Overcoming Barriers to Prevention, Care, and Treatment of Hepatitis C in Illicit Drug Users
| Autor: | Victoria A. Cargill, Josiah D. Rich, Thomas F. Kresina, Daniel B. Raymond, Marc N. Gourevitch, Laura W. Cheever, Michael R. Carden, Brian R. Edlin |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Mental Health Services
Microbiology (medical) medicine.medical_specialty Alcohol Drinking Hepatitis C virus HIV Infections medicine.disease_cause Antiviral Agents Article Risk-Taking Patient Education as Topic Acquired immunodeficiency syndrome (AIDS) Health care medicine Humans Substance Abuse Intravenous Physician-Patient Relations business.industry Vaccination Hepatitis A Hepatitis C Hepatitis B medicine.disease Surgery Substance abuse Infectious Diseases Family medicine Patient Compliance business Delivery of Health Care Methadone medicine.drug |
| Zdroj: | Clinical Infectious Diseases. 40:S276-S285 |
| ISSN: | 1537-6591 1058-4838 |
| DOI: | 10.1086/427441 |
| Popis: | Injection drug use accounts for most of the incident infections with hepatitis C virus (HCV) in the United States and other developed countries. HCV infection is a complex and challenging medical condition in injection drug users (IDUs). Elements of care for hepatitis C in illicit drug users include prevention counseling and education; screening for transmission risk behavior; testing for HCV and human immunodeficiency virus infection; vaccination against hepatitis A and B viruses; evaluation for comorbidities; coordination of substance-abuse treatment services, psychiatric care, and social support; evaluation of liver disease; and interferon-based treatment for HCV infection. Caring for patients who use illicit drugs presents challenges to the health-care team that require patience, experience, and an understanding of the dynamics of substance use and addiction. Nonetheless, programs are successfully integrating hepatitis C care for IDUs into health-care settings, including primary care, methadone treatment and other substance-abuse treatment programs, infectious disease clinics, and clinics in correctional facilities. |
| Databáze: | OpenAIRE |
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