Which illicit drugs are injected in Oslo? A study based on analysis of drug residues in used injection equipment and self-reported information.

Illicit drugs chemical analysis injecting paraphernalia liquid chromatography–mass spectrometry needle exchange people who inject drugs survey used syringes

Journal

Scandinavian journal of public health
ISSN: 1651-1905
Titre abrégé: Scand J Public Health
Pays: Sweden
ID NLM: 100883503

Informations de publication

Date de publication:
Feb 2023
Historique:
pubmed: 21 9 2021
medline: 4 2 2023
entrez: 20 9 2021
Statut: ppublish

Résumé

People who inject drugs (PWID) have a high risk of premature death due to fatal overdoses. Newly emerged fentanyls, much more potent than heroin and other opioids, may increase this risk further. Therefore, precise information on injected drugs is critical to improving prevention strategies. This study aimed to analyse drug residues in used injection equipment in order to determine drug and drug combinations and compare and complement findings with self-reported information. Used syringes and needles ( Heroin (65.5%) or amphetamines (59.8%), often in combination (30.5%), were commonly detected in drug residues. Other opioids, stimulants or benzodiazepines were rarely detected (6.1%). Fentanyl was detected in only one syringe. Heroin was the most reported drug (77.6% during the past four weeks, 48.3% daily/almost daily), followed by amphetamines (57.5% during the past four weeks, 23.1% daily or almost daily). Injection of methadone, buprenorphine and dissolved tablets was self-reported more frequently than determined in drug residue findings.

Sections du résumé

BACKGROUND BACKGROUND
People who inject drugs (PWID) have a high risk of premature death due to fatal overdoses. Newly emerged fentanyls, much more potent than heroin and other opioids, may increase this risk further. Therefore, precise information on injected drugs is critical to improving prevention strategies.
AIMS OBJECTIVE
This study aimed to analyse drug residues in used injection equipment in order to determine drug and drug combinations and compare and complement findings with self-reported information.
METHODS METHODS
Used syringes and needles (
RESULTS RESULTS
Heroin (65.5%) or amphetamines (59.8%), often in combination (30.5%), were commonly detected in drug residues. Other opioids, stimulants or benzodiazepines were rarely detected (6.1%). Fentanyl was detected in only one syringe. Heroin was the most reported drug (77.6% during the past four weeks, 48.3% daily/almost daily), followed by amphetamines (57.5% during the past four weeks, 23.1% daily or almost daily). Injection of methadone, buprenorphine and dissolved tablets was self-reported more frequently than determined in drug residue findings.
CONCLUSIONS CONCLUSIONS

Identifiants

pubmed: 34538164
doi: 10.1177/14034948211043984
pmc: PMC9900188
doi:

Substances chimiques

Illicit Drugs 0
Heroin 70D95007SX

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

21-27

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Auteurs

Hallvard Gjerde (H)

Section of Drug Abuse Research, Department of Forensic Sciences, Oslo University Hospital, Norway.

Anne Line Bretteville-Jensen (AL)

Department of Alcohol, Tobacco and Drugs, Norwegian Institute of Public Health, Norway.

Lihn Bache-Andreassen (L)

Section of Drug Abuse Research, Department of Forensic Sciences, Oslo University Hospital, Norway.

Kristin Hanoa (K)

Department of Alcohol, Tobacco and Drugs, Norwegian Institute of Public Health, Norway.

Håvard Furuhaugen (H)

Section of Drug Abuse Research, Department of Forensic Sciences, Oslo University Hospital, Norway.

Gerd-Wenche Brochmann (GW)

Section of Drug Abuse Research, Department of Forensic Sciences, Oslo University Hospital, Norway.

Vigdis Vindenes (V)

Section of Drug Abuse Research, Department of Forensic Sciences, Oslo University Hospital, Norway.
Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Norway.

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Classifications MeSH