增加纳洛酮的可及性与使用以预防阿片类药物过量致死及残疾。
Increasing Naloxone Access and Use to Prevent Opioid Overdose Death and Disability.
作者信息
White Nicole D
机构信息
School of Pharmacy and Health Professions, Creighton University, Omaha, Nebraska.
出版信息
Am J Lifestyle Med. 2018 Oct 20;13(1):33-35. doi: 10.1177/1559827618803874. eCollection 2019 Jan-Feb.
Abstract
In 2018, the Surgeon General released a public health advisory emphasizing the importance of naloxone in preventing opioid overdose deaths. Legislation is rapidly changing to simplify the process of obtaining naloxone by expanding who can receive and distribute the life-saving drug. Even with legislation in place expanding access to naloxone, the drug is underutilized and health care providers are responsible for ensuring these efforts are put to use within their practice. Legislative changes will be summarized and the role of the health care provider will be discussed.
摘要
2018年，卫生局局长发布了一份公共卫生咨询报告，强调纳洛酮在预防阿片类药物过量致死方面的重要性。立法正在迅速变化，通过扩大能够接受和分发这种救命药物的人群范围，简化获取纳洛酮的程序。即使有了扩大纳洛酮获取途径的立法，该药物仍未得到充分利用，医疗保健提供者有责任确保这些措施在其医疗实践中得以实施。将对立法变化进行总结，并讨论医疗保健提供者的作用。
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NCHS Data Brief. 2014 Sep(166):1-8.
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