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Detection of methadone and buprenorphine in urine samples from inmates of German prisons

Bibliographic Data

ID15519183
AuthorsGiorgia Franchetti (University of Padua, corresponding author), Annette Thierauf‐Emberger (0000-0002-4974-2633, University of Freiburg), Annette Thierauf-Emberger, Anette Franz (University of Freiburg), Vanessa Thoma, Volker Auwärter (0000-0002-1883-2804, University of Freiburg), Laura M Huppertz (0000-0002-4190-5469, University of Freiburg)
Year2023
Volume14
Pages1139370-1139370
Publication date2023-02-28
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2023.1139370
PMID36926464
OpenAlexW4322630608
LanguageEN
References cited18

The use of non-prescribed opioid substitution drugs is a serious public health problem, involving general population as well as vulnerable populations such as prisoners. The estimation of the prevalence of opioid substitution drug misuse in prisoners is crucial to suggest strategies to contrast this phenomenon and reduce the associated morbidity and mortality. The present study aimed to provide an objective estimation of the prevalence of illicit use of methadone and buprenorphine in two German prisons. Urine samples were collected from inmates of Freiburg and Offenburg prisons at random times and tested for the detection of methadone, buprenorphine and their metabolites. Analyses were performed by a validated liquid chromatography-tandem mass spectrometry (LC-MS/MS) method. In total 678 inmates participated in this study. The participation rate was about 60% of all permanent inmates. Of the 675 samples suitable for the analysis, 70 samples (10.4%) tested positive for methadone, 70 samples (10.4%) for buprenorphine, and 4 samples (0.6%) for both drugs. At least 100 samples (14.8%) were not associated with reported prescribed-opioid substitution treatment (OST). Buprenorphine was the most common illicitly used drug. In one of the prisons, buprenorphine was brought in from the outside. The present cross-sectional experimental study was able to provide reliable information regarding the illicit use of opioid substitution drugs in prisons

Buprenorphine · Criminology · German · Methadone · Opioid · Prison · Psychiatry · Urine · Forensic Toxicology and Drug Analysis · Medicine · Opioid Use Disorder Treatment · Psychology · Treatment of Major Depression · Internal Medicine · Pharmacology

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