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在一项结构性干预措施中利用药房分发低死腔注射器,以减少注射吸毒者中的艾滋病毒和丙型肝炎病毒传播。

Using Pharmacies in a Structural Intervention to Distribute Low Dead Space Syringes to Reduce HIV and HCV Transmission in People Who Inject Drugs.

作者信息

Oramasionwu Christine U, Johnson Terence L, Zule William A, Carda-Auten Jessica, Golin Carol E

机构信息

Christine U. Oramasionwu and Terence L. Johnson are with the UNC Eshelman School of Pharmacy, University of North Carolina, Chapel Hill. William A. Zule is with the Substance Abuse Treatment Evaluations and Interventions Program, RTI International, Research Triangle Park, NC. Jessica Carda-Auten is with the UNC Center for AIDS Research and the UNC Institute for Global Health and Infectious Diseases, University of North Carolina, Chapel Hill. Carol E. Golin is with the Gillings School of Global Public Health and the School of Medicine, University of North Carolina, Chapel Hill.

出版信息

Am J Public Health. 2015 Jun;105(6):1066-71. doi: 10.2105/AJPH.2015.302581. Epub 2015 Apr 16.

DOI:10.2105/AJPH.2015.302581
PMID:25880955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4431115/
Abstract

Ongoing injection drug use contributes to the HIV and HCV epidemics in people who inject drugs. In many places, pharmacies are the primary source of sterile syringes for people who inject drugs; thus, pharmacies provide a viable public health service that reduces blood-borne disease transmission. Replacing the supply of high dead space syringes with low dead space syringes could have far-reaching benefits that include further prevention of disease transmission in people who inject drugs and reductions in dosing inaccuracies, medication errors, and medication waste in patients who use syringes. We explored using pharmacies in a structural intervention to increase the uptake of low dead space syringes as part of a comprehensive strategy to reverse these epidemics.

摘要

持续注射吸毒助长了注射吸毒人群中的艾滋病毒和丙型肝炎病毒流行。在许多地方,药店是注射吸毒者获取无菌注射器的主要来源;因此,药店提供了一项可行的公共卫生服务,可减少血源性疾病传播。用低死腔注射器取代高死腔注射器的供应可能会带来深远益处,包括进一步预防注射吸毒者中的疾病传播,以及减少使用注射器患者的剂量不准确、用药错误和药物浪费。我们探索在一项结构性干预措施中利用药店来提高低死腔注射器的使用率,作为扭转这些流行趋势的综合战略的一部分。

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本文引用的文献

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Syndemic vulnerability, sexual and injection risk behaviors, and HIV continuum of care outcomes in HIV-positive injection drug users.艾滋病毒阳性注射吸毒者的综合征易感性、性和注射风险行为以及艾滋病毒连续护理结果
AIDS Behav. 2015 Apr;19(4):684-93. doi: 10.1007/s10461-014-0890-0.
2
Pharmacies as providers of expanded health services for people who inject drugs: a review of laws, policies, and barriers in six countries.药房作为为注射吸毒者提供扩展医疗服务的提供者:六个国家的法律、政策及障碍综述
BMC Health Serv Res. 2014 Jun 17;14:261. doi: 10.1186/1472-6963-14-261.
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Chronic hepatitis C virus infection in the United States, National Health and Nutrition Examination Survey 2003 to 2010.美国慢性丙型肝炎病毒感染,2003 年至 2010 年全国健康和营养调查。
Ann Intern Med. 2014 Mar 4;160(5):293-300. doi: 10.7326/M13-1133.
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WHO guidance on the prevention of viral hepatitis B and C among people who inject drugs.世界卫生组织关于在注射毒品者中预防乙型和丙型病毒性肝炎的指南。
Int J Drug Policy. 2014 May;25(3):363-71. doi: 10.1016/j.drugpo.2014.01.009. Epub 2014 Jan 26.
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Pharmacy nonprescription syringe distribution and HIV/AIDS: a review.药店非处方注射器分发与艾滋病/艾滋病病毒:综述。
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