Center for Drug and Alcohol Research and Collaborating Center on Alcohol and Drugs, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Psychiatry Res. 2020 Jul;289:113096. doi: 10.1016/j.psychres.2020.113096. Epub 2020 May 13.
The COVID-19 pandemic has brought major challenges to healthcare systems and public health policies globally, as it requires novel treatment and prevention strategies to adapt for the impact of the pandemic. Individuals with substance user disorders (SUD) are at risk population for contamination due to multiple factors-attributable to their clinical, psychological and psychosocial conditions. Moreover, social and economic changes caused by the pandemic, along with the traditional difficulties regarding treatment access and adherence-will certainly worsen during this period, therefore aggravate their condition. In addition, this population are potential vectors of transmission. In that sense, specific strategies for prevention and treatment must be discussed. health care professionals dealing with SUD must be aware of the risks and challenges they will meet during and after the COVID-19 outbreak. Addiction care must be reinforced, instead of postponed, in order to avoid complications of both SUD and COVID-19 and to prevent the transmission of coronavirus.
新冠疫情大流行给全球的医疗体系和公共卫生政策带来了重大挑战,因为它需要新的治疗和预防策略来适应疫情的影响。由于多种因素,患有物质使用障碍(SUD)的个体是易受感染的高危人群,这些因素归因于他们的临床、心理和社会心理状况。此外,大流行引起的社会和经济变化,以及治疗的可及性和依从性方面的传统困难,在这期间肯定会恶化,从而使他们的病情加重。此外,这一人群可能是传播的潜在载体。从这个意义上说,必须讨论预防和治疗的具体策略。处理 SUD 的医疗保健专业人员必须意识到他们在新冠疫情期间和之后将面临的风险和挑战。为了避免 SUD 和 COVID-19 的并发症以及冠状病毒的传播,成瘾治疗必须加强,而不是推迟。