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Istvan M, Bresdin V, Mainguy M, Laigo P, Grall-Bronnec M, Eudeline V, Guillet JE, Guillo M, Babonnaud L, Jolliet P, Schreck B, Victorri-Vigneau C. First results of the French OCTOPUS survey among festival attendees: a latent class analysis. Harm Reduct J 2023; 20:43. [PMID: 36991395 PMCID: PMC10057684 DOI: 10.1186/s12954-023-00770-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 03/15/2023] [Indexed: 03/31/2023] Open
Abstract
BACKGROUND Illicit substance use has constantly evolved over the years, particularly in the party scene. Monitoring these changes is essential to adapt harm reduction strategies. The OCTOPUS survey was implemented to enhance knowledge on drug use at music festivals. The objective of the work presented here was to describe drug use and to characterize profiles of substance use in music festival attendees. METHODS OCTOPUS was a cross-sectional survey carried out during 13 various music festivals (dub, eclectic and electronic music) in the Loire-Atlantique department (France) from July 2017 to July 2018. Participants were festival attendees. Data were collected by trained research staff using a face-to-face structured interview. We analysed the use of illicit drugs in the last 12 months to describe the prevalence of use and to characterize the profile of substance use using a latent class analysis. RESULTS In total, 383 festival attendees were included. Of 314 (82%) participants who reported drug use, the most reported drugs were cannabis, ecstasy/MDMA and cocaine. We identified two profiles of drug use: (i) a "no/low polysubstance use" profile mainly characterized by the use of "classic" stimulants (ecstasy/MDMA, cocaine) and (ii) "moderate/extensive polysubstance use", with high probabilities of "classic" stimulants use and especially other drugs reported: speed, ketamine, new psychoactive substances (NPSs). CONCLUSION We observed frequent polysubstance use in festival attendees. Harm reduction should be targeted at the increased risk of toxicity linked to polysubstance use, and the reduction in harm caused by particular drugs (ketamine, NPS, speed) could be further strengthened.
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Affiliation(s)
- Marion Istvan
- Nantes Université, CHU Nantes, Centre d'Evaluation et d'Information sur la Pharmacodépendance-Addictovigilance (CEIP-A), Service de Pharmacologie Clinique, F-44000, Nantes, France.
- Nantes Université, Univ Tours, CHU Nantes, CHU Tours, INSERM, MethodS in Patients-centered outcomes and HEalth Research, SPHERE, F-44000, Nantes, France.
| | - Vincent Bresdin
- Nantes Université, CHU Nantes, Centre d'Evaluation et d'Information sur la Pharmacodépendance-Addictovigilance (CEIP-A), Service de Pharmacologie Clinique, F-44000, Nantes, France
| | - Marie Mainguy
- Nantes Université, CHU Nantes, Centre d'Evaluation et d'Information sur la Pharmacodépendance-Addictovigilance (CEIP-A), Service de Pharmacologie Clinique, F-44000, Nantes, France
| | - Pauline Laigo
- Nantes Université, CHU Nantes, Centre d'Evaluation et d'Information sur la Pharmacodépendance-Addictovigilance (CEIP-A), Service de Pharmacologie Clinique, F-44000, Nantes, France
| | - Marie Grall-Bronnec
- Nantes Université, Univ Tours, CHU Nantes, CHU Tours, INSERM, MethodS in Patients-centered outcomes and HEalth Research, SPHERE, F-44000, Nantes, France
- Nantes Université, CHU Nantes, UIC Psychiatrie et Santé Mentale, F-44000, Nantes, France
| | - Vincent Eudeline
- OPPELIA, Association de Prévention et de Soin en Addictologie, Nantes et St Nazaire, France
| | - Jean-Emmanuel Guillet
- OPPELIA, Association de Prévention et de Soin en Addictologie, Nantes et St Nazaire, France
| | - Manon Guillo
- Techno + Nantes, Association de Santé Communautaire en Milieu Techno, Nantes, France
| | - Laurent Babonnaud
- AIDES Nantes, association de soutien et accompagnement des personnes, Actions de prévention et de réduction des risques du VIH/SIDA et des hépatites, Nantes, France
| | - Pascale Jolliet
- Nantes Université, CHU Nantes, Centre d'Evaluation et d'Information sur la Pharmacodépendance-Addictovigilance (CEIP-A), Service de Pharmacologie Clinique, F-44000, Nantes, France
- Nantes Université, Univ Tours, CHU Nantes, CHU Tours, INSERM, MethodS in Patients-centered outcomes and HEalth Research, SPHERE, F-44000, Nantes, France
| | - Benoit Schreck
- Nantes Université, Univ Tours, CHU Nantes, CHU Tours, INSERM, MethodS in Patients-centered outcomes and HEalth Research, SPHERE, F-44000, Nantes, France
- Nantes Université, CHU Nantes, UIC Psychiatrie et Santé Mentale, F-44000, Nantes, France
