A 10-year review of cannabis exposure in children under 3-years of age: do we need a more global approach?

@article{Claudet2017A1R,
  title={A 10-year review of cannabis exposure in children under 3-years of age: do we need a more global approach?},
  author={Isabelle Claudet and Mathilde Le Breton and Camille Br{\'e}hin and Nicolas Franchitto},
  journal={European Journal of Pediatrics},
  year={2017},
  volume={176},
  pages={553-556}
}
AbstractPediatricians working in an emergency environment are confronted with children admitted to emergency departments for intoxication on a daily basis. We carried out a retrospective cohort study of children admitted to a pediatric emergency department due to unintentional cannabis exposure over a 10-year period from 2004 to 2014. Twenty-nine children under the age of 3 were admitted with a positive cannabis urine test. Eighty-seven percent of intoxications occurred at the family home… 

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References

SHOWING 1-10 OF 15 REFERENCES

Cannabis poisoning in children

TLDR
Paediatric intensivists must be aware of the various symptoms caused by cannabis ingestion in children and prompt urine screening for the presence of cannabinoids, combined with rapid reporting of results, may avoid unnecessary additional investigations, such as brain imaging and lumbar puncture.

[Accidental cannabis poisoning in children: experience of the Marseille poison center].

Parental Cannabis Abuse and Accidental Intoxications in Children: Prevention by Detecting Neglectful Situations and At-Risk Families

TLDR
Cannabis intoxication in children should be reported to child protection services with the aim of prevention, to detect situations of neglect and at-risk families, and to point out the need to consider accidental cannabis ingestions as an indicator of neglect.

Evaluation of Changes in Poisoning in Young Children: 2000 to 2010

TLDR
Poisoning in young children increasingly involves pharmaceuticals and is associated with an increased number of serious outcomes and children treated in a health care facility, which are related to increased availability of medications in the home and poison prevention education efforts should include a focus on the availability of these products.

Sudden onset unexplained encephalopathy in infants: think of cannabis intoxication

TLDR
Healthcare personnel of emergency rooms, urgent care centers, and general clinics should be aware of the potential risk of cannabis ingestion in young infants and highlight the importance of including cannabis intoxication in the differential diagnosis of infants with unexplained changes in their mental status.

Pediatric marijuana exposures in a medical marijuana state.

TLDR
A new appearance of unintentional marijuana ingestions by young children after modification of drug enforcement laws for marijuana possession in Colorado is found and the consequences of unintentionalarijuana exposure in children should be part of the ongoing debate on legalizing marijuana.

Coma due to cannabis toxicity in an infant

  • A. AppelboamP. Oades
  • Medicine
    European journal of emergency medicine : official journal of the European Society for Emergency Medicine
  • 2006
TLDR
The youngest recorded case of coma due to cannabis ingestion in an 11-month-old girl is reported, highlighting the importance of considering toxicological causes and the parental recreational drug history in young children who present with an altered level of consciousness.

Association of unintentional pediatric exposures with decriminalization of marijuana in the United States.

Decriminalization of Cannabis – potential risks for children?

TLDR
A case of a 1.5‐year‐old infant who presented with unexplained coma that was later proved to be associated with the ingestion of cannabis is reported, highlighting the importance of considering cannabis ingestion in the differential diagnosis of infantile and toddler coma.

Cannabis potency and contamination: a review of the literature.

TLDR
Systematic scientific testing of cannabis is needed to monitor current and ongoing trends in cannabis potency, and to determine whether cannabis is contaminated, and whether increased potency and contamination translates to harm for users.