Stancliff Sharon, Agins Bruce, Rich Josiah D, Burris Scott
AIDS Institute, New York State Department of Health, 5 Penn Plaza, 1st Floor, New York, New York 10001, USA.
BMC Public Health. 2003 Nov 21;3:37. doi: 10.1186/1471-2458-3-37.
Approximately one-third of acquired immunodeficiency syndrome cases in the United States are associated with the practice of sharing of injection equipment and are preventable through the once-only use of syringes, needles and other injection equipment.
Sterile syringes may be obtained legally by 4 methods depending on the state. They may be purchased over the counter, prescribed, obtained at syringe exchange programs or furnished by authorized agencies. Each of these avenues has advantages and disadvantages; therefore, legal access through all means is the most likely way to promote the use of sterile syringes.
By assisting illicit drug injectors to obtain sterile syringes the primary care provider is able to reduce the incidence of blood borne infections, and educate patients about safe syringe disposal. The provider is also able to initiate discussion about drug use in a nonjudgmental manner and to offer care to patients who are not yet ready to consider drug treatment.
在美国,约三分之一的获得性免疫缺陷综合征病例与共用注射设备的行为有关,而通过一次性使用注射器、针头及其他注射设备可预防此类情况。
根据所在州的不同,无菌注射器可通过4种合法途径获取。可在柜台购买、凭处方获取、从注射器交换项目处获得或由授权机构提供。这些途径各有优缺点;因此,通过所有途径合法获取是促进无菌注射器使用的最可行方式。
通过协助非法药物注射者获取无菌注射器,初级保健提供者能够降低血源性感染的发生率,并就安全处理注射器对患者进行教育。提供者还能够以无偏见的方式开启关于药物使用的讨论,并为尚未准备好考虑药物治疗的患者提供护理。