Analysis of Psychiatric  Care of Patients in the St. Petersburg I. I. Dzhanelidze  Research  Institute of Emergency Medicine

Sinenchenko, A. G.; Sofronov, A.; Зиновьев, С. В.; Добровольская, А. Е.; Прокопович, Г. А.; Тявокина, Е. Ю.

doi:10.24884/2072-6716-2017-18-1-20-25

Skor. med. pomoŝʹ

2017

DOI: 10.24884/2072-6716-2017-18-1-20-25

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Analysis of Psychiatric Care of Patients in the St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine

A. G. Sinenchenko¹,

A. Sofronov²,

С. В. Зиновьев³

et al.

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Acute methadone poisonings in patients in an emergency hospital

Солонин¹,

Белова²,

Баженов³

et al. 2020

VIČ-infekc. immunosupr.

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Methadone is a potent synthetic opioid used in several countries both for substitution therapy in people with opioid dependence and to prevent HIV infection spreading. In Russia methadone trafficking is prohibited. Despite the current ban, cases of hospitalization with methadone poisoning are regularly recorded in an intensive care units and toxicological departments of emergency hospitals (TD EH). Frequently polydrug consumption detected in a laboratory study. People who use psychoactive substances (PS) are vulnerable to HIV-infection as well as hard-to-reach group for HIV testing. Often HIV-infection and drug abuse pathology are revealed only when drug users hospitalized to an emergency hospital after overdose with one or several PS. During the period 2015–2018 to the toxicological department of Sklifosovsky Research Institute for Emergency Medicine hospitalized 732 patients with acute methadone poisoning. In 76,8–83,9% of cases, methadone was detected in combination with other PS, predominantly with opiates/opioids, psychostimulants, psychodysleptics, as well as pharmaceutical medicaments. In addition to methadone, we recorded the presence of ethanol in biological samples (blood and urine) in a concentration from 0,3 to 3,6‰ in 19,2–33,3% of cases. The prevalence of HIV infection in patients with acute methadone poisoning ranged from 15,7 to 31,8%, increasing by 1,5 times during the analyzed period. The reasons for the increase of prevalence HIV infection in hospitalized patients could be linked to a change in the structure of the taken PS and virus transmission pathways. Patients of TD EH are a high-risk group for the spread of HIV and can be considered as a focus group reflecting general trends in the consumption of drugs in Moscow.

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Acute methadone poisonings in patients in an emergency hospital

Солонин¹,

Белова²,

Баженов³

et al. 2020

VIČ-infekc. immunosupr.

View full text Add to dashboard Cite

show abstract

Analysis of Psychiatric Care of Patients in Alcoholism in the St. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

et al. 2019

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The analysis of the peculiarities of rendering psychiatric care to patients with alcoholism and harmful alcohol use in a multidisciplinary hospital for the period from 2009 to 2016 is presented. with the establishment of multi-year trends, dynamics and structure of morbidity. The average annual and average daily intake of patients with an alcoholic factor was analyzed. It is established that 20.1% of those entering the multidisciplinary hospital suffer from alcoholism and the harmful use of alcohol. The prevalence of residual psychotic disorders and alcohol withdrawal with delirium in the structure of alcohol pathology in patients with somatopsychiatric department is proved. The predominance of combined somatic pathology in patients suffering from alcoholism, weighting the course of the mental illness, is established.

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Analysis of Psychiatric Care of Patients in the St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine

Cited by 2 publications

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Acute methadone poisonings in patients in an emergency hospital

Acute methadone poisonings in patients in an emergency hospital

Analysis of Psychiatric Care of Patients in Alcoholism in the St. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

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