威斯康星州南部针头交换项目客户关于阿片类药物过量使用及纳洛酮使用情况的调查。

Survey of Southern Wisconsin Needle Exchange Clients Regarding Opioid Overdose and Naloxone Use.

作者信息

Baltes Amelia, Devo Brienna, Kaiser Margaret, Birstler Jen, Brown Randall T

机构信息

Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin,

Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

出版信息

WMJ. 2019 Jul;118(2):84-87.

PMID:31532934

Abstract

BACKGROUND

Factors surrounding opioid overdose and naloxone use must be explored from the user perspective in order to more effectively combat the current opioid crisis.

METHODS

AIDS Resource Center of Wisconsin needle exchange clients were surveyed regarding overdose victim demographics, interventions, experience with naloxone, and overdose outcomes.

RESULTS

Most respondents (102/108, 94.4%) reported either experiencing or witnessing an overdose. While naloxone was often used (64/102, 62.7%), other recommended interventions, such as calling 911 (44/102, 43.1%) and rescue breathing (31/102, 30.4%) often were not. Potential legal consequences were cited as a major barrier for contacting emergency medical services (42.3%).

DISCUSSION/CONCLUSION: There appears to be a need for education and/or policy change to facilitate appropriate overdose prevention and use of emergency medical services in the setting of opioid overdose.

摘要

背景

为了更有效地应对当前的阿片类药物危机，必须从使用者的角度探讨围绕阿片类药物过量使用和纳洛酮使用的因素。

方法

对威斯康星州艾滋病资源中心针头交换项目的客户进行了调查，内容涉及过量用药受害者的人口统计学特征、干预措施、纳洛酮使用经历以及过量用药结果。

结果

大多数受访者（102/108，94.4%）报告称经历过或目睹过药物过量。虽然纳洛酮经常被使用（64/102，62.7%），但其他推荐的干预措施，如拨打911（44/102，43.1%）和实施急救呼吸（31/102，30.4%）却经常未被采用。潜在的法律后果被认为是联系紧急医疗服务的主要障碍（42.3%）。

讨论/结论：似乎需要进行教育和/或政策变革，以促进在阿片类药物过量情况下进行适当的过量用药预防和紧急医疗服务的使用。