In-hospital illicit drug use, substance use disorders, and acceptance of residential treatment in a prospective pilot needs assessment of hospitalized adults with severe infections from injecting drugs

Journal of Substance Abuse Treatment
Laura C FanucchiSharon L Walsh

Abstract

To conduct a pilot needs assessment of underlying substance use disorders (SUD), motivation for SUD treatment, and willingness to enter residential SUD treatment in hospitalized adults who inject drugs with complex infections requiring intravenous (IV) antibiotics, and to assess the presence of in-hospital illicit substance use. From March 8, 2016 through August 25, 2016 hospitalized, English-speaking, adult patients not currently in SUD treatment with a history of injection drug use and a current infection requiring treatment with IV antibiotics, were prospectively enrolled. Participants were followed weekly during the hospitalization and for 60 days after discharge via interview and medical record review. Of the 42 participants, 8 (19.0%) accepted discharge to residential SUD treatment, 16 (38.0%) completed at least one follow-up research visit after hospital discharge, and 3 (7.1%) died during the 5-month study period. The majority (33; 78%) were hospitalized with endocarditis, and 37 (88.0%) had an opioid use disorder (DSM-5). Mean days of self-reported IV opioid use in the 30 days before hospitalization compared to 30 days after discharge decreased significantly (16.5 to 1.5, P = .001) despite not receiving SUD treatment. ...Continue Reading

Citations

Dec 18, 2018·Open Forum Infectious Diseases·Glen HuangJames E Peacock
Jul 26, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Laura C FanucchiMichelle R Lofwall
Oct 22, 2020·International Journal of Environmental Research and Public Health·Alireza BolooriJudith E Arnetz
Jan 26, 2020·Psychosomatics·Sheryl B Fleisch, Jessica N Walker
Feb 6, 2021·Drug and Alcohol Review·Gurjit S ParmarLianping Ti
Aug 13, 2020·Infectious Disease Clinics of North America·Hermione HurleyAlice Thornton
Dec 21, 2020·The Lancet. Psychiatry·Brian S BarnettJoji Suzuki

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