Characteristics of an Overdose Prevention, Response, and Naloxone Distribution Program in Pittsburgh and Allegheny County, Pennsylvania
Characteristics of an Overdose Prevention, Response, and Naloxone Distribution Program in Pittsburgh and Allegheny County, Pennsylvania
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DOI：
10.1007/s11524-011-9600-7
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发表时间：
2011-12-01
影响因子：
6.6
通讯作者：
Kral, Alex H.
中科院分区：
文献类型：
--
作者：
Bennett, Alex S.;Bell, Alice;Kral, Alex H.
预防点匹兹堡（PPP）是一个公共卫生倡导组织，经营阿勒格尼县唯一的针头交换计划。2002年，巴基斯坦人民党实施了一项预防吸毒过量方案，以应对该区域与海洛因和阿片类药物有关的吸毒过量死亡人数增加的情况。2005年，国家药物管制局增加了过量预防和应对培训，包括纳洛酮培训和处方。本研究的目的是描述2005年7月1日至2008年12月31日期间参加过研究的426名个体的经历。其中，89人报告了在总共249次单独的过量事件中，针对过量服用纳洛酮。在这249例服用纳洛酮的过量事件中，参与者报告96%被逆转。这些数据支持了越来越多的关于其他城市类似项目的研究结果。以社区为基础的OPP使吸毒者具备识别和应对过量的技能，并开具纳洛酮处方，可以帮助吸毒者及其同伴预防和逆转潜在的致命过量，而不会产生重大不良后果。
Prevention Point Pittsburgh (PPP) is a public health advocacy organization that operates Allegheny County's only needle exchange program. In 2002, PPP implemented an Overdose Prevention Program (OPP) in response to an increase in heroin-related and opioid-related overdose fatalities in the region. In 2005, the OPP augmented overdose prevention and response trainings to include naloxone training and prescription. The objective of our study is to describe the experiences of 426 individuals who participated in the OPP between July 1, 2005, and December 31, 2008. Of these, 89 individuals reported administering naloxone in response to an overdose in a total of 249 separate overdose episodes. Of these 249 overdose episodes in which naloxone was administered, participants reported 96% were reversed. The data support findings from a growing body of research on similar programs in other cities. Community-based OPPs that equip drug users with skills to identify and respond to an overdose and prescribe naloxone can help users and their peers prevent and reverse potentially fatal overdoses without significant adverse consequences.