Ultrasound-guided phlebotomy in primary care for people who inject drugs.
Ultrasound-guided phlebotomy in primary care for people who inject drugs.
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DOI：
10.1186/s12954-023-00762-5
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发表时间：
2023-03-23
影响因子：
4.4
通讯作者：
Stephenson, Shirley
中科院分区：
文献类型：
--
作者：
Huyck, Michael;Mayer, Stockton;Messmer, Sarah;Yingling, Charles;Stephenson, Shirley
关键词：
注射毒品（PWID）的人通常会经历静脉退化作为长期注射的并发症，这使得常规静脉切开术变得困难。客户可能会拒绝护理，因为他们认为缺乏熟练的抽血服务，这导致传染病筛查和治疗的严重延误。在这项研究中，我们调查了在两个低阈值丁丙诺啡诊所接受治疗的静脉通路困难的客户的超声引导下静脉切开术。我们的目标是提高血管通路的准确性，加快丙型肝炎病毒（HCV）和人类免疫缺陷病毒（HIV）的传染病治疗，并提高客户对静脉切开术服务的满意度。拒绝在两个诊所进行常规静脉切开术的PWID由经过培训的临床医生提供超声引导血管通路。参与者完成了一项调查，以收集有关干预的可接受性的数据。在14个月的时间里，有17名参与者被招募。在总共30例手术中，41.2%的客户返回进行了一次以上的静脉切开术访视，88.2%的客户在1次尝试内实现了血管通路。在参与的客户中，52.9%的人描述自己有静脉通路困难，在研究结束时，58.8%的人表示更愿意用超声设备进行静脉切开术。为静脉穿刺困难的PWID提供超声引导下静脉切开术，减少了穿刺尝试，提高了患者满意度，并加快了艾滋病毒和HCV的筛查和治疗，床旁超声技术是改善注射毒品者护理的有效方法。
Persons who inject drugs (PWID) commonly experience venous degradation as a complication of prolonged injection, which makes routine phlebotomy difficult. Clients may decline care due to the perceived lack of skilled phlebotomy services, and this contributes to significant delays in infectious disease screening and treatment. In this study, we investigated ultrasound-guided phlebotomy in clients with difficult venous access receiving care at two low-threshold buprenorphine clinics. Our objectives were to increase the accuracy of vascular access, expedite infectious disease treatment for hepatitis C virus (HCV) and human immunodeficiency virus (HIV), and increase client satisfaction with phlebotomy services. PWID who declined routine phlebotomy at two clinic sites were offered ultrasound-guided vascular access by a trained clinician. Participants completed a survey to collect data regarding acceptability of the intervention. Throughout a 14-month period, 17 participants were enrolled. Of the total 30 procedures, 41.2% of clients returned for more than one phlebotomy visit, and 88.2% of clients achieved vascular access within 1 attempt. Of participating clients, 52.9% described themselves as having difficult venous access and at conclusion of the study, 58.8% expressed more willingness to have phlebotomy performed with an ultrasound device. Offering ultrasound-guided phlebotomy for PWID with difficult venous access resulted in decreased access attempts, increased patient satisfaction, and expedited screening and treatment for HIV and HCV point-of-care ultrasound technology is an effective approach to improving care for persons who inject drugs.
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影响因子：
2.7
作者：
Clements, Amanda;Grose, Jane;Skirton, Heather
通讯作者：
Skirton, Heather
影响因子：
1.5
作者：
Witting, Michael D.;Moayedi, Siamak;Ismail, Ammar
通讯作者：
Ismail, Ammar
影响因子：
4.4
作者：
Hope, V. D.;Parry, J. V.;Hickman, M.
通讯作者：
Hickman, M.
影响因子：
4.4
作者：
Summers, Phillip J.;Struve, Isabelle A.;Rees, Vaughan W.
通讯作者：
Rees, Vaughan W.