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一名患有复发性心内膜炎的顽固静脉注射吸毒者的治疗成本:需要制定指南以改善连续护理。

The cost of a recalcitrant intravenous drug user with serial cases of endocarditis: Need for guidelines to improve the continuum of care.

作者信息

Libertin Claudia R, Camsari Ulas M, Hellinger Walter C, Schneekloth Terry D, Rummans Teresa A

机构信息

Division of Infectious Diseases, Mayo Clinic, Jacksonville, FL, United States; Mayo Clinic Health System in Waycross, GA, United States.

Department of Psychiatry & Psychology, Mayo Clinic Rochester, MN, United States; Mayo Clinic Health System in Waycross, GA, United States.

出版信息

IDCases. 2017 Feb 7;8:3-5. doi: 10.1016/j.idcr.2017.02.001. eCollection 2017.

Abstract

We report a case of an intravenous drug user (IVDU) patient who had 4 episodes of endocarditis within a 2-year time period in rural Georgia. The institutional cost was approximately $380,000. The lack of an established transitional care plan for IVDUs to outpatient care is a common phenomenon at institutions. Guidelines are essential to optimize the quality of care rendered to IVDUs with such infections, to assist providers in utilizing limited resources, and to limit the cost to the institutions.

摘要

我们报告了一例静脉吸毒者(IVDU)患者的病例,该患者在佐治亚州农村地区的两年时间内发生了4次心内膜炎。机构成本约为38万美元。在各机构中,缺乏为IVDU患者制定的向门诊护理过渡的既定护理计划是一种常见现象。指南对于优化为患有此类感染的IVDU患者提供的护理质量、帮助医护人员利用有限资源以及限制机构成本至关重要。

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引用本文的文献

本文引用的文献

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Bacterial infections in drug users.吸毒者中的细菌感染
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About the guidelines for outpatient parenteral antimicrobial therapy.
Clin Infect Dis. 2004 Dec 1;39(11):1730-1; author reply 1731. doi: 10.1086/425507.
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Management of the hospitalized injection drug user.住院注射吸毒者的管理。
Infect Dis Clin North Am. 2002 Sep;16(3):571-87. doi: 10.1016/s0891-5520(02)00009-0.

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