Populations at Increased Risk of HIV Infection

Gibbs, Deborah; Hamill, David; Magruder-Habib, Kathryn

doi:10.1097/00126334-199109000-00009

Cited by 9 publications

(3 citation statements)

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“…Furthermore, significant predictors for poorer outcomes and higher rates of rehospitalization (Hwang, Li, Gupta, Chien, and Martin 2003 ) have been found in those leaving AMA and in substance users. In particular, among injection drug users (IDU), recurrence of skin and soft tissue bacterial infections are frequent (Saitz et al 2000 ; Gibbs, Hamill, and Magruder-Habib 1991 and are often complicated by need for surgical intervention, repeat hospital visits, poor adherence to antibiotic regimens and high rates of AMA (Crane, Levine, Zervos, and Cummings 1986 ; Levine, Crane, and Zervos 1986 ; Binswanger et al 2000 ; Center for Disease Control 2001 ). In this study we found that 48 AMAs occurred at hospital whereas only 2 AMAs occurred at CTCT for the same clients in the same time period.…”

Section: Discussionmentioning

confidence: 99%

A Community Care Model of Intravenous Antibiotic Therapy for Injection Drug Users with Deep Tissue Infection for “Reduce Leaving Against Medical Advice”

Jafari

Joe

Elliot

et al. 2014

Int J Ment Health Addiction

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Deep tissue infection is a serious sequela that often demands intravenous (IV) antibiotic treatment. With respect to IV drug users (IDU’s), research and lived experience demonstrates a trend of failed treatment outcomes, most notably associated with leaving hospital against medical advice (LAMA) prior to treatment completion, increased adverse outcomes and patient hardship. This paper examines an alternative model for delivering and completing IV antibiotic treatment to IDU’s in a community care setting. A retrospective study was designed to review client characteristics. A total of 33 in-depth interviews were conducted with clients, clinicians and with staff. The impact of treatment adherence and completion, as well as client satisfaction of care was explored. A total of 165 patients were admitted during the study period. Osteomyelitis was the primary cause for IV antibiotics. Risk of leaving AMA was significantly lower for community model (p value <0.0000). Qualitative narrative analysis is also described with respect to satisfaction, stigma and the need for better models of care. With lower rates of LAMA a community model ought to be considered on a wider scale for provision of comprehensive support for populations with complex underlying health needs.

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Section: Discussionmentioning

confidence: 99%

A Community Care Model of Intravenous Antibiotic Therapy for Injection Drug Users with Deep Tissue Infection for “Reduce Leaving Against Medical Advice”

Jafari

Joe

Elliot

et al. 2014

Int J Ment Health Addiction

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“…In the United States, approximately 1 million persons are active injection drug users (IDUs), 1,2 and it is estimated women make up more than 37% of the population who uses illicit drugs. 3 Among women in the United States, 25% of acquired immu-nodeficiency syndrome (AIDS) cases are attributed to injection drug use, and an additional 32% of cases are attributed to having sex with an IDU.…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Sexual and Injection Risk Behavior Among Active Young Injection Drug Users in San Francisco (the UFO Study)

Evans

2003

Journal of Urban Health: Bulletin of the New York Academy of Medicine

268

205

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“…Approximately 1 million people in the United States are active injection drug users (IDUs) (Centers for Disease Control and Prevention, 2001a; Gibbs et al, 1991). Oftentimes injection drug use comes with many serious health risks.…”

Section: Introductionmentioning

confidence: 99%

Correlates of risky injection practices among past-year injection drug users among the US general population

Ropelewski

Mancha

Hulbert

et al. 2011

Drug and Alcohol Dependence

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Background-With an estimated 1 million active injection drug users (IDUs), injection drug use continues to be a public health concern in the United States. Risky injection practices have been associated with the transmission of HIV, Hepatitis B and C, as well as other skin and soft tissue infections.Methods-We used data from 463 respondents, aged 18 and older, who were past-year IDUs in the 2005-2008 National Survey of Drug Use and Health (NSDUH). We investigated correlates of risky injection behavior among these recent IDUs. Correspondence to: Lauren R. Ropelewski, lropelew@jhsph.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access

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Populations at Increased Risk of HIV Infection

Cited by 9 publications

References 0 publications

A Community Care Model of Intravenous Antibiotic Therapy for Injection Drug Users with Deep Tissue Infection for “Reduce Leaving Against Medical Advice”

A Community Care Model of Intravenous Antibiotic Therapy for Injection Drug Users with Deep Tissue Infection for “Reduce Leaving Against Medical Advice”

Gender Differences in Sexual and Injection Risk Behavior Among Active Young Injection Drug Users in San Francisco (the UFO Study)

Correlates of risky injection practices among past-year injection drug users among the US general population

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