Prospective study of 101 patients with suspected drink spiking

P. Quigley, D.M. Lynch, Mark Little, Lindsay Murray, Ann-Maree Lynch, S.J. O'Halloran

    Research output: Contribution to journalArticle

    15 Citations (Scopus)

    Abstract

    Objective: To evaluate cases of suspected drink spiking presenting to the ED by the prospective collection of standardized relevant historical, clinical and laboratory data.Methods: A prospective observational study of 101 patients presenting to metropolitan hospital ED with suspected drink spiking within the previous 12 h. Clinical history, including details surrounding the alleged drink spiking incident, and examination. Blood ethanol concentration measurement, together with the analysis of urine and blood samples for illicit and sedative drugs.Results: Of the 97 alleged drink spiking cases included, there were only 9 plausible cases. We did not identify a single case where a sedative drug was likely to have been illegally placed in a drink in a pub or nightclub. Illicit drugs were detected in 28% of the study group. Ethanol was commonly detected, with the mean number of standard drinks consumed being 7.7 ± 3.9 SD, and the median blood ethanol concentration at the time of presentation was 0.096% (96 mg/dL). At follow-up there were no major sequelae and no police prosecutions. Thirty five per cent of patients still believed that they had been a victim of drink spiking irrespective of the results.Conclusion: Our study did not reflect the current public perception of drink spiking. Drink spiking with sedative or illicit drugs appears to be rare. If drink spiking does occur, ethanol appears to be the most common agent used. Of greater concern was the frequency of illicit drug use and excessive ethanol consumption within the study population, making it difficult to determine whether a person had truly had a drink spiked.
    Original languageEnglish
    Pages (from-to)222-228
    JournalEmergency Medicine Australasia
    Volume21
    Issue number3
    DOIs
    Publication statusPublished - 2009

    Fingerprint

    Street Drugs
    Ethanol
    Prospective Studies
    Hypnotics and Sedatives
    Urban Hospitals
    Police
    Observational Studies
    Urine
    Pharmaceutical Preparations
    Population

    Cite this

    Quigley, P. ; Lynch, D.M. ; Little, Mark ; Murray, Lindsay ; Lynch, Ann-Maree ; O'Halloran, S.J. / Prospective study of 101 patients with suspected drink spiking. In: Emergency Medicine Australasia. 2009 ; Vol. 21, No. 3. pp. 222-228.
    @article{6645010b2d72432ca95a2ebc70d4207f,
    title = "Prospective study of 101 patients with suspected drink spiking",
    abstract = "Objective: To evaluate cases of suspected drink spiking presenting to the ED by the prospective collection of standardized relevant historical, clinical and laboratory data.Methods: A prospective observational study of 101 patients presenting to metropolitan hospital ED with suspected drink spiking within the previous 12 h. Clinical history, including details surrounding the alleged drink spiking incident, and examination. Blood ethanol concentration measurement, together with the analysis of urine and blood samples for illicit and sedative drugs.Results: Of the 97 alleged drink spiking cases included, there were only 9 plausible cases. We did not identify a single case where a sedative drug was likely to have been illegally placed in a drink in a pub or nightclub. Illicit drugs were detected in 28{\%} of the study group. Ethanol was commonly detected, with the mean number of standard drinks consumed being 7.7 ± 3.9 SD, and the median blood ethanol concentration at the time of presentation was 0.096{\%} (96 mg/dL). At follow-up there were no major sequelae and no police prosecutions. Thirty five per cent of patients still believed that they had been a victim of drink spiking irrespective of the results.Conclusion: Our study did not reflect the current public perception of drink spiking. Drink spiking with sedative or illicit drugs appears to be rare. If drink spiking does occur, ethanol appears to be the most common agent used. Of greater concern was the frequency of illicit drug use and excessive ethanol consumption within the study population, making it difficult to determine whether a person had truly had a drink spiked.",
    author = "P. Quigley and D.M. Lynch and Mark Little and Lindsay Murray and Ann-Maree Lynch and S.J. O'Halloran",
    year = "2009",
    doi = "10.1111/j.1742-6723.2009.01185.x",
    language = "English",
    volume = "21",
    pages = "222--228",
    journal = "Emergency Medicine",
    issn = "1742-6723",
    publisher = "John Wiley & Sons",
    number = "3",

    }

    Prospective study of 101 patients with suspected drink spiking. / Quigley, P.; Lynch, D.M.; Little, Mark; Murray, Lindsay; Lynch, Ann-Maree; O'Halloran, S.J.