| | - Caroline Victorri-Vigneau
- Nantes Université, CHU Nantes, Centre d'Evaluation et d'Information sur la Pharmacodépendance-Addictovigilance (CEIP-A), Service de Pharmacologie Clinique, F-44000, Nantes, France
- Nantes Université, Univ Tours, CHU Nantes, CHU Tours, INSERM, MethodS in Patients-centered outcomes and HEalth Research, SPHERE, F-44000, Nantes, France
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Pooled Urine Analysis at a Belgian Music Festival: Trends in Alcohol Consumption and Recreational Drug Use. Prehosp Disaster Med 2022; 37:806-809. [PMID: 36148611 DOI: 10.1017/s1049023x22001285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Recreational drug use has become more and more accepted in society. Availability and purity are rising and new psychoactive substances (NPS) are popping up.The aim of this study was to provide objective data on illicit drug use at a Belgian festival in order to report on arising trends. This may provide additional information to help develop preventive strategies. METHODS A cross-sectional study took place during a music festival in the summer of 2019, where 43 samples of pooled urine were collected at four different locations and at different moments of the day. Analysis was performed using gas chromatography with a flame ionization detector (GC-FID) to determine ethanol concentrations. Drugs of abuse were quantified using liquid chromatography-tandem mass spectrometry. A qualitative analysis was performed using high-resolution mass spectrometry. RESULTS Median ethanol concentration was 0.88g/L. Cocaine, 3,4-methylenedioxymethamphetamine (MDMA), amphetamines, ketamine, and cannabis were detected in almost every sample and often in high concentrations. Furthermore, two NPS were detected and a variety of over-the-counter medication and adulterants were also found. DISCUSSION The findings were largely in-line with trends outlined in the European Drug Report. Striking were the relatively high concentrations of MDMA and ketamine and detection of two synthetic cathinones. Two possible adulterants of cocaine were detected, namely flecainide and amlodipine. CONCLUSION Music festivals are considered a high-risk setting for alcohol consumption and illicit drug use. Analysis of pooled urine samples at a festival therefore provides a valuable method to evaluate trends and to screen for new substances. Wide-spread use of classical drugs and identification of two NPS were observed during a major international music festival in Belgium. Results need to be interpreted carefully, taking into account the possibilities and limitations of the used techniques and a standardized sampling is required.
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Dixon DI, Antonides LH, Costello A, Crane B, Embleton A, Fletcher ML, Gilbert N, Hulme MC, James MJ, Lever MA, Maccallum CJ, Millea MF, Pimlott JL, Robertson TBR, Rudge NE, Schofield CJ, Zukowicz F, Kemsley EK, Sutcliffe OB, Mewis RE. Comparative study of the analysis of seized samples by GC-MS, 1H NMR and FT-IR spectroscopy within a Night-Time Economy (NTE) setting. J Pharm Biomed Anal 2022; 219:114950. [PMID: 35914505 DOI: 10.1016/j.jpba.2022.114950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 07/03/2022] [Accepted: 07/15/2022] [Indexed: 10/17/2022]
Abstract
Rapid analysis of surrendered or seized drug samples provides important intelligence for health (e.g. treatment or harm reduction), and custodial services. Herein, three in-situ techniques, GC-MS, 1H NMR and FT-IR spectroscopy, with searchable libraries, are used to analyse 318 samples qualitatively, using technique specific library-based searches, obtained over the period 24th - 29th August 2019. 259 samples were identified as consisting of a single component, of which cocaine was the most prevalent (n = 158). Median match scores for all three techniques were ≥ 0.84 and showed agreement except for metformin (n = 1), oxandrolone (identified as vitamin K by IR (n = 4)), diazepam (identified as zolpidem by FT-IR (n = 2)) and 2-Br-4,5-DMPEA (n = 1), a structural isomer of 2C-B identified as a polymer of cellulose (cardboard) by FT-IR. 51 samples were found to consist of two or more components, of which 49 were adulterated cocaine samples (45 binary and 4 tertiary samples). GC-MS identified all components present in the 49 adulterated cocaine samples, whereas IR identified only cocaine in 88 % of cases (adulterant only = 12 %). The breakdown for 1H NMR spectroscopy was all components identified (51 %), cocaine only (33 %), adulterant only (10 %), cocaine and one adulterant (tertiary mixtures only, 6 %).
