HIV-Infected Intravenous Drug Users in Methadone Maintenance Treatment: Clinical Problems and Their Management
作者:
FerrandoStephenJ.,
BatkiStevenL.,
期刊:
Journal of Psychoactive Drugs
(Taylor Available online 1991)
卷期:
Volume 23,
issue 2
页码: 217-224
ISSN:0279-1072
年代: 1991
DOI:10.1080/02791072.1991.10472238
出版商: Taylor&Francis Group
关键词: AIDS;human immunodeficiency virus;intravenous drug users;methadone maintenance treatment;psychiatric disorders;triple diagnosis
数据来源: Taylor
摘要:
AbstractInfection with the human immunodeficiency virus (HIV) is a significant and growing problem among intravenous drug users (IVDUs), both from the standpoint of personal morbidity and public health concerns regarding spread of the virus. Most HIV infected IVDU s are opioid addicts. The most common form of long-term treatment of opioid dependence is methadone maintenance treatment (MMT). MMT can therefore play an important role in both AIDS prevention and reduction of HIV-related morbidity through diminishing drug use, promoting a healthier life-style, and providing direct medical and psychiatric care. Attempts to manage patients with a triple diagnosis of drug abuse, medical, and psychiatric problems can pose significant clinical challenges, requiring the efforts of a multidisciplinary team. The management of HIV-infected patients in MMT is discussed and case examples from the MMT program of the San Francisco General Hospital Substance Abuse Services are presented to illustrate useful strategies in the care of these complicated patients.
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