    In: Emergency Medicine Australasia, Vol. 21, No. 3, 2009, p. 222-228.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Prospective study of 101 patients with suspected drink spiking

    AU - Quigley, P.

    AU - Lynch, D.M.

    AU - Little, Mark

    AU - Murray, Lindsay

    AU - Lynch, Ann-Maree

    AU - O'Halloran, S.J.

    PY - 2009

    Y1 - 2009

    N2 - Objective: To evaluate cases of suspected drink spiking presenting to the ED by the prospective collection of standardized relevant historical, clinical and laboratory data.Methods: A prospective observational study of 101 patients presenting to metropolitan hospital ED with suspected drink spiking within the previous 12 h. Clinical history, including details surrounding the alleged drink spiking incident, and examination. Blood ethanol concentration measurement, together with the analysis of urine and blood samples for illicit and sedative drugs.Results: Of the 97 alleged drink spiking cases included, there were only 9 plausible cases. We did not identify a single case where a sedative drug was likely to have been illegally placed in a drink in a pub or nightclub. Illicit drugs were detected in 28% of the study group. Ethanol was commonly detected, with the mean number of standard drinks consumed being 7.7 ± 3.9 SD, and the median blood ethanol concentration at the time of presentation was 0.096% (96 mg/dL). At follow-up there were no major sequelae and no police prosecutions. Thirty five per cent of patients still believed that they had been a victim of drink spiking irrespective of the results.Conclusion: Our study did not reflect the current public perception of drink spiking. Drink spiking with sedative or illicit drugs appears to be rare. If drink spiking does occur, ethanol appears to be the most common agent used. Of greater concern was the frequency of illicit drug use and excessive ethanol consumption within the study population, making it difficult to determine whether a person had truly had a drink spiked.

    AB - Objective: To evaluate cases of suspected drink spiking presenting to the ED by the prospective collection of standardized relevant historical, clinical and laboratory data.Methods: A prospective observational study of 101 patients presenting to metropolitan hospital ED with suspected drink spiking within the previous 12 h. Clinical history, including details surrounding the alleged drink spiking incident, and examination. Blood ethanol concentration measurement, together with the analysis of urine and blood samples for illicit and sedative drugs.Results: Of the 97 alleged drink spiking cases included, there were only 9 plausible cases. We did not identify a single case where a sedative drug was likely to have been illegally placed in a drink in a pub or nightclub. Illicit drugs were detected in 28% of the study group. Ethanol was commonly detected, with the mean number of standard drinks consumed being 7.7 ± 3.9 SD, and the median blood ethanol concentration at the time of presentation was 0.096% (96 mg/dL). At follow-up there were no major sequelae and no police prosecutions. Thirty five per cent of patients still believed that they had been a victim of drink spiking irrespective of the results.Conclusion: Our study did not reflect the current public perception of drink spiking. Drink spiking with sedative or illicit drugs appears to be rare. If drink spiking does occur, ethanol appears to be the most common agent used. Of greater concern was the frequency of illicit drug use and excessive ethanol consumption within the study population, making it difficult to determine whether a person had truly had a drink spiked.

    U2 - 10.1111/j.1742-6723.2009.01185.x

    DO - 10.1111/j.1742-6723.2009.01185.x

    M3 - Article

    VL - 21

    SP - 222

    EP - 228

    JO - Emergency Medicine

    JF - Emergency Medicine

    SN - 1742-6723

    IS - 3

    ER -