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Routine drug screening in patients with intentional drug overdose : appropriate or not?

Thesis (MMed)--Stellenbosch University, 2024.

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Bibliographic Details
Main Author: Ferreira, Yolandi
Other Authors: Van Hoving, Daniel J.
Format: Thesis
Published: Stellenbosch : Stellenbosch University 2025
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access_status_str Open Access
author Ferreira, Yolandi
author2 Van Hoving, Daniel J.
author_browse Ferreira, Yolandi
Van Hoving, Daniel J.
author_facet Van Hoving, Daniel J.
Ferreira, Yolandi
author_sort Ferreira, Yolandi
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MMed)--Stellenbosch University, 2024.
format Thesis
id oai:scholar.sun.ac.za:10019.1/131781
institution Stellenbosch University (South Africa)
last_indexed 2026-06-10T12:41:54.752Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/131781 Routine drug screening in patients with intentional drug overdose : appropriate or not? Ferreira, Yolandi Van Hoving, Daniel J. Louw, Pauline Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Drugs -- Overdose -- Western Cape (South Africa) Hospital patients -- Drug testing -- Western Cape (South Africa) Hospital patients -- Drug use -- Testing -- Western Cape (South Africa) Medical screening -- Western Cape (South Africa) Hospitals -- Substance abuse services -- Western Cape (South Africa) UCTD Thesis (MMed)--Stellenbosch University, 2024. ENGLISH SUMMARY: Introduction: Intentional drug overdose is a common presentation to Emergency Centres. However, various management strategies exist for these patients due to the lack of evidenced based guidelines. Performing routine drug screens on all intentional overdose patients may not be cost-effective; besides, it may not even change decisions related to patient management. The aim of this study is to determine the significance of a routinely performed limited drug screen on asymptomatic patients presenting to an Emergency Centre after an intentional drug overdose. Methodology: In this retrospective chart review, all patients who presented with a history of an intentional drug overdose will be identified from patient registers for a six month period. Patients will be excluded if less than 12 years of age, ingestion of non-drug chemicals occurred and where folders are either missing or contains incomplete documentation. The pre-hospital record, nursing triage record, and doctor’s notes will be reviewed. Data collected will include patient demographics, the presence of clinical toxicity and the results of drug screens performed. Conclusion: Significant results could be used to guide the development of both local and national protocols. This should improve the cost related to the treatment of intentional drug overdose patients and lessen the burden of this disease. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2025-03-24T07:19:19Z 2025-03-24T07:19:19Z 2024-12 Thesis https://scholar.sun.ac.za/handle/10019.1/131781 Stellenbosch University 63 pages ; includes annexures application/pdf Stellenbosch : Stellenbosch University
spellingShingle Drugs -- Overdose -- Western Cape (South Africa)
Hospital patients -- Drug testing -- Western Cape (South Africa)
Hospital patients -- Drug use -- Testing -- Western Cape (South Africa)
Medical screening -- Western Cape (South Africa)
Hospitals -- Substance abuse services -- Western Cape (South Africa)
UCTD
Ferreira, Yolandi
Routine drug screening in patients with intentional drug overdose : appropriate or not?
title Routine drug screening in patients with intentional drug overdose : appropriate or not?
title_full Routine drug screening in patients with intentional drug overdose : appropriate or not?
title_fullStr Routine drug screening in patients with intentional drug overdose : appropriate or not?
title_full_unstemmed Routine drug screening in patients with intentional drug overdose : appropriate or not?
title_short Routine drug screening in patients with intentional drug overdose : appropriate or not?
title_sort routine drug screening in patients with intentional drug overdose appropriate or not
topic Drugs -- Overdose -- Western Cape (South Africa)
Hospital patients -- Drug testing -- Western Cape (South Africa)
Hospital patients -- Drug use -- Testing -- Western Cape (South Africa)
Medical screening -- Western Cape (South Africa)
Hospitals -- Substance abuse services -- Western Cape (South Africa)
UCTD
url https://scholar.sun.ac.za/handle/10019.1/131781
work_keys_str_mv AT ferreirayolandi routinedrugscreeninginpatientswithintentionaldrugoverdoseappropriateornot