000			03234cam a2200349 a 4500
003			EG-GiCUC
005			20250223031559.0
008			170403s2016 ua d f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.13.M.Sc.2016.No.P
100	0		_aNoha Maher Ahmed Mohamed Elrewieny
245	1	0	_aPattern of tramadol toxicity in children : _bA retrospective study of cases received at National Environmental and Clinical Toxicological Research Center (NECTR) during , 2014 / _cNoha Maher Ahmed Mohamed Elrewieny ; Supervised Dina Aly Shokry , Abla Abdelrahman Ali , Mona Mohamed Ali
246	1	5	_aنمط التسمم بالترامادول في الأطفال : _bدراسة مرجعية للحالات المستقبلة بالمركز القومي للسموم الإكلينيكية و البيئية خلال عام 2014
260			_aCairo : _bNoha Maher Ahmed Mohamed Elrewieny , _c2016
300			_a152 P. : _bcharts ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Forensic Medicine - Toxicology
520			_aBACKGROUND: Tramadol is a centrally acting synthetic opioid analgesic agent that is widely used. METHODS: This is a retrospective cross sectional study conducted for the pediatric age group (under 18 years old) admitted to NECTR (National Environmental and Clinical Toxicological Research Center) from January 2014 to December 2014 with a history of acute tramadol or other drug of abuse toxicity either alone or combined toxicity of tramadol and one of them. RESULTS: A total of 135 cases, the number of cases used tramadol only were 57 cases, those used combined tramadol and other drugs were 13 cases. Cannabis only intoxicated cases were 50 cases, Alcohol only intoxicated cases were 13 cases and only 2 cases were admitted with benzodiazepine toxicity. The majority of the cases were males and most of the cases came from Giza.the age group (from 2 to 11 years) represented the majority of tramadol only intoxicated cases (64.9%) while infant and toddler (28 days to 23 month) were the majority of cannabis intoxicated cases but in combined toxicity cases, alcohol and benzodiazepines intoxicated patients, the age group (12 to 18 years) represented the majority of the cases. The majority of the cases ingested the drug accidently except in benzodiazepine intoxicated cases whereas all the cases took it in suicidal attempts. The most common administered dose of tramadol was 225mg. Coma and dyspnea were frequent among the cases while seizures were rare. The majority of the cases didn{u2019}t need mechanical ventilation and improved on discharge. CONCLUSION: Acute tramadol toxicity in children is common and can cause coma, dyspnea and less frequently seizures
530			_aIssued also as CD
653		4	_aChildren
653		4	_aDrug abuse
653		4	_aTramadol
700	0		_aAbla Abdelrahman Ali , _eSupervisor
700	0		_aDina Aly Shokry , _eSupervisor
700	0		_aMona Mohamed Ali , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aEnas _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c58183 _d58183