TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV
Identifieur interne : 000A63 ( Main/Curation ); précédent : 000A62; suivant : 000A64TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV
Auteurs : Pauline Voon [Canada] ; Ronald Joe [Canada] ; Christopher Fairgrieve [Canada] ; Keith Ahamad [Canada]Source :
- BMJ case reports [ 1757-790X ] ; 2016.
Abstract
Opioid use disorder is associated with significant health and social harms. Various evidence-based interventions have proven successful in mitigating these harms, including harm reduction strategies and pharmacological treatment such as methadone. We present a case of a 35-year-old HIV-positive woman who was off antiretroviral therapy due to untreated opioid use disorder, and had a history of frequently self-discharging from hospital against medical advice. During the most recent hospital admission, the patient was transferred to an innovative community-based clinical support residence that supported harm reduction. Initially, she received methadone to only manage the withdrawal symptoms rather than for long-term maintenance therapy. However, with gradual dose increases to treat cravings and withdrawal, she ultimately discontinued all drug use and reinitiated antiretroviral therapy. This case highlights that patients whose goal is not abstinence can be successfully treated for acute medical illnesses and comorbid substance use disorders using harm reduction approaches, including appropriate dosing of pharmacotherapy.
Url:
DOI: 10.1136/bcr-2016-215557
PubMed: 27402654
PubMed Central: 4956987
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :003592
- to stream Pmc, to step Curation: Pour aller vers cette notice dans l'étape Curation :003591
- to stream Pmc, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000562
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :008551
- to stream Ncbi, to step Curation: Pour aller vers cette notice dans l'étape Curation :008551
- to stream Ncbi, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :008551
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :000A64
Links to Exploration step
PMC:4956987Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV</title>
<author><name sortKey="Voon, Pauline" sort="Voon, Pauline" uniqKey="Voon P" first="Pauline" last="Voon">Pauline Voon</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A2">Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Joe, Ronald" sort="Joe, Ronald" uniqKey="Joe R" first="Ronald" last="Joe">Ronald Joe</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Department of Vancouver Community, Vancouver Coastal Health, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Vancouver Community, Vancouver Coastal Health, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A4">Faculty of Medicine, Department of Family Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Faculty of Medicine, Department of Family Medicine, University of British Columbia, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Fairgrieve, Christopher" sort="Fairgrieve, Christopher" uniqKey="Fairgrieve C" first="Christopher" last="Fairgrieve">Christopher Fairgrieve</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ahamad, Keith" sort="Ahamad, Keith" uniqKey="Ahamad K" first="Keith" last="Ahamad">Keith Ahamad</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">27402654</idno>
<idno type="pmc">4956987</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956987</idno>
<idno type="RBID">PMC:4956987</idno>
<idno type="doi">10.1136/bcr-2016-215557</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">003592</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003592</idno>
<idno type="wicri:Area/Pmc/Curation">003591</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003591</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000562</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000562</idno>
<idno type="wicri:Area/Ncbi/Merge">008551</idno>
<idno type="wicri:Area/Ncbi/Curation">008551</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">008551</idno>
<idno type="wicri:Area/Main/Merge">000A64</idno>
<idno type="wicri:Area/Main/Curation">000A63</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV</title>
<author><name sortKey="Voon, Pauline" sort="Voon, Pauline" uniqKey="Voon P" first="Pauline" last="Voon">Pauline Voon</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A2">Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Joe, Ronald" sort="Joe, Ronald" uniqKey="Joe R" first="Ronald" last="Joe">Ronald Joe</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Department of Vancouver Community, Vancouver Coastal Health, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Vancouver Community, Vancouver Coastal Health, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A4">Faculty of Medicine, Department of Family Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Faculty of Medicine, Department of Family Medicine, University of British Columbia, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Fairgrieve, Christopher" sort="Fairgrieve, Christopher" uniqKey="Fairgrieve C" first="Christopher" last="Fairgrieve">Christopher Fairgrieve</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ahamad, Keith" sort="Ahamad, Keith" uniqKey="Ahamad K" first="Keith" last="Ahamad">Keith Ahamad</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia</wicri:regionArea>
<wicri:noRegion>British Columbia</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">BMJ case reports</title>
<idno type="eISSN">1757-790X</idno>
<imprint><date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><title>SUMMARY</title>
<p id="P1">Opioid use disorder is associated with significant health and social harms. Various evidence-based interventions have proven successful in mitigating these harms, including harm reduction strategies and pharmacological treatment such as methadone. We present a case of a 35-year-old HIV-positive woman who was off antiretroviral therapy due to untreated opioid use disorder, and had a history of frequently self-discharging from hospital against medical advice. During the most recent hospital admission, the patient was transferred to an innovative community-based clinical support residence that supported harm reduction. Initially, she received methadone to only manage the withdrawal symptoms rather than for long-term maintenance therapy. However, with gradual dose increases to treat cravings and withdrawal, she ultimately discontinued all drug use and reinitiated antiretroviral therapy. This case highlights that patients whose goal is not abstinence can be successfully treated for acute medical illnesses and comorbid substance use disorders using harm reduction approaches, including appropriate dosing of pharmacotherapy.</p>
</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000A63 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 000A63 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Main |étape= Curation |type= RBID |clé= PMC:4956987 |texte= TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Curation/RBID.i -Sk "pubmed:27402654" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd \ | NlmPubMed2Wicri -a LymphedemaV1
This area was generated with Dilib version V0.6.31. |