{"id":2332,"date":"2019-06-30T16:05:24","date_gmt":"2019-06-30T14:05:24","guid":{"rendered":"http:\/\/www.hopital-marmottan.fr\/wordpress\/?p=2332"},"modified":"2020-06-30T14:40:26","modified_gmt":"2020-06-30T12:40:26","slug":"addictovigilance-augmentation-des-complications-sanitaires-graves-liees-a-la-consommation-de-cocaine","status":"publish","type":"post","link":"https:\/\/www.hopital-marmottan.fr\/wordpress\/?p=2332","title":{"rendered":"Addictovigilance : Augmentation des complications sanitaires graves li\u00e9es \u00e0 la consommation de coca\u00efne"},"content":{"rendered":"<p>Attention, vigilance :<\/p>\n<p>Le pourcentage de patients inclus dans l\u2019enqu\u00eate DRAMES (<em>D\u00e9c\u00e8s <\/em><em>En Relation avec l\u2019Abus de M\u00e9dicament Et de Substances)<\/em>, d\u00e9c\u00e9d\u00e9s directement de la consommation de coca\u00efne est en augmentation : de 10 % des d\u00e9c\u00e8s directs en 2010 (n= 25\/247) \u00e0 19,5 % en 2017 (n= 85\/432). Les associations les plus souvent impliqu\u00e9es sont cocaine\u2010h\u00e9ro\u00efne, et cocaine\u2010m\u00e9thadone.<\/p>\n<p>Par ailleurs :<\/p>\n<ol>\n<li>Les donn\u00e9es des saisies et de l\u2019outil SINTES (Syst\u00e8me d&rsquo;identification national des toxiques et substances) montrent une augmentation de la teneur des \u00e9chantillons de coca\u00efne.<\/li>\n<li>Association \u00e0 risque avec l\u2019alcool : formation d\u2019un m\u00e9tabolite toxique le coca\u00e9thyl\u00e8ne de demi-vie plus longue, neuro et cardio toxique<\/li>\n<li>D\u2019autres toxicit\u00e9s peuvent \u00eatre li\u00e9es \u00e0 la pr\u00e9sence de produits de coupe (exemple l\u00e9vamisole : vascularite, agranulocytose)<\/li>\n<\/ol>\n<p><strong><a href=\"http:\/\/www.hopital-marmottan.fr\/wordpress\/wp-content\/uploads\/2019\/07\/bulletin_addictovigilance_10_site.pdf\">T\u00e9l\u00e9charger le bulletin d&rsquo;addictovigilance sur la coca\u00efne (mai 2019)<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Attention, vigilance : Le pourcentage de patients inclus dans l\u2019enqu\u00eate DRAMES (D\u00e9c\u00e8s En Relation avec l\u2019Abus de M\u00e9dicament Et de Substances), d\u00e9c\u00e9d\u00e9s directement de la consommation de coca\u00efne est en augmentation : de 10 % des d\u00e9c\u00e8s directs en 2010 &hellip; <a href=\"https:\/\/www.hopital-marmottan.fr\/wordpress\/?p=2332\">Continuer la lecture <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[497],"tags":[519,14,477,631],"class_list":["post-2332","post","type-post","status-publish","format-standard","hentry","category-publications","tag-addictovigilance","tag-cocaine","tag-deces","tag-toxicite"],"_links":{"self":[{"href":"https:\/\/www.hopital-marmottan.fr\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/2332","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hopital-marmottan.fr\/wordpress\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hopital-marmottan.fr\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hopital-marmottan.fr\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hopital-marmottan.fr\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2332"}],"version-history":[{"count":1,"href":"https:\/\/www.hopital-marmottan.fr\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/2332\/revisions"}],"predecessor-version":[{"id":2334,"href":"https:\/\/www.hopital-marmottan.fr\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/2332\/revisions\/2334"}],"wp:attachment":[{"href":"https:\/\/www.hopital-marmottan.fr\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2332"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hopital-marmottan.fr\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2332"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hopital-marmottan.fr\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2332"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}