Trends in Substance Abuse and Infectious Disease over 20 Years in a Large Methadone Maintenance Treatment (MMT) Clinic in Israel
| Autor: | Miriam Adelson, Shaul Schreiber, Einat Peles |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Methadone maintenance Substance-Related Disorders media_common.quotation_subject Medicine (miscellaneous) HIV Seroprevalence Internal medicine Opiate Substitution Treatment medicine Humans Israel Psychiatry media_common business.industry Hepatitis C Patient Acceptance of Health Care Retention rate Abstinence medicine.disease Substance abuse Psychiatry and Mental health Treatment Outcome Female Substance Abuse Treatment Centers Opiate business Methadone medicine.drug |
| Zdroj: | Substance Abuse. 35:226-229 |
| ISSN: | 1547-0164 0889-7077 |
| Popis: | Background The objective was to study substance abuse, infectious disease, and patient outcomes (retention and substance abuse abstinence) over 2 decades in a large methadone maintenance treatment (MMT) facility within a tertiary-referral medical center. Methods Prevalence of substance abuse was determined monthly between 1993 (35 patients) and 2013 (350 patients) based on observed random urine tests. On entry, patients were tested for hepatitis C and human immunodeficiency virus (HIV) antibodies. One-year retention and substance abuse abstinence were calculated. Results At admission, mean age and rate of cocaine and benzodiazepines abuse increased over the years, with no change in the prevalence of hepatitis C (50%) and HIV (Conclusions Outcome improvement could be attributed to the staff's growing experience and improvements in treatment but also to changes in patient characteristics over the past 2 decades. |
| Databáze: | OpenAIRE |
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