Uptake into a bedside needle and syringe program for acute care inpatients who inject drugs
Uptake into a bedside needle and syringe program for acute care inpatients who inject drugs
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DOI：
10.1111/dar.12930
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发表时间：
2019-05-01
影响因子：
3.8
通讯作者：
Hyshka, Elaine
中科院分区：
文献类型：
--
作者：
Brooks, Hannah L.;O'Brien, Daniel C.;Hyshka, Elaine
引言和目的注射毒品的使用与世界范围内显著的发病率和死亡率有关。针头和注射器计划（NSP）已被证明可以减少注射毒品者的负面健康结果。然而，NSP在医院的覆盖范围有限，并且没有同行评审的研究检查了NSP在急性护理环境中的实施情况。我们描述了通过成瘾药物咨询服务在加拿大埃德蒙顿的一家大型城市急性护理医院提供的住院NSP的实施情况，并比较了住院患者接受NSP与未接受NSP的患者的特征。设计和方法对2016年7月11日至2018年1月14日期间所有成瘾医学咨询服务的管理数据进行了审查。我们计算了患者的摄入比例：（i）提供注射器;（ii）接受注射器。多变量分析用于检查这些结果与患者年龄和性别之间的关系。结果在研究期间，1907例患者中有597例（31%）报告注射药物。注射毒品的人在334人（56%）中获得注射器，其中124人（37%）接受注射器。女性患者更有可能接受注射器。讨论和结论在最近实施的NSP医院住院病人，刚刚超过一半的病人报告注射毒品使用提供注射器，病人接受率低。有必要进一步研究，以描述住院NSP的最佳实践，并确定和消除任何障碍，防止一些住院病人被提供或接受注射器。
Introduction and Aims Injection drug use is associated with significant morbidity and mortality worldwide. Needle and syringe programs (NSP) have been shown to reduce negative health outcomes for people who inject drugs. However, NSPs have limited reach in hospitals, and no peer-reviewed research has examined NSP implementation in acute care settings. We describe the implementation of an inpatient NSP offered through an addiction medicine consultation service in a large, urban acute care hospital in Edmonton, Canada, and compared characteristics of inpatients who did versus did not access the NSP. Design and Methods Administrative data were reviewed for all addiction medicine consult service intakes between 11 July 2016 and 14 January 2018. We calculated the proportion of intakes in which patients: (i) were offered syringes; and (ii) accepted syringes. Multivariate analyses were used to examine associations between these outcomes and patient age and sex. Results Patients reported injecting drugs in 597 (31%) of 1907 intakes during the study period. People who inject drugs were offered syringes in 334 (56%) of these intakes, and accepted syringes in 124 (37%) of them. Female patients were more likely to accept syringes. Discussion and Conclusions In a recently implemented NSP for hospital inpatients, just over half of patients who reported injection drug use were offered syringes, and the rate of patient acceptance was low. Further research is necessary to describe best practice for inpatient NSPs and identify and remove any barriers that prevent some inpatients from either being offered or accepting syringes.