Integrated outpatient treatment of opioid use disorder and injection-related infections: A description of a new care model.
Adult
Aged
Aged, 80 and over
Ambulatory Care
/ standards
Anti-Infective Agents
/ therapeutic use
Buprenorphine
/ therapeutic use
Delivery of Health Care, Integrated
/ standards
Female
Humans
Infections
/ drug therapy
Male
Middle Aged
Narcotic Antagonists
/ therapeutic use
Opiate Substitution Treatment
/ methods
Opioid-Related Disorders
/ drug therapy
Pilot Projects
Practice Guidelines as Topic
Buprenorphine
Endocarditis
Intravenous
Opiate-related disorders
Substance abuse
Vascular access devices
Journal
Preventive medicine
ISSN: 1096-0260
Titre abrégé: Prev Med
Pays: United States
ID NLM: 0322116
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
04
02
2019
revised:
15
06
2019
accepted:
24
06
2019
pubmed:
30
6
2019
medline:
28
7
2020
entrez:
29
6
2019
Statut:
ppublish
Résumé
Persons with opioid use disorder (OUD) hospitalized with severe, injection-related infections (SIRI) are frequently hospitalized for the duration of IV antibiotic treatment due to concerns regarding their eligibility for outpatient parenteral antimicrobial therapy (OPAT), which is the standard of care for prolonged IV antibiotic courses for patients without drug use. As part of a pilot study, a novel, integrated care model was developed where patients with OUD and SIRI receive addiction consultation and buprenorphine induction while hospitalized, followed by ongoing management in an outpatient clinic that combines office-based opioid treatment with buprenorphine pharmacotherapy and counseling services with OPAT. Through three illustrative case vignettes the outpatient model is described along with challenges, lessons learned and future directions.
Identifiants
pubmed: 31251946
pii: S0091-7435(19)30236-1
doi: 10.1016/j.ypmed.2019.105760
pii:
doi:
Substances chimiques
Anti-Infective Agents
0
Narcotic Antagonists
0
Buprenorphine
40D3SCR4GZ
Types de publication
Case Reports
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
105760Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001998
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.