Your browser doesn't support javascript.
loading
Review of management priorities for invasive infections in people who inject drugs: highlighting the need for patient-centred multidisciplinary care.
Attwood, Lucy O; McKechnie, Megan; Vujovic, Olga; Higgs, Peter; Lloyd-Jones, Martyn; Doyle, Joseph S; Stewardson, Andrew J.
Afiliación
  • Attwood LO; Alfred Health, Melbourne, VIC.
  • McKechnie M; Monash University, Melbourne, VIC.
  • Vujovic O; Alfred Health, Melbourne, VIC.
  • Higgs P; Alfred Health, Melbourne, VIC.
  • Lloyd-Jones M; Monash University, Melbourne, VIC.
  • Doyle JS; Burnet Institute, Melbourne, VIC.
  • Stewardson AJ; La Trobe University, Melbourne, VIC.
Med J Aust ; 217(2): 102-109, 2022 07 18.
Article en En | MEDLINE | ID: mdl-35754144
ABSTRACT
There has been a global increase in the burden of invasive infections in people who inject drugs (PWID). It is essential that patient-centred multidisciplinary care is provided in the management of these infections to engage PWID in care and deliver evidence-based management and preventive strategies. The multidisciplinary team should include infectious diseases, addictions medicine (inclusive of alcohol and other drug services), surgery, psychiatry, pain specialists, pharmacy, nursing staff, social work and peer support workers (where available) to help address the comorbid conditions that may have contributed to the patient's presentation. PWID have a range of antimicrobial delivery options that can be tailored in a patient-centred manner and thus are not limited to prolonged hospital admissions to receive intravenous antimicrobials for invasive infections. These options include discharge with outpatient parenteral antimicrobial therapy, long-acting lipoglycopeptides (dalbavancin and oritavancin) and early oral antimicrobials. Open and respectful discussion with PWID including around harm reduction strategies may decrease the risk of repeat presentations with injecting-related harms.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Servicios Farmacéuticos / Infecciones por VIH / Abuso de Sustancias por Vía Intravenosa / Consumidores de Drogas Límite: Humans Idioma: En Revista: Med J Aust Año: 2022 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Servicios Farmacéuticos / Infecciones por VIH / Abuso de Sustancias por Vía Intravenosa / Consumidores de Drogas Límite: Humans Idioma: En Revista: Med J Aust Año: 2022 Tipo del documento: Article