Moscatello Graciela, Campello Patricia, Benetucci Jorge A
Department of Infectious Diseases, Hospital of Infectious Diseases, Dr. F. J. Muñiz, and Foundation for Assistance of AIDS Patients (Fundación de Ayuda al Inmunodeficiente), Buenos Aires, Argentina.
Clin Infect Dis. 2003 Dec 15;37 Suppl 5:S343-7. doi: 10.1086/377549.
Injection drug users (IDUs) constitute a population highly vulnerable to infections transmitted by blood or sexual relations. Social problems and marginalization hinder IDUs from accessing the health care system. The rates of prevalence of human immunodeficiency virus, hepatitis C virus, and hepatitis B virus infections in IDUs are high, and they have become of great concern for the Argentinean health care system. An integral frame oriented to identifying the extent of the different individual risk factors, and to enhancing social circumstances, has shown a significant benefit in terms of personal and social matters. These risk factors were analyzed according to a severity of drug abuse scoring system. At the beginning of the study, only 7 of 108 patients were in a low gravity stage, whereas there were 40 patients in the low gravity stage by the end of the study (P<.0001). On the basis of our results, we conclude that low-cost nonmedical tools are effective and have a high impact on patients' health.
注射吸毒者构成了一个极易感染通过血液或性关系传播的疾病的群体。社会问题和边缘化阻碍了注射吸毒者获得医疗保健系统的服务。注射吸毒者中人类免疫缺陷病毒、丙型肝炎病毒和乙型肝炎病毒感染的流行率很高,这些问题已成为阿根廷医疗保健系统极为关注的问题。一个旨在确定不同个体风险因素的程度并改善社会环境的综合框架,在个人和社会事务方面已显示出显著益处。这些风险因素是根据药物滥用严重程度评分系统进行分析的。研究开始时,108名患者中只有7名处于低严重程度阶段,而到研究结束时,处于低严重程度阶段的患者有40名(P<0.0001)。根据我们的研究结果,我们得出结论,低成本的非医疗工具是有效的,并且对患者健康有很大影响。