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马来西亚登嘉楼阿末沙医院美沙酮维持治疗诊所患者的高危行为及伴随的内科疾病

High-risk behaviours and concomitant medical illnesses among patients at methadone maintenance therapy clinic, hospital tengku ampuan afzan, malaysia.

作者信息

Ramli M, Nora Mz, Zafri Aab, Junid Mr, Umeed Ak, Hajee Mi

出版信息

Malays Fam Physician. 2009 Aug 31;4(2-3):77-82. eCollection 2009.

Abstract

BACKGROUND

High prevalence of high-risk behaviours and concurrent medical illnesses among opioid drug users would influence the outcome of Methadone Maintenance Programme. It would also require a special medical attention to contain these issues.

OBJECTIVES

This study explored patients' characteristics and their high-risk behaviours in order to understand more about opioid dependent users in Malaysia.

METHODS

A total of 172 patient case notes at Methadone Clinic Hospital Tengku Ampuan Afzan (HTAA) were retrieved for relevant data.

RESULTS

Many of the patients were engaged in high-risk behaviours such as needle sharing, unsafe sex and criminal activities. A large number of the subjects had contracted blood-borne diseases such as HIV and hepatitis infections.

CONCLUSIONS

Education on the issue of medical and psychosocial complications related to high risk behaviours is essential. Medical professionals dealing with this group have to pay attention and update their knowledge on the medical issue.

摘要

背景

阿片类药物使用者中高风险行为和并发疾病的高发生率会影响美沙酮维持治疗项目的结果。这也需要特别的医疗关注来控制这些问题。

目的

本研究探讨患者的特征及其高风险行为,以便更深入了解马来西亚的阿片类药物依赖者。

方法

从登嘉楼安芳公主医院(HTAA)美沙酮诊所检索了172份患者病历以获取相关数据。

结果

许多患者有诸如共用针头、不安全的性行为和犯罪活动等高风险行为。大量受试者感染了血源性疾病,如艾滋病毒和肝炎。

结论

对与高风险行为相关的医学和心理社会并发症问题进行教育至关重要。处理这一群体的医学专业人员必须予以关注并更新他们在医学问题上的知识。

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引用本文的文献

本文引用的文献

1
Methadone maintenance 4 decades later: thousands of lives saved but still controversial.
JAMA. 2008 Nov 19;300(19):2303-5. doi: 10.1001/jama.2008.648.
2
Malaysia and harm reduction: the challenges and responses.
Int J Drug Policy. 2007 Mar;18(2):136-40. doi: 10.1016/j.drugpo.2006.12.015. Epub 2007 Jan 29.
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A six-year evaluation of methadone prescribing practices at a substance misuse treatment centre in the UK.
J Clin Pharm Ther. 2006 Oct;31(5):477-84. doi: 10.1111/j.1365-2710.2006.00767.x.
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HIV infection among injecting drug users in north-east Malaysia, 1992.
AIDS Care. 1993;5(3):273-81. doi: 10.1080/09540129308258610.

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