The Significance of Harm Reduction as a Social and Health Care Intervention for Injecting Drug Users: An Exploratory Study of a Needle Exchange Program in Fresno, California

Clarke, Kris; Harris, Debra; Zweifler, John; Lasher, Marc; Mortimer, Roger B.; Hughes, Susan M.

doi:10.1080/19371918.2015.1137522

Cited by 23 publications

(16 citation statements)

References 43 publications

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“…The higher prevalence of HCV infection in mothers of NAS infants not only reflects the type of drug exposure, it poses serious long-term health challenges for both mothers and infants. Harm reduction approaches to preventing disease transmission among injection drug users have shown success in other geographic areas; 31 however, improving the availability of substance abuse prevention and treatment services throughout Appalachia remains a first-order challenge. Infants with NAS face additional health challenges given the higher burden of co-morbidities, and the long-term health consequences of NAS vis-à-vis child development remain unexplored.…”

Section: Discussionmentioning

confidence: 99%

Neonatal Abstinence Syndrome in East Tennessee: Characteristics and Risk Factors among Mothers and Infants in One Area of Appalachia

Erwin¹,

Meschke²,

Ehrlich³

et al. 2017

Journal of Health Care for the Poor and Underserved

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Objective To describe the epidemiology of Neonatal Abstinence Syndrome (NAS) in a 16-county Appalachian area of eastern Tennessee. Methods The Tennessee Surveillance System for NAS provided data on maternal sources of opioids. Data linking hospital discharge diagnosis for NAS to birth certificate data allowed us to compare maternal, delivery, and infant characteristics for NAS births with those for non-NAS births. Results There were 339 cases of NAS in 2013 and 367 in 2014, for NAS rates of 25.5 and 28.5 per 1,000 live births, respectively. When compared with the state overall, mothers of NAS infants in eastern Tennessee were more likely to use opioids that had been prescribed to another person. There were numerous maternal, infant, and delivery characteristics that were significantly different for NAS births compared with non-NAS births. Conclusion NAS is epidemic in the eastern Tennessee area of Appalachia, with unique maternal and infant characteristics that have important implications for primary, secondary, and tertiary prevention.

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Section: Discussionmentioning

confidence: 99%

Neonatal Abstinence Syndrome in East Tennessee: Characteristics and Risk Factors among Mothers and Infants in One Area of Appalachia

Erwin¹,

Meschke²,

Ehrlich³

et al. 2017

Journal of Health Care for the Poor and Underserved

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“…In fact, “poor interactions with service providers” has been identified as the main barrier to seeking medical care . Programs such as needle exchange programs endorse therapeutic interactions and generate a greater sense of fidelity, honesty, and confidentiality which may, although not specifically addressed, decrease the rate of skin and soft tissue infections …”

Section: Discussionmentioning

confidence: 99%

“…6 Programs such as needle exchange programs endorse therapeutic interactions and generate a greater sense of fidelity, honesty, and confidentiality which may, although not specifically addressed, decrease the rate of skin and soft tissue infections. 7,8 4 | CONCLUSION Intravenous drug use is commonly associated with skin and soft tissue infections, sometimes of atypical sites. In the IVDU population, a high degree of clinical suspicion to detect atypical infectious presentations must be present.…”

Section: Discussionmentioning

confidence: 99%

Breast abscess after intravenous methamphetamine injection into the breast

Kistler

Ajkay

2017

Breast J

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“…Intravenous (IV) drug addicts are prone to various blood-borne infectious diseases. Most common are human immunodeficiency virus (HIV) and hepatitis B and C infections [1]. Due to a high coincidence of IV drug use with HIV, malnutrition, and immunodeficiency, we used laboratory tests, serological and molecular biological tests to differentiate these conditions.…”

Section: Introductionmentioning

confidence: 99%

Focal brain lesions as a consequence of an obscure neurosurgical treatment in drug-addicted patient

et al. 2020

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Introduction Infectious or non-infectious noxae may occur in drug-addicted patients who have clinical presentation of meningeal syndrome with a spectrum of possible complications, such as a diffuse or focal brain lesions. The objective of this report is to present a rare case of a drug-addicted male patient, initially suspected of mycosis of the central nervous system, but computed tomography (CT) and magnetic resonance imaging (MRI) showed the signs of an invasive neurosurgical operation that the patient underwent during the treatment of drug addiction. Case outline A 37-year-old male patient was hospitalized at the Clinic for Infectious Diseases, Clinical Center of Vojvodina, with a meningeal syndrome, initially suspected of mycosis of the central nervous system. He was diagnosed at the Center for Radiology. Neuroimaging-CT and MRI were used in order to prove or disprove the presence of brain infection. These diagnostic procedures ruled out the presence of brain infection, but opened questions about the type of neurosurgical treatment performed out of legal institution, due to the presence of craniotomy and focal glial brain lesions in the frontal lobes. Conclusion In drug-addicted patients, meningeal syndrome can be connected with diffuse or focal brain infections. Together with laboratory and clinical analysis, imaging methods contribute to the decision making and optimal treatment of patients. In our case, CT and MRI made a significant contribution in the detection of the focal brain lesions and clarification of their etiology.

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The Significance of Harm Reduction as a Social and Health Care Intervention for Injecting Drug Users: An Exploratory Study of a Needle Exchange Program in Fresno, California

Cited by 23 publications

References 43 publications

Neonatal Abstinence Syndrome in East Tennessee: Characteristics and Risk Factors among Mothers and Infants in One Area of Appalachia

Neonatal Abstinence Syndrome in East Tennessee: Characteristics and Risk Factors among Mothers and Infants in One Area of Appalachia

Breast abscess after intravenous methamphetamine injection into the breast

Focal brain lesions as a consequence of an obscure neurosurgical treatment in drug-addicted patient

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