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概览 - 监督注射服务:加拿大渥太华市针对阿片类药物危机的基于社区的应对措施。

At-a-glance - Supervised Injection Services: a community-based response to the opioid crisis in the City of Ottawa, Canada.

机构信息

Ottawa Inner City Health, Inc., Ottawa, Ontario, Canada.

Public Health Agency of Canada, Ottawa, Ontario, Canada.

出版信息

Health Promot Chronic Dis Prev Can. 2019 Mar;39(3):112-115. doi: 10.24095/hpcdp.39.3.03.

DOI:10.24095/hpcdp.39.3.03
PMID:30869474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6478052/
Abstract

In response to the current opioid crisis in Canada, establishing safe injection services (SIS) in high risk communities has become more prevalent. In November 2017, The Trailer opened in Ottawa, Canada and tracks client use, overdose treatment and overdoses reversed. We analyzed data collected between November 2017 and August 2018. During peak hours, demand for services consistently exceeded The Trailer's capacity. Overdoses treated and reversed in this facility increased substantially during this period. Results suggest The Trailer provided an important though not optimal (due to space restrictions) harm reduction service to this high-risk community.

摘要

针对加拿大当前的阿片类药物危机,在高风险社区建立安全注射服务(SIS)变得更加普遍。2017 年 11 月,加拿大渥太华的“房车”(The Trailer)投入使用,对客户的使用情况、过量用药治疗和逆转情况进行追踪。我们分析了 2017 年 11 月至 2018 年 8 月期间收集的数据。在高峰时段,服务需求持续超过“房车”的容量。在此期间,该设施治疗和逆转的过量用药数量大幅增加。结果表明,“房车”为这个高风险社区提供了一项重要但并非最佳的(由于空间限制)减少伤害服务。

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Health Promot Chronic Dis Prev Can. 2019 Mar;39(3):112-115. doi: 10.24095/hpcdp.39.3.03.
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Subst Abus. 2019;40(3):383-388. doi: 10.1080/08897077.2018.1485130. Epub 2018 Oct 10.
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Development and implementation of an opioid overdose prevention and response program in Toronto, Ontario.安大略省多伦多市阿片类药物过量预防和应对项目的开发和实施。
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Harm Reduct J. 2024 Jul 27;21(1):141. doi: 10.1186/s12954-024-01053-3.

本文引用的文献

1
Ambulance-attended opioid overdoses: An examination into overdose locations and the role of a safe injection facility.救护车救治的阿片类药物过量:对过量地点和安全注射设施作用的考察。
Subst Abus. 2019;40(3):383-388. doi: 10.1080/08897077.2018.1485130. Epub 2018 Oct 10.
2
Canadian trends in opioid-related mortality and disability from opioid use disorder from 1990 to 2014 through the lens of the Global Burden of Disease Study.通过全球疾病负担研究的视角观察 1990 年至 2014 年加拿大与阿片类药物使用障碍相关的阿片类药物相关死亡率和残疾趋势。
Health Promot Chronic Dis Prev Can. 2018 Jun;38(6):234-243. doi: 10.24095/hpcdp.38.6.03.
3
The lessons learned from the fentanyl overdose crises in British Columbia, Canada.从加拿大不列颠哥伦比亚省芬太尼过量危机中吸取的教训。
Addiction. 2017 Nov;112(11):2068-2070. doi: 10.1111/add.13961. Epub 2017 Sep 12.
4
Harm reduction is about providing safety for patients.减少伤害旨在为患者提供安全保障。
CMAJ. 2017 Sep 11;189(36):E1154. doi: 10.1503/cmaj.1095489.
5
Public Health and Public Order Outcomes Associated with Supervised Drug Consumption Facilities: a Systematic Review.与药物消费监督设施相关的公共卫生和公共秩序成果:一项系统综述
Curr HIV/AIDS Rep. 2017 Oct;14(5):161-183. doi: 10.1007/s11904-017-0363-y.
6
Frequency and severity of non-fatal opioid overdoses among clients attending the Sydney Medically Supervised Injecting Centre.前往悉尼医学监督注射中心的客户中,非致命性阿片类药物过量使用的频率和严重程度。
Drug Alcohol Depend. 2017 Jul 1;176:126-132. doi: 10.1016/j.drugalcdep.2017.02.027. Epub 2017 May 17.
7
Supervised injection facilities in Canada: past, present, and future.加拿大的监督注射设施:过去、现在与未来。
Harm Reduct J. 2017 May 18;14(1):28. doi: 10.1186/s12954-017-0154-1.
8
Making the case for supervised injection services.为监督下的注射服务提供依据。
Lancet. 2016 May 7;387(10031):1890-1. doi: 10.1016/S0140-6736(16)30308-7.
9
Supervised injection services: what has been demonstrated? A systematic literature review.监督下的注射服务:已证实了什么?一项系统的文献综述。
Drug Alcohol Depend. 2014 Dec 1;145:48-68. doi: 10.1016/j.drugalcdep.2014.10.012. Epub 2014 Oct 23.
10
Use of a medically supervised injection facility among street youth.在街头青少年中使用医疗监督注射设施。
J Adolesc Health. 2014 Nov;55(5):684-9. doi: 10.1016/j.jadohealth.2014.04.013. Epub 2014 Jun 9.