Skin and needle hygiene intervention for injection drug users: results from a randomized, controlled Stage I pilot trial.

Journal of Substance Abuse Treatment
Kristina T PhillipsKaren F Corsi

Abstract

A new skin and needle hygiene intervention, designed to reduce high-risk injection practices associated with bacterial and viral infections, was tested in a pilot, randomized controlled trial. Participants included 48 active heroin injectors recruited through street outreach and randomized to either a 2-session intervention or an assessment-only condition (AO) and followed up for 6 months. The primary outcome was skin- and needle-cleaning behavioral skills measured by videotaped demonstration. Secondary outcomes were high-risk injection practices, intramuscular injection, and bacterial infections. Intervention participants had greater improvements on the skin (d = 1.00) and needle-cleaning demonstrations (d = .52) and larger reductions in high-risk injection practices (d = .32) and intramuscular injection (d = .29), with a lower incidence rate of bacterial infections (hazard ratio = .80), at 6 months compared with AO. The new intervention appears feasible and promising as a brief intervention to reduce bacterial and viral risks associated with drug injection.

References

Jun 1, 1992·The International Journal of the Addictions·C A LatkinK E Nelson
Mar 1, 1974·The Journal of Infectious Diseases·C U TuazonJ N Sheagren
Nov 1, 1995·American Journal of Public Health·D D ChitwoodC B McCoy
Jan 1, 1997·International Journal of STD & AIDS·R P Brettle
Jul 1, 1997·International Journal of STD & AIDS·D M PatrickM V O'Shaughnessy
Mar 27, 1998·JAMA : the Journal of the American Medical Association·D J PassaroD J Vugia
Jul 1, 1999·The Psychiatric Clinics of North America·M D Stein
Oct 26, 1999·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·T P FlaniganK Mayer
Mar 18, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·I A BinswangerB R Edlin
Feb 24, 2001·American Journal of Public Health·H HaganE R Alexander
Jun 5, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·E L MurphyB R Edlin
Jul 27, 2001·Drug and Alcohol Dependence·M D Stein, M Sobota
Jun 27, 2002·The Journal of Infectious Diseases·Lucy E WilsonDavid Vlahov
Sep 14, 2002·Current Infectious Disease Reports·Patricia D. Brown, John R. Ebright
Oct 10, 2002·Infectious Disease Clinics of North America·Eugene P SchoenerJames D Pierre
Oct 10, 2002·Infectious Disease Clinics of North America·Vivek Kak, Pranatharthi H Chandrasekar
Oct 10, 2002·Infectious Disease Clinics of North America·John R Ebright, Barbara Pieper
Nov 4, 2005·The New England Journal of Medicine·Rachel J Gordon, Franklin D Lowy
Nov 29, 2005·Drug and Alcohol Dependence·Robin A PolliniSteffanie A Strathdee
May 3, 2006·Archives of General Psychiatry·Helena Chmura KraemerJerome A Yesavage
Aug 22, 2006·Journal of Substance Abuse Treatment·Michael M CopenhaverUNKNOWN SHARP Research Team
Nov 14, 2006·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Kelly A GeboLucy E Wilson
Apr 27, 2007·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Dezheng Huo, Lawrence J Ouellet
Nov 28, 2007·Journal of Clinical Microbiology·G N Al-RawahiE A Bryce
Dec 11, 2007·American Journal of Infection Control·Jane D SiegelUNKNOWN Healthcare Infection Control Practices Advisory Committee
Apr 5, 2008·BMC Infectious Diseases·Dominik MertzManuel Battegay
Feb 7, 2009·Journal of Addictive Diseases·Robert J RooseChinazo O Cunningham
Jun 26, 2009·Journal of Substance Abuse Treatment·Gregory S BrighamCatherine L Dempsey
Jan 8, 2010·The Journal of Infectious Diseases·Holly HaganLawrence J Ouellet
Mar 27, 2010·The American Journal of Drug and Alcohol Abuse·Kristina T Phillips, Michael D Stein
May 1, 2010·Harm Reduction Journal·Andrea K KnittelLemont Gore
Mar 11, 2011·Journal of Medical Microbiology·Karishma S KaushikA K Praharaj

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Citations

Nov 25, 2014·Addiction Research & Theory·Erin E Bonar, Harold Rosenberg
Aug 9, 2016·Addiction Research & Theory·Kristina T Phillips
Nov 30, 2016·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Disa DahlmanScott P Novak
Feb 9, 2018·BMC Infectious Diseases·Rebekah Wagner, Folashade B Agusto
Aug 3, 2017·Journal of Addiction Medicine·Kristina T PhillipsMichael D Stein
Mar 22, 2021·The International Journal on Drug Policy·Raagini JawaJoshua A Barocas
Aug 13, 2020·Infectious Disease Clinics of North America·Carlos S SaldanaAlysse G Wurcel
Oct 15, 2020·Addiction·Roy RobertsonMagdalena Harris

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