Hepatitis A in injecting drug users: a national problem

Gilroy, Nicole; Tribe, Ingrid G; Passaris, Irene; Hall, Robert; Beers, Mary

doi:10.5694/j.1326-5377.2000.tb127948.x

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Outbreaks of HAV among injecting drug users have been documented in recent years in NSW as well as in other states. 9,10,11 The route of transmission among injecting drug users remains unclear, and is probably multi-factorial, but poor personal hygiene is likely to play a significant role. 11,12 Recent seroprevalence data indicates that at some time during their lifetime about 41 per cent of the Australian population have been exposed to the hepatitis A virus.…”

Section: Discussionmentioning

confidence: 99%

EpiReview: Hepatitis A in New South Wales, 1991?2000

Delpech

Habib²,

Lin³

et al. 2001

NSW Public Health Bull.

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Section: Discussionmentioning

confidence: 99%

EpiReview: Hepatitis A in New South Wales, 1991?2000

Delpech

Habib²,

Lin³

et al. 2001

NSW Public Health Bull.

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Development of a nurse-led primary healthcare service for injecting drug users in inner-city Sydney

Day

Islam

White

et al. 2011

Aust. J. Prim. Health

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Injecting drug users (IDUs) experience numerous health problems, but report barriers to utilising general practitioners (GPs). A nurse-led Harm Minimisation-based Primary Healthcare (HMPH) service for IDUs was established within a needle and syringe program in inner-city Sydney with Area Health Service medical support and clinical governance. This paper aimed to describe the HMPH service, review service utilisation and assess nurses' perceptions of their work with IDUs. A review of the most recent 200 clinic files was undertaken. Service utilisation, GP and other health service use and access were extracted and analysed using SPSS. A semi-structured qualitative interview with clinic nurses regarding their experience working with IDUs and local GPs was conducted and analysed. Since its inception in mid-2006, the service has been utilised by 417 clients. Of the most recent 200 files, blood-borne virus and sexually transmitted infection screening were the primary reason for presentation (64.5%). At least one follow-up visit was attended by 90% of clients. A total of 62% of clients reported consulting a GP in the last 12 months. The service provided 102 referrals. Nurses believed that IDUs tend to utilise GPs ineffectively and that self-care is a low priority, but that they can support IDUs to overcome some barriers to GPs and facilitate access. Targeted primary health care services led by nurses with focussed medical support and co-located with needle and syringe programs can fill an important gap in delivering and facilitating health care to IDUs.

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Hepatitis A in injecting drug users: a national problem

Cited by 2 publications

References 4 publications

EpiReview: Hepatitis A in New South Wales, 1991?2000

EpiReview: Hepatitis A in New South Wales, 1991?2000

Development of a nurse-led primary healthcare service for injecting drug users in inner-city Sydney

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