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Alcohol and drug intoxications in adolescents admitted to paediatric centres in the Czech Republic


Authors: P. Kabíček 1;  J. Kobr 2;  L. Šašek 2;  Z. Obdržálková 3;  L. Svitálková 4;  V. Hůrková 4;  J. Zeman 1
Authors‘ workplace: Klinika dětského a dorostového lékařství UK 1. LF a VFN, Praha přednosta prof. MUDr. J. Zeman, DrSc. 1;  Dětská klinika, Lékařská fakulta Univerzity Karlovy v Plzni a FN, Plzeň přednosta prof. MUDr. J. Kobr, Ph. D. 2;  Klinika dětského lékařství – Fakultní nemocnice, Ostrava přednosta doc. MUDr. M. Hladík, Ph. D. 3;  Dětské oddělení, Krajská nemocnice T. Bati, Zlín primářka MUDr. L. Svitálková 4
Published in: Čes-slov Pediat 2013; 68 (5): 293-300.
Category: Original Papers

Overview

We conducted retrospective, multi-centric analysis of alcohol and drug intoxications in adolescents, admitted to inpatient treatment to paediatric hospitals throughout the Czech Republic. We reviewed more than two thousand cases, indicating the severity of this risk behaviour in Czech adolescent population. The incidence of hospital admission for alcohol intoxication increased throughout the examined period of five years (2006–2010) by 22%, the majority of them boys, however, the proportion of girls increased in that period from 42% to 45%. When analysing the circumstances of the alcohol intoxications, we noted that 25% of them got drunk in a restaurant or another public place where alcohol is legally served (club, disco, ballroom), 48 alcohol intoxications occurred directly in school, school dorm or during a school trip. The most frequent illicit drug intoxication was with cannabinoids, often accompanied by the syncope or other kind of short-term state of altered consciousness.

Counselling the adolescent at risk of developing alcohol abuse is a challenge for the whole paediatric public. Moreover, a strict enforcement of current laws aimed at restricting the access to addictive substances is warranted.

Key words:
alcohol intoxication, abuse of addictive substances, syndrome of risk behaviour in youth, adolescence, THC, hypotension, CRAFFT


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Neonatology Paediatrics General practitioner for children and adolescents
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