Department of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA.
Division of Hospital Medicine, Department of Medicine, Section of Addiction Medicine in General Internal Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA.
J Gen Intern Med. 2022 Mar;37(4):935-939. doi: 10.1007/s11606-021-07313-3. Epub 2022 Jan 11.
Amidst a substance use epidemic, hospitalizations and valve surgeries related to drug use-associated infective endocarditis (DU-IE) rose substantially in the last decade. Rates of reoperation and mortality remain high, yet in many hospitals patients are not offered valve surgery or evidence-based addiction treatment. A multidisciplinary team approach can improve outcomes in patients with infective endocarditis; however, the breadth of expertise that should be incorporated into this team is inadequately conceptualized. It is our opinion that incorporating addiction medicine services into the team may improve outcomes in DU-IE. Here, we describe our experience incorporating addiction medicine services into the multidisciplinary management of DU-IE and share implications for other hospitals and health systems looking to improve care for people with DU-IE.
在物质使用流行的背景下，与药物使用相关的感染性心内膜炎（DU-IE）导致的住院和瓣膜手术在过去十年中大幅增加。再次手术和死亡率仍然很高，但在许多医院，患者没有接受瓣膜手术或基于证据的成瘾治疗。多学科团队方法可以改善感染性心内膜炎患者的预后；然而，应该纳入该团队的专业知识广度还没有得到充分的概念化。我们认为，将成瘾医学服务纳入团队可能会改善 DU-IE 的预后。在这里，我们描述了将成瘾医学服务纳入 DU-IE 的多学科管理的经验，并分享了对其他希望改善 DU-IE 患者护理的医院和医疗系统的影响。
