University of Miami Miller School of Medicine, Miami, USA.
Department of Medicine, University of Miami Miller School of Medicine, Miami, USA.
Harm Reduct J. 2020 May 12;17(1):30. doi: 10.1186/s12954-020-00376-1.
Syringe services programs (SSPs) are an evidence-based harm reduction strategy that reduces dangerous sequelae of injection drug use among people who inject drugs (PWID) such as overdose. SSP services include safer injection education and community-based naloxone distribution programs. This study evaluates differences in overdose-associated hospital admissions following the implementation of the first legal SSP in Florida, based in Miami-Dade County.
We performed a retrospective analysis of hospitalizations for injection drug-related sequelae at a county hospital before and after the implementation of the SSP. An algorithm utilizing ICD-10 codes for opioid use and sequelae was used to identify people who inject opioids (PWIO). Florida Department of Law Enforcement Medical Examiners Commission Report data was used to analyze concurrent overdose death trends in Florida counties.
Over the 25-month study period, 302 PWIO admissions were identified: 146 in the pre-index period vs. 156 in the post-index period. A total of 26 admissions with PWIO overdose were found: 20 pre-index and 6 post-index (p = 0.0034).
Declining overdose-associated admissions among PWIO suggests early impacts following SSP implementation. These results indicate a potential early benefit of SSP that should be further explored for its effects on future hospital admission and mortality.
注射器服务项目（SSP）是一种基于证据的减少伤害策略，可减少注射吸毒者（PWID）因注射吸毒而产生的危险后果，如过量用药。SSP 服务包括更安全的注射教育和社区纳洛酮分发计划。本研究评估了佛罗里达州迈阿密-戴德县首个合法 SSP 实施后，与过量相关的住院治疗的差异。
我们对一家县医院因注射药物相关后果的住院治疗情况进行了回顾性分析，在 SSP 实施前后。利用 ICD-10 代码对阿片类药物使用和后果的算法来确定注射阿片类药物的人（PWIO）。利用佛罗里达州执法部法医委员会报告的数据来分析佛罗里达州各县同期过量死亡趋势。
在 25 个月的研究期间，确定了 302 例 PWIO 住院治疗：146 例在索引前期间，156 例在索引后期间。共发现 26 例 PWIO 过量的住院治疗：20 例在索引前，6 例在索引后（p = 0.0034）。
PWIO 因过量而住院治疗的人数减少表明 SSP 实施后早期产生了影响。这些结果表明 SSP 具有潜在的早期效益，应进一步探讨其对未来住院和死亡率的影响。