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Affiliation(s)
- David I Dixon
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Lysbeth H Antonides
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Andrew Costello
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Greater Manchester Police, Openshaw Complex, Lawton Street, Openshaw, Manchester M11 2NS, UK
| | - Benjamin Crane
- Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Arran Embleton
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Mark L Fletcher
- Manchester Pride, Manchester One, 53 Portland Street, Manchester M1 3LD, UK
| | - Nicolas Gilbert
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Matthew C Hulme
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Molly J James
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Michael A Lever
- Manchester Pride, Manchester One, 53 Portland Street, Manchester M1 3LD, UK
| | - Conner J Maccallum
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Molly F Millea
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Jessica L Pimlott
- Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Thomas B R Robertson
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Nathan E Rudge
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - Christopher J Schofield
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Greater Manchester Police, Openshaw Complex, Lawton Street, Openshaw, Manchester M11 2NS, UK
| | - Filip Zukowicz
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK
| | - E Kate Kemsley
- Quadram Institute Bioscience, Norwich Research Park, Norwich NR4 7UA, UK
| | - Oliver B Sutcliffe
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK.
| | - Ryan E Mewis
- MANchester DRug Analysis & Knowledge Exchange (MANDRAKE), Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK; Faculty of Science and Engineering, Department of Natural Sciences, Manchester Metropolitan University, Chester Street, Manchester M1 5GD, UK.
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Gish A, Dumestre-Toulet V, Richeval C, Wiart JF, Hakim F, Allorge D, Gaulier JM. Trends in pharmaceutical design of new psychoactive substances detected in oral fluid of drivers around a music festival in south-west France: comparison 2019/2017. Curr Pharm Des 2022; 28:1245-1249. [PMID: 35585812 DOI: 10.2174/1381612828666220517160545] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 03/16/2022] [Indexed: 11/22/2022]
Abstract
OBJECTIVE new psychoactive substance use (NPS) is a reality in France, including among drivers. This work aims (i) to report pharmaceutical design of NPS detected in oral fluid (OF) from drivers initially screened for drugs around a music festival in 2019, and (ii) to compare obtained results with those of a previous similar study carried out in 2017 in the same situation (and the same music festival) and according to the same methodology. METHODS OF specimens were recovered from the used devices of the salivary immunochemical tests used by the police during the controls carried out at the entering and leaving the festival. These OF were analyzed using a liquid chromatography coupled with tandem mass spectrometry and high-resolution mass spectrometry methods using mass spectra libraries of approximately 1700 substances including (in 2020) more than 650 NPS and metabolites. RESULTS NPS were detected in 14 out of the 265 collected OF specimens. Ten NPS were identified (number of identification): APINACA (1), AB-Chminaca (1), 5F-AMB (1), 5F-PB-22 (5), 2C-D (1), methoxetamine (2), ketamine (1), x-CMC (1), 4-MEC (2), ethylone (2). The prevalence of NPS detection in OF (5.2%) is in the same order than the observed one in 2017 (6.8%) but these results are marked by the majority and increasing proportion of synthetic cannabinoids (47% of identified NPS in 2019 vs 25% in 2017), an increase also in the proportion of cathinone derivatives (29% in 2019 vs 6 % in 2017), and a decrease in cyclohexanones (17% in 2019 vs 43% in 2017). CONCLUSION these pharmaceutical design trends (2019 vs 2017) observed in a population of drivers around a music festival seem to reflect those that can be seen in more general populations in France, with probably a rise in the consumption of synthetic cannabinoids.
