immunodeficiency virus (HIV) infected patients.
MATERIAL AND METHODS: Retrospective study of episodes of acute street drug poisoning in HIV-infected patients in our emergency department over a period of 1 year. Chemsex was defined as the use of methamphetamines, -hydroxybutyrate (GHB), -butyrolactone (GBL), and/or mephedrone in order to prolong sexual activity.
RESULTS: We included 101 patients, 93 (92%) of whom were men. The drug that caused the most cases of acute poisoning was cocaine, detected in 52 patients (51%). GHB and amphetamines were the next most frequently implicated street drugs. The prevalence of chemsex in this series was 87%. Mortality was 2%. Amphetamine poisoning was related to intensive care unit admission (odds ratio, 9,2 [95% CI, 1.6-52.2], P=.012).
CONCLUSION: Cocaine use was the main cause of acute poisoning in this series. The prevalence of chemsex was high.
MATERIAL AND METHODS: Retrospective study of episodes of acute street drug poisoning in HIV-infected patients in our emergency department over a period of 1 year. Chemsex was defined as the use of methamphetamines, -hydroxybutyrate (GHB), -butyrolactone (GBL), and/or mephedrone in order to prolong sexual activity.
RESULTS: We included 101 patients, 93 (92%) of whom were men. The drug that caused the most cases of acute poisoning was cocaine, detected in 52 patients (51%). GHB and amphetamines were the next most frequently implicated street drugs. The prevalence of chemsex in this series was 87%. Mortality was 2%. Amphetamine poisoning was related to intensive care unit admission (odds ratio, 9,2 [95% CI, 1.6-52.2], P=.012).
CONCLUSION: Cocaine use was the main cause of acute poisoning in this series. The prevalence of chemsex was high.