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Affiliation(s)
- Alexandr Gish
- CHU Lille, Unité Fonctionnelle de Toxicologie, Lille, France
| | | | - Camille Richeval
- CHU Lille, Unité Fonctionnelle de Toxicologie, Lille, France.,Univ. Lille, EA 4483 - IMPECS - IMPact de l'Environnement Chimique sur la Santé humaine, Lille, France
| | | | - Florian Hakim
- CHU Lille, Unité Fonctionnelle de Toxicologie, Lille, France.,Univ. Lille, EA 4483 - IMPECS - IMPact de l'Environnement Chimique sur la Santé humaine, Lille, France
| | - Delphine Allorge
- CHU Lille, Unité Fonctionnelle de Toxicologie, Lille, France.,Univ. Lille, EA 4483 - IMPECS - IMPact de l'Environnement Chimique sur la Santé humaine, Lille, France
| | - Jean-Michel Gaulier
- CHU Lille, Unité Fonctionnelle de Toxicologie, Lille, France.,Univ. Lille, EA 4483 - IMPECS - IMPact de l'Environnement Chimique sur la Santé humaine, Lille, France
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A comprehensive UHPLC-MS/MS screening method for the analysis of 98 New Psychoactive Substances and related compounds in human hair. J Pharm Biomed Anal 2021; 205:114310. [PMID: 34391138 DOI: 10.1016/j.jpba.2021.114310] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 07/31/2021] [Accepted: 08/05/2021] [Indexed: 11/23/2022]
Abstract
In this study, a rapid liquid chromatography-tandem mass spectrometry (LC-MS/MS) method has been developed and validated for the targeted analysis of 98 New Psychoactive Substances (NPS) from the hair matrix. The monitored compounds included various chemical classes (7 phenethylamines, 10 tryptamines, 18 cathinones, 24 synthetic opioids, and 38 synthetic cannabinoids) with emphasis given to newly emerged NPS. The method employed a direct extraction process through the incubation of hair samples (25 mg) and internal standards with M3® reagent at 100 °C for 60 min, followed by extract purification through acid and basic liquid-liquid micro-extraction (LLME). Extracted compounds were analyzed through LC-MS/MS system operating in multiple reaction monitoring mode. NPS were separated in 9.5 min with a Poroshell 120 EC-C18 column (2.7 μm, 4.6 × 50 mm) using a gradient eluting mobile phase composed of water and acetonitrile/water (95:5) both containing 0.1 % of formic acid. The developed and validated method shows a good precision (≤ 15 %), linearity (R2 between 0.993 and 0.999), selectivity, and sensitivity (LOD: 0.6-10.3 pg mg-1 and LOQ: 2.1-34.4 pg mg-1). The method showed also reduced matrix effect and acceptable recovery for most of the targeted compounds. Our results showed that this method is suitable for quantifying NPS in hair matrix and could be employed in the context of routine analyses in analytical laboratories.
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Bijlsma L, Bade R, Been F, Celma A, Castiglioni S. Perspectives and challenges associated with the determination of new psychoactive substances in urine and wastewater - A tutorial. Anal Chim Acta 2020; 1145:132-147. [PMID: 33453874 DOI: 10.1016/j.aca.2020.08.058] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 08/26/2020] [Accepted: 08/28/2020] [Indexed: 11/16/2022]
Abstract
New psychoactive substances (NPS), often designed as (legal) substitutes to conventional illicit drugs, are constantly emerging in the drug market and being commercialized in different ways and forms. Their use continues to cause public health problems and is therefore of major concern in many countries. Monitoring NPS use, however, is arduous and different sources of information are required to get more insight of the prevalence and diffusion of NPS use. The determination of NPS in pooled urine and wastewater has shown great potential, adding a different and complementary light on this issue. However, it also presents analytical challenges and limitations that must be taken into account such as the complexity of the matrices, the high sensitivity and selectivity required in the analytical methods as a consequence of the low analyte concentrations as well as the rapid transience of NPS on the drug market creating a scenario with constantly moving analytical targets. Analytical investigation of NPS in pooled urine and wastewater is based on liquid chromatography hyphenated to mass spectrometry and can follow different strategies: target, suspect and non-target analysis. This work aims to discuss the advantages and disadvantages of the different data acquisition workflows and data exploration approaches in mass spectrometry, but also pays attention to new developments such as ion mobility and the use of in-silico prediction tools to improve the identification capabilities in high-complex samples. This tutorial gives an insight into this emerging topic of current concern, and describes the experience gathered within different collaborations and projects supported by key research articles and illustrative practical examples.
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Affiliation(s)
- L Bijlsma
- Environmental and Public Health Analytical Chemistry, Research Institute for Pesticides and Water, University Jaume I, 12071, Castellón, Spain.
| | - R Bade
- University of South Australia, UniSA: Clinical and Health Sciences, Health and Biomedical Innovation, South Australia, 5000, Australia.
| | - F Been
- KWR Water Research Institute, Chemical Water Quality and Health, 3430 BB, Nieuwegein, the Netherlands
| | - A Celma
- Environmental and Public Health Analytical Chemistry, Research Institute for Pesticides and Water, University Jaume I, 12071, Castellón, Spain
| | - S Castiglioni
- Istituto di Ricerche Farmacologiche Mario Negri - IRCCS, Department of Environmental Health Sciences, 20156, Milan, Italy